Federal Register: November 4, 2009 (Volume 74, Number 212)

DOCID: fr04no09-120 FR Doc E9-26459

DEPARTMENT OF VETERANS AFFAIRS

Veterans Affairs Department

OMB ID: [OMB Control No. 2900-0525]

NOTICE: NOTICES

DOCID: fr04no09-120

DOCUMENT ACTION: Notice.

SUBJECT CATEGORY:

Agency Information Collection (VA MATIC Change) Activities: Under OMB Review

DATES: Comments must be submitted on or before December 4, 2009.

DOCUMENT SUMMARY:

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 and includes the actual data collection instrument.

SUMMARY:

Agency Information Collection Activities; Proposals, Submissions, and Approvals

SUPPLEMENTAL INFORMATION

Title: VA MATIC Change, VA Form 290165.

OMB Control Number: 29000525.

Type of Review: Extension of a currently approved collection.

Abstract: Claimants complete VA Form 290165 to enroll in VA MATIC or change their financial institution from which VA currently deducts his/her Government Life Insurance premium.

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 August 26, 2009, at page 43228.

Affected Public: Individuals or households.

Estimated Annual Burden: 1,250 hours.

Estimated Average Burden per Respondent: 15 minutes.

Frequency of Response: On occasion.

Estimated Number of Respondents: 5,000.

Dated: October 29, 2009.

By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.

FOR FURTHER INFORMATION CONTACT

Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 4617485, fax (202) 2730443 or email denise.mclamb@mail.va.gov. Please refer to ``OMB Control No. 2900 0525.''