[Federal Register Volume 80, Number 89 (Friday, May 8, 2015)]
[Notices]
[Page 26640]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-11122]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0826]


Agency Information Collection (Intent To File a Claim for 
Compensation and/or Pension, or Survivors Pension and/or DIC) 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. 3501-21), 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: Comments must be submitted on or before June 8, 2015.

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 
[email protected]. Please refer to ``OMB Control No. 2900-
0826'' in any correspondence. During the comment period, comments may 
be viewed online through the FDMS.

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. 2900-0826'' in 
any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Intent to File a Claim for Compensation and/or Pension, or 
Survivors Pension and/or DIC (VA Form 21-0966).
    OMB Control Number: 2900-0826.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-0966 will be used by claimants and/or their 
authorized representatives to indicate intent to file a claim for 
compensation and/or disability benefits to establish an effective date 
for an award granted in association with a complete claim filed within 
1 year of such form. VA will use this form to identify claimants in its 
internal business operational systems to record the date of receipt of 
this document for the purposes of establishing a date of claim for a 
complete claim that is filed within 1 year. VA also uses the 
information to furnish the claimant with the appropriate VA form or 
application for VA benefits.
    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 80 FR 7530 on February 10, 2015.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 181,140.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 724,561.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2015-11122 Filed 5-7-15; 8:45 am]
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