30-Day FRN (VA Form 21-10210)

2021-03881, 30-Day FRN (VAF21-10210).pdf

Lay/Witness Statement (VA Form 21-10210)

30-Day FRN (VA Form 21-10210)

OMB: 2900-0881

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Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Notices

Analytics (008), 1717 H Street NW,
Washington, DC 20006, (202) 266–4688
or email [email protected]. Please
refer to ‘‘OMB Control No. 2900–0659’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 38 U.S.C. 5103(a), 38
U.S.C. 5107(a).
Title: Statement in Support of Claim
for Service Connection for PostTraumatic Stress Disorder (PTSD) (VA
Form 21–0781) and Statement in
Support of Claim for Service Connection
for Post-Traumatic Stress Disorder
(PTSD) Secondary to Personal Assault
(VA Form 21–0781a).
OMB Control Number: 2900–0659.
Type of Review: Reinstatement of a
previously approved collection.
Abstract: VA Forms 21–0781 and 21–
0781a are used to gather information
about stressful incidents in service from
veterans claiming compensation for
Post-Traumatic Stress Disorder (PTSD).
The forms request the information that
is necessary for VA to conduct
meaningful research of records in order
to assist claimants in obtaining credible
supporting evidence that the incidents
occurred. Without this collection of
information, VA would not be able to
fulfill its statutory duty to assist for
claimants and would be unable to
properly authorize benefits.
No changes have been made to these
forms. The increase in respondent
burden is due to the estimated number
of receivables from the previous year.
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 at 85 FR
216 on November 6, 2020, pages 71139
and 71140.
Affected Public: Individuals and
households.
Estimated Annual Burden: 23,770
hours.
Estimated Average Burden per
Respondent: 70 minutes.

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17:04 Feb 24, 2021

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Frequency of Response: On occasion.
Estimated Number of Respondents:
20,374.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2021–03882 Filed 2–24–21; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0881]

Agency Information Collection Activity
Under OMB Review: Lay/Witness
Statement
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, 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 Budget
(OMB) for review and comment. The
PRA submission describes the nature of
the information collection and its
expected cost and burden and it
includes the actual data collection
instrument.
DATES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. Refer to ‘‘OMB Control
No. 2900–0881.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
SUMMARY:

PO 00000

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Analytics (008), 1717 H Street NW,
Washington, DC 20006, (202) 266–4688
or email [email protected]. Please
refer to ‘‘OMB Control No. 2900–0881’’
in any correspondence.
SUPPLEMENTARY INFORMATION:

Authority: 38 U.S.C. 501, 38 U.S.C.
5103, and 38 U.S.C. 5101(a).
Title: Lay/Witness Statement (VA
Form 21–10210).
OMB Control Number: 2900–0881.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 21–10210 is used
by the claimant to gather lay or witness
statements that support an existing
claim for benefits or services. Without
this information, VA may not be able to
efficiently and successfully process
claims that may require additional
statements associated with a claim for
benefits or services. This request is an
extension only with no substantive
changes made to the form.
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 at 85 FR
177 on September 11, 2020, pages 56290
and 56291.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 16,667
hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
100,000.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2021–03881 Filed 2–24–21; 8:45 am]
BILLING CODE 8320–01–P

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File Created2021-02-25

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