[Federal Register Volume 79, Number 54 (Thursday, March 20, 2014)]
[Notices]
[Page 15621]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-06108]
[[Page 15621]]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0001]
Agency Information Collection (Veteran's Application for
Compensation and/or Pension): Activity 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 April 21, 2014.
ADDRESSES: Submit written comments on the collection of information
through www.Regulations.gov or to VA's OMB Desk Officer, OMB Human
Resources and Housing Branch, New Executive Office Building, Room
10235, Washington, DC 20503 (202) 395-7316. Please refer to ``OMB
Control No. 2900-0001'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632-7492 or email
[email protected]. Please refer to ``OMB Control No. 2900-0001.''
SUPPLEMENTARY INFORMATION:
Titles:
a. Veteran's Application for Compensation and/or Pension, VA Form
21-526.
b. Veteran's Supplemental Claim Application, VA Form 21-526b.
c. Authorization and Consent Release Information to the Department
of Veterans Affairs (VA), VA Form 21-4142.
d. General Release for Medical Provider Information to the
Department of Veterans Affairs (VA), VA Form 21-4142a.
OMB Control Number: 2900-0001.
Type of Review: Revision of a currently approved collection.
Abstracts:
a. Veterans complete VA Form 21-526 to initially apply for
compensation and/or pension benefits.
b. Veterans who previously filed a claim using VA Form 21-526, and
who wish to request an increase in a service connected condition,
reopen their claim for a previously denied claim, and/or file a claim
for a new service-connected condition must complete VA Form 21-526b. VA
Form 21-526b will be used for supplemental disability or ancillary
benefit claims.
c. Veterans who need VA's assistance in obtaining non-VA medical
records must complete VA Form 21-4142.
d. VA Form 21-4142a is used to gather private provider information
of the Veteran to VA.
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 January 3, 2014 at pages 424 and 425.
Affected Public: Individuals or households.
Estimated Annual Burden:
a. VA Form 21-526--391,708.
b. VA Form 21-526b--50,000.
c. VA Form 21-4142--5,516.
d. VA Form 21-4142a--5,516.
Estimated Average Burden per Respondent:
a. VA Form 21-526--1 hour.
b. VA Form 21-526b--15 minutes.
c. VA Form 21-4142--5 minutes.
d. VA Form 21-4142a--5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
a. VA Form 21-526--391,708.
b. VA Form 21-526b--200,000.
c. VA Form 21-4142--66,200.
d. VA Form 21-4142a--66,200.
Dated: March 14, 2014.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-06108 Filed 3-19-14; 8:45 am]
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