30-Day FRN (VAF21-4170)

2021-10315, 30-Day FRN (2900-0114).pdf

Statement of Marital Relationship (VA Form 21-4170)

30-Day FRN (VAF21-4170)

OMB: 2900-0114

Document [pdf]
Download: pdf | pdf
Federal Register / Vol. 86, No. 93 / Monday, May 17, 2021 / Notices
(FDMS) at www.Regulations.gov or to
Nancy J. Kessinger, Veterans Benefits
Administration (20M33), Department of
Veterans Affairs, 810 Vermont Avenue
NW, Washington, DC 20420 or email to
nancy.kessinger@va.gov. Please refer to
‘‘OMB Control No. 2900–0068’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 1717 H Street NW,
Washington, DC 20006, (202) 266–4688
or email maribel.aponte@va.gov. Please
refer to ‘‘OMB Control No. 2900–0068’’
in any correspondence.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995, Federal agencies must
obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. This request for comment is
being made pursuant to Section
3506(c)(2)(A) of the PRA.
With respect to the following
collection of information, VBA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VBA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VBA’s estimate of the
burden of the proposed collection of
information; (3) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Authority: Public Law 104–13; 44
U.S.C. 3501–3521.
Title: Application for ServiceDisabled Veterans Insurance VA Form
29–4364 and VA Form 29–0151.
OMB Control Number: 2900–0068.
Type of Review: Revision of a
currently approved collection.
Abstract: These forms are used by
veterans to apply for Service Disabled
Veterans Insurance, to designate a
beneficiary and to select an optional
settlement. The information is required
by law, 38 U.S.C., Section 1922.
Affected Public: Individuals and
households.
Estimated Annual Burden: 8,333
hours.
Estimated Average Burden per
Respondent: 20 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
25,000.

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18:56 May 14, 2021

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By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2021–10339 Filed 5–14–21; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0114]

Agency Information Collection Activity
Under OMB Review: Statement of
Marital Relationship
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, 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 and it
includes the actual data collection
instrument.

SUMMARY:

Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. Refer to ‘‘OMB Control
No. 2900–0114.’’
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 1717 H Street NW,
Washington, DC 20006, (202) 266–4688
or email maribel.aponte@va.gov. Please
refer to ‘‘OMB Control No. 2900–0114’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 38 U.S.C. 101(3), 38 U.S.C.
101(31), and 38 U.S.C. 103(c).
Title: Statement of Marital
Relationship (VA Form 21–4170).
OMB Control Number: 2900–0114.
Type of Review: Reinstatement of a
previously approved collection.
Abstract: VA Form 21–4170 is used to
gather information that is necessary to
determine whether a valid common law
marriage was established. The form is
used by persons claiming to be common
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law widows/widowers of deceased
veterans and by veterans and their
claimed common law spouses. Benefits
cannot be authorized unless a valid
marriage is established.
This is a reinstatement only with no
changes. The respondent burden has
decreased due to the estimated number
of receivables averaged over the past
year.
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 86 FR
46 on March 11, 2021, page 13968.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 919.
Estimated Average Burden per
Respondent: 25 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
2,205.
By direction of the Secretary:
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2021–10315 Filed 5–14–21; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0386]

Agency Information Collection
Activity: Interest Rate Reduction
Refinancing Loan Worksheet
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, this notice announces that the
Veterans Benefits Administration,
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 and it includes the
actual data collection instrument.
DATES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
SUMMARY:

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