30-Day FRN (2900-0747)

2022-21017, 30-Day FRN (VAF21-526EZ).pdf

Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ)

30-Day FRN (2900-0747)

OMB: 2900-0747

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Federal Register / Vol. 87, No. 187 / Wednesday, September 28, 2022 / Notices
the use of other forms of information
technology.
Title: Civil Rights Discrimination
Complaint, VA Form 08–0381.
OMB Control Number: 2900–0662.
Type of Review: Revision of a
currently approved collection.
Abstract: Veterans and other
customers who believe that civil rights
were violated by agency employees
while receiving medical care or services
in VA medical centers or institutions
such as state homes receiving federal
financial assistance from VA, complete
VA Form 08–0381 to file a formal
complaint of the alleged discrimination.
Affected Public: Individuals and
households.
Estimated Annual Burden: 113 hours.
Estimated Average Burden Per
Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
450.
By direction of the Secretary.
Dorothy Glasgow,
VA PRA Clearance Officer, (Alt) Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2022–20916 Filed 9–27–22; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0747]

Agency Information Collection Activity
Under OMB Review: Application for
Disability Compensation and Related
Compensation Benefits
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

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SUMMARY:

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(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.
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. 2900–0747.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20006, (202) 266–4688
or email [email protected]. Please
refer to ‘‘OMB Control No. 2900–0747’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: Public Law 110–389
Section 221, 38 U.S.C. 5101.
Title: Application for Disability
Compensation and Related
Compensation Benefits (VA Form 21–
526EZ).
OMB Control Number: 2900–0747.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21–526EZ is used
to collect the information needed to
process a claim for disability
compensation and related compensation
benefits. Though, this form was initially
created to be used to submit fully
developed claims (FDC), it has evolved
into a standard claim form to be used for
any benefit associated with disability
compensation: to include new or initial
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claims, reopened claims, and claims for
increase.
The respondent burden for VA Form
21–526EZ has increased due to: the
number of receivables averaged over the
past year, general program changes—
such as regulatory changes, and the
continuing improvement of VA’s
electronic claims processing systems.
VA Form 21–526EZ has been
updated, to include: new instructions
associated with ‘The Sergeant First
Class (SFC) Heath Robinson Honoring
our Promise to Address Comprehensive
Toxics (PACT) Act’; the GENDER
question has been removed; a new
Section IV: Exposure Information,
including new PACT Act questions that
identify toxic exposures the claimant
may have been exposed to during
service; and an ‘Addendum’ has been
added to provide additional space for
disabilities if the claimant has more
than the space provided in Section V:
Claim Information.
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 87 FR
40885 on July 8, 2022, pages 40885 and
40886.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 587,815.
Estimated Average Burden per
Respondent: 17.5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
2,015,367.
By direction of the Secretary.
Dorothy Glasgow,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2022–21017 Filed 9–27–22; 8:45 am]
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