Federal Register: July 14, 2005 (Volume 70, Number 134)
DOCID: FR Doc E5-3752
DEPARTMENT OF VETERANS AFFAIRS
Veterans Affairs Department
OMB ID: [OMB Control No. 2900-0068]
DOCUMENT ACTION: Notice.
Agency Information Collection Activities Under OMB Review
DATES: Comments must be submitted on or before August 15, 2005.
In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 35013521) this notice announces that the Veterans Benefits Administration (VBA), Department of Veterans Affairs, has submitted 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.
Agency information collection activities; proposals, submissions, and approvals,
Title: Application for ServiceDisabled Veterans Insurance, VA Form 294364 and VA Form 290151.
OMB Control Number: 29000068.
Type of Review: Extension of a currently approved collection.
Abstract: Claimants complete VA Forms 294364 and 290151 to apply for servicedisabled veterans insurance, designate a beneficiary and to select an optional settlement. VA uses the data collected to determine the claimant's eligibility for insurance.
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
60day comment period soliciting comments on this collection of information was published on March 18, 2005 at page 13235.
Affected Public: Individuals or households.
Estimated Annual Burden: 2,833 hours.
Estimated Average Burden Per Respondent: 40 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 4,250.
Dated: July 6, 2005.
By direction of the Secretary.
Program Analyst, Records Management Service.
[FR Doc. E53752 Filed 71305; 8:45 am]
BILLING CODE 832001P
FOR FURTHER INFORMATION CONTACT
Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 2738030, FAX (202) 2735981 or e mail: email@example.com. Please refer to ``OMB Control No. 29000068.''
Send comments and recommendations concerning any aspect of the information collection to VA's OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503 (202) 3957316. Please refer to ``OMB Control No. 29000068'' in any correspondence.