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60-Day FRN (2900-0075).pdf

Statement in Support of Claim (21-4138)

FRN (60-30 Day)\60-Day FRN (2900-0075)

OMB: 2900-0075

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Federal Register / Vol. 79, No. 137 / Thursday, July 17, 2014 / Notices

information from claimants treating
physician that is necessary to adjudicate
a claim for disability benefits.
Affected Public: Individuals or
households.
Estimated Annual Burden: 127,917
hours.
Estimated Average Burden per
Respondent:
a. VA Form 21–0960B–2—15 minutes.
b. VA Form 21–0960C–2—30 minutes.
c. VA Form 21–0960C–10—45
minutes.
d. VA Form 21–0960I–1—15 minutes.
e. VA Form 21–0960I–6—30 minutes.
f. VA Form 21–0960J–1—30 minutes.
g. VA Form 21–0960J–2—15 minutes.
h. VA Form 21–0960J–3—15 minutes.
l. VA Form 21–0960P–1—15 minutes.
m. VA Form 21–0960P–2—30
minutes.
n. VA Form 21–0960P–3—30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
TOTAL: 307,000
a. VA Form 21–0960B–2—10,000.
b. VA Form 21–0960C–2—2,000.
c. VA Form 21–0960C–10—55,000.
d. VA Form 21–0960I–1—50,000.
e. VA Form 21–0960I–6—5,000.
f. VA Form 21–0960J–1—25,000.
g. VA Form 21–0960J–2—25,000.
h. VA Form 21–0960J–3—25,000.
i. VA Form 21–0960M–13—50,000.
j. VA Form 21–0960M–14—50,000.
k. VA Form 21–0960O–1—25,000.
l. VA Form 21–0960P–1—5,000.
m. VA Form 21–0960P–2—50,000.
n. VA Form 21–0960P–3—55,000.
Dated: July 11, 2014.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans
Affairs.
[FR Doc. 2014–16751 Filed 7–16–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0075]

Proposed Information Collection
(Statement in Support of Claim);
Comment Request
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.

pmangrum on DSK3VPTVN1PROD with NOTICES

AGENCY:

The Veterans Benefits
Administration (VBA), Department of
Veterans Affairs (VA), is announcing an
opportunity for public comment on the
proposed collection of certain
information by the agency. Under the
Paperwork Reduction Act (PRA) of

SUMMARY:

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15:01 Jul 16, 2014

Jkt 232001

1995, Federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
revision of a currently approved
collection and allow 60 days for public
comment in response to the notice. This
notice solicits comments on information
needed to ensure statements submitted
by or on behalf of a claimant are true
and correct.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before September 15,
2014.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Nancy J. Kessinger, Veterans Benefits
Administration (20M33), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420 or email to
[email protected]. Please refer to
‘‘OMB Control No. 2900–0075’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Nancy J. Kessinger at (202) 632–8924 or
FAX (202) 632–8925.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Public Law 104–13; 44
U.S.C. 3501—3521), Federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. This request for comment is
being made pursuant to Section
3506(c)(2)(A) of the PRA.
With respect to the following
collection of information, VBA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VBA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VBA’s estimate of the
burden of the proposed collection of
information; (3) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Title: Statement in Support of Claim,
VA Form 21–4138.
OMB Control Number: 2900–0075.
Type of Review: Revision of a
currently approved collection.
Abstract: Statements submitted by or
on behalf of a claimant must contain a
certification by the respondent that the
information provided to VA is true and

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Frm 00075

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correct in support of various types of
benefit claims processed by VA. VA
Form 21–4138 is to used collect the
statement in support of such claims.
Affected Public: Individuals or
households.
Estimated Annual Burden: 188,000
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
752,000.
Dated: July 11, 2014.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans
Affairs.
[FR Doc. 2014–16736 Filed 7–16–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
Privacy Act of 1974; System of
Records
Department of Veterans Affairs.
Notice of Amendment to System
of Records.

AGENCY:
ACTION:

As required by the Privacy
Act of 1974 (5 U.S.C. 552a(e)(4)), notice
is hereby given that the Department of
Veterans Affairs (VA) is amending a
system of records in its inventory titled
‘‘Supervised Fiduciary/Beneficiary and
General Investigative Records—VA’’
(37VA27). VA is amending the system of
records by updating it to reflect current
program terminology, policies, and
procedures, and revising the name,
purpose(s), system manager and
address, categories of individuals, types
of information, and routine uses of
records maintained in the system. VA is
republishing the system notice in its
entirety.

SUMMARY:

Comments on this amended
system of records must be received no
later than August 18, 2014. If no public
comment is received during the period
allowed for comment or unless
otherwise published in the Federal
Register by VA, the amended system of
records will become effective on August
18, 2014.
ADDRESSES: Written comments
concerning this amended system of
records may be submitted through
www.Regulations.gov; by mail or handdelivery to the Director, Regulation
Policy and Management (02REG),
Department of Veterans Affairs, 810
Vermont Ave. NW., Room 1068,
Washington, DC 20420; or by fax to
(202) 273–9026. (This is not a toll free
DATES:

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