81 FR 36661 - Agency Information Collection (Marital Status Questionnaire, 21P-0537) Activity Under OMB Review

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 81, Issue 109 (June 7, 2016)

Page Range		36661-36661
FR Document		2016-13394

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 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.

Federal Register, Volume 81 Issue 109 (Tuesday, June 7, 2016)

[Federal Register Volume 81, Number 109 (Tuesday, June 7, 2016)]
[Notices]
[Page 36661]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-13394]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0495]


Agency Information Collection (Marital Status Questionnaire, 21P-
0537) Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: 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 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 July 7, 2016.

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 
[email protected]. Please refer to ``OMB Control No. 2900-
0495'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
[email protected]. Please refer to ``OMB control No. 2900-
0495.''

SUPPLEMENTARY INFORMATION:
    Title: Marital Status Questionnaire, VA Form 21P-0537.
    OMB Control Number: 2900-0495.
    Type of Review: Revision of an approved collection.
    Abstract: VA Form 21P-0537 is used to verify a surviving spouse's 
current marital status to determine his or her continuing entitlement 
to Dependency and Indemnity Compensation (DIC) benefits. The form 
letter is automatically generated and mailed to DIC beneficiaries. 
Agency action depends on the information provided by the beneficiary. 
If the information provided supports the beneficiary's continued 
entitlement to benefits, no action is taken. If the information 
provided by the beneficiary does not support continued entitlement to 
benefits, VA will take action to terminate benefit payments, based on 
the facts found.
    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 Friday, 
March 25, 2016, at 81 FR 16283.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,484 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 17,808.

    By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records 
Management, Department of Veterans Affairs.
[FR Doc. 2016-13394 Filed 6-6-16; 8:45 am]
BILLING CODE 8320-01-P

Federal Register / Vol. 81, No. 109 / Tuesday, June 7, 2016 / Notices 36661

Control No. 2900–NEW’’ in any DEPARTMENT OF VETERANS Title: Marital Status Questionnaire,
correspondence. AFFAIRS VA Form 21P–0537.
FOR FURTHER INFORMATION CONTACT: OMB Control Number: 2900–0495.
Cynthia Harvey-Pryor, Enterprise [OMB Control No. 2900–0495] Type of Review: Revision of an
Records Service (005R1B), Department approved collection.
Agency Information Collection (Marital Abstract: VA Form 21P–0537 is used
of Veterans Affairs, 810 Vermont
Status Questionnaire, 21P–0537) to verify a surviving spouse’s current
Avenue NW., Washington, DC 20420,
Activity Under OMB Review marital status to determine his or her
(202) 461–5870 or email,
cynthia.harvey-pryor@va.gov. Please AGENCY: Veterans Benefits continuing entitlement to Dependency
refer to ‘‘OMB Control No. 2900–NEW’’ Administration, Department of Veterans and Indemnity Compensation (DIC)
in any correspondence. Affairs. benefits. The form letter is automatically
SUPPLEMENTARY INFORMATION:
generated and mailed to DIC
ACTION: Notice.
Title: Alternate Signer Certification. beneficiaries. Agency action depends on
SUMMARY: In compliance with the the information provided by the
OMB Control Number: 2900–NEW.
Paperwork Reduction Act (PRA) of 1995 beneficiary. If the information provided
Type of Review: New collection.
(44 U.S.C. 3501–3521), this notice supports the beneficiary’s continued
Abstract: VA Form 21–0972 will be
announces that the Veterans Benefits entitlement to benefits, no action is
used to collect the alternate signer
Administration (VBA), Department of taken. If the information provided by
information necessary for VA to accept
Veterans Affairs, will submit the the beneficiary does not support
benefit application forms signed by
collection of information abstracted continued entitlement to benefits, VA
individuals on behalf of Veterans and
below to the Office of Management and will take action to terminate benefit
claimants. The information collected
Budget (OMB) for review and comment. payments, based on the facts found.
will be used to contact the alternate
signer for verification purposes. The PRA submission describes the An agency may not conduct or
nature of the information collection and sponsor, and a person is not required to
An agency may not conduct or
its expected cost and burden; it includes respond to a collection of information
sponsor, and a person is not required to
the actual data collection instrument. unless it displays a currently valid OMB
respond to a collection of information
DATES: Comments must be submitted on control number.
unless it displays a currently valid OMB
control number. The Federal Register or before July 7, 2016. The Federal Register Notice with a
Notice with a 60-day comment period ADDRESSES: Submit written comments
60-day comment period soliciting
soliciting comments on this collection on the collection of information through comments on this collection of
of information was published at 81 FR www.Regulations.gov, or to Office of information was published on Friday,
58 on March 25, 2016, pages 16282 and Information and Regulatory Affairs, March 25, 2016, at 81 FR 16283.
16283. Office of Management and Budget, Attn: Affected Public: Individuals or
Affected Public: Individuals or VA Desk Officer; 725 17th St. NW., households.
Households. Washington, DC 20503 or sent through Estimated Annual Burden: 1,484
Estimated Annual Burden: 1,250. electronic mail to oira_submission@ hours.
Estimated Average Burden per omb.eop.gov. Please refer to ‘‘OMB Estimated Average Burden per
Respondent: 15 minutes. Control No. 2900–0495’’ in any Respondent: 5 minutes.
Frequency of Response: One time. correspondence. Frequency of Response: One time.
Estimated Number of Respondents: FOR FURTHER INFORMATION CONTACT: Estimated Number of Respondents:
5,000. Cynthia Harvey-Pryor, Enterprise 17,808.
By direction of the Secretary. Records Service (005R1B), Department By direction of the Secretary.
Kathleen M. Manwell, of Veterans Affairs, 810 Vermont Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office Avenue NW., Washington, DC 20420, Program Analyst, VA Privacy Service, Office
of Privacy and Records Management, (202) 461–5870 or email cynthia.harvey- of Privacy and Records Management,
Department of Veterans Affairs. pryor@va.gov. Please refer to ‘‘OMB Department of Veterans Affairs.
[FR Doc. 2016–13395 Filed 6–6–16; 8:45 am] control No. 2900–0495.’’ [FR Doc. 2016–13394 Filed 6–6–16; 8:45 am]
BILLING CODE 8320–01–P SUPPLEMENTARY INFORMATION: BILLING CODE 8320–01–P
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Document Created: 2018-02-08 07:31:32
Document Modified: 2018-02-08 07:31:32

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		Comments must be submitted on or before July 7, 2016.
Contact		Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-5870 or email [email protected] Please refer to ``OMB control No. 2900- 0495.''
FR Citation		81 FR 36661