[Federal Register Volume 59, Number 61 (Wednesday, March 30, 1994)] [Unknown Section] [Page 0] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 94-7460] [[Page Unknown]] [Federal Register: March 30, 1994] ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS Information Collection Under OMB Review: Application for Service- Disabled Insurance, VA Form 29-4364 and VA Form 29-4364-1 agency: Department of Veterans Affairs. action: Notice. ----------------------------------------------------------------------- The Department of Veterans Affairs has submitted to OMB the following proposal for the collection of information under the provisions of the Paperwork Reduction Act (44 U.S.C. chapter 35). This document lists the following information: (1) The title of the information collection, and the Department form number(s), if applicable; (2) a description of the need and its use; (3) who will be required or asked to respond; (4) an estimate of the total annual reporting hours, and recordkeeping burden, if applicable; (5) the estimated average burden hours per respondent; (6) the frequency of response; and (7) an estimated number of respondents. addresses: Copies of the proposed information collection and supporting documents may be obtained from Janet G. Byers, Veterans Benefits Administration (20A5), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 (202) 233-3021. Comments and questions about the items on the list should be directed to VA's OMB Desk Officer, Joseph Lackey, NEOB, room 3002, Washington, DC 20503, (202) 395-7316. Do not send requests for benefits to this address. dates: Comments on the information collection should be directed to the OMB Desk Officer on or before April 29, 1994. Dated: March 22, 1994. By direction of the Secretary. B. Michael Berger, Director, Records Management Service. Revision 1. Application for Service-Disabled Insurance, VA Form 29-4364 and VA Form 29-4364-1. 2. The forms are used by veterans to apply for Service-Disabled Veterans Insurance, to designate a beneficiary and to select an optional settlement. 3. Individuals or households. 4. 2,833 hours. 5. 40 minutes. 6. On occasion. 7. 4,250 respondents. [FR Doc. 94-7460 Filed 3-29-94; 8:45 am] BILLING CODE 8320-01-M