[Federal Register Volume 77, Number 178 (Thursday, September 13, 2012)]
[Notices]
[Page 56712]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-22496]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0319]


Agency Information Collection (Fiduciary Agreement) Activities 
Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: 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 October 15, 2012.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov or to VA's OMB Desk Officer, Office of 
Information and Regulatory Affairs, New Executive Office Building, Room 
10235, Washington, DC 20503 (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0319'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7479, Fax (202) 632-7583 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0319.''

SUPPLEMENTARY INFORMATION:
    Title: Fiduciary Agreement, VA Form 21-4703.
    OMB Control Number: 2900-0319.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-4703 is a legal binding contract between VA 
and Federally appointed fiduciaries receiving VA funds on behalf 
beneficiaries who were determined to be incompetent or under legal 
disability by reason of minority or court action. The form outlines the 
fiduciary's responsibility regarding the use of VA funds.
    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 July 2, 2012, at pages 39345-39346.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,467 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 17,600.

    By direction of the Secretary.

    Dated: September 7, 2012.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-22496 Filed 9-12-12; 8:45 am]
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