60-Day FRN (2900-0104)

51398

Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Notices

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0104]

Proposed Information Collection
(Report of Accidental Injury in Support
of Claim for Compensation or Pension/
Statement of Witness to Accident)
Activity: Comment Request
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
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
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 this notice.
This notice solicits comments on the
information needed to support a claim
for disability benefits based on an
accidental injury.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before October 27, 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 (20M35), Department of
Veterans Affairs, 810 Vermont Avenue
NW, Washington, DC 20420 or email
[email protected]. Please refer to
‘‘OMB Control No. 2900–0104’’ 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 (Pub. L. 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

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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: Report of Accidental Injury in
Support of Claim for Compensation or
Pension/Statement of Witness to
Accident, VA Form 21P–4176.
OMB Control Number: 2900–0104.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21P–4176 is used
to support a claim for disability benefits
based on an accidental injury that a
veteran incurred while in the line of
duty. VA will use the data collected to
determine whether the injury was
accidental or a result of willful
misconduct by the Veteran.
Affected Public: Individuals or
households.
Estimated Annual Burden: 2,200
hours.
Estimated Average Burden Per
Respondent: 30 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents:
4,400.
Dated: August 25, 2014.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–20471 Filed 8–27–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0031]

Agency Information Collection
(Veteran’s Supplemental Application
for Assistance in Acquiring Specially
Adapted Housing) Activity Under OMB
Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), Department of
Veterans Affairs, will submit the
collection of information abstracted
below to the Office of Management and

SUMMARY:

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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.
DATES: Comments must be submitted on
or before September 29, 2014.
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 oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0031’’ in any
correspondence.
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–
0031.’’
SUPPLEMENTARY INFORMATION:
Title: Veteran’s Supplemental
Application for Assistance in Acquiring
Specially Adapted Housing, VA Form
26–4555c.
OMB Control Number: 2900–0031.
Type of Review: Revision of a
currently approved collection.
Abstract: Veterans complete VA Form
26–4555c to apply for specially adapted
housing grant. VA will use the data
collected to determine if it is
economically feasible for a veteran to
reside in specially adapted housing and
to compute the proper grant amount.
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 on May
30, 2014, at page 31182.
Affected Public: Individuals or
households.
Estimated Annual Burden: 350 hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
1,400.
Dated: August 22, 2014.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–20436 Filed 8–27–14; 8:45 am]
BILLING CODE 8320–01–P

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