2900-0495 30-Day FRN

2900-0495 30-Day FRN.pdf

Marital Status Questionnaire (21P-0537)

2900-0495 30-Day FRN

OMB: 2900-0495

Document [pdf]
Download: pdf | pdf
Federal Register / Vol. 81, No. 109 / Tuesday, June 7, 2016 / Notices
Control No. 2900–NEW’’ in any
correspondence.

DEPARTMENT OF VETERANS
AFFAIRS

FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, Enterprise
Records Service (005R1B), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420,
(202) 461–5870 or email,
cynthia.harvey-pryor@va.gov. Please
refer to ‘‘OMB Control No. 2900–NEW’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Alternate Signer Certification.
OMB Control Number: 2900–NEW.
Type of Review: New collection.
Abstract: VA Form 21–0972 will be
used to collect the alternate signer
information necessary for VA to accept
benefit application forms signed by
individuals on behalf of Veterans and
claimants. The information collected
will be used to contact the alternate
signer for verification purposes.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published at 81 FR
58 on March 25, 2016, pages 16282 and
16283.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 1,250.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
5,000.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2016–13395 Filed 6–6–16; 8:45 am]

asabaliauskas on DSK3SPTVN1PROD with NOTICES

BILLING CODE 8320–01–P

VerDate Sep<11>2014

19:13 Jun 06, 2016

Jkt 238001

[OMB Control No. 2900–0495]

Agency Information Collection (Marital
Status Questionnaire, 21P–0537)
Activity Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), Department of
Veterans Affairs, will submit the
collection of information abstracted
below to the Office of Management and
Budget (OMB) for review and comment.
The PRA submission describes the
nature of the information collection and
its expected cost and burden; it includes
the actual data collection instrument.
DATES: Comments must be submitted on
or before July 7, 2016.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0495’’ in any
correspondence.
SUMMARY:

FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, Enterprise
Records Service (005R1B), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420,
(202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB
control No. 2900–0495.’’
SUPPLEMENTARY INFORMATION:

PO 00000

Frm 00146

Fmt 4703

Sfmt 9990

36661

Title: Marital Status Questionnaire,
VA Form 21P–0537.
OMB Control Number: 2900–0495.
Type of Review: Revision of an
approved collection.
Abstract: VA Form 21P–0537 is used
to verify a surviving spouse’s current
marital status to determine his or her
continuing entitlement to Dependency
and Indemnity Compensation (DIC)
benefits. The form letter is automatically
generated and mailed to DIC
beneficiaries. Agency action depends on
the information provided by the
beneficiary. If the information provided
supports the beneficiary’s continued
entitlement to benefits, no action is
taken. If the information provided by
the beneficiary does not support
continued entitlement to benefits, VA
will take action to terminate benefit
payments, based on the facts found.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number.
The Federal Register Notice with a
60-day comment period soliciting
comments on this collection of
information was published on Friday,
March 25, 2016, at 81 FR 16283.
Affected Public: Individuals or
households.
Estimated Annual Burden: 1,484
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
17,808.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2016–13394 Filed 6–6–16; 8:45 am]
BILLING CODE 8320–01–P

E:\FR\FM\07JNN1.SGM

07JNN1


File Typeapplication/pdf
File Modified2016-06-07
File Created2016-06-07

© 2024 OMB.report | Privacy Policy