[Federal Register Volume 76, Number 58 (Friday, March 25, 2011)]
[Notices]
[Pages 16858-16859]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-7031]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0114]


Proposed Information Collection (Statement of Marital 
Relationship); Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: 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 extension 
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 determine the validity of a common law 
marriage.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before May 24, 2011.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at http://www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits 
Administration (20M33), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420 or e-mail to <a href="/cdn-cgi/l/email-protection#640a050a071d4a0f0117170d0a0301162412054a030b12"><span class="__cf_email__" data-cfemail="cda3aca3aeb4e3a6a8bebea4a3aaa8bf8dbbace3aaa2bb">[email protected]</span></a>. 
Please refer to ``OMB Control No. 2900-0114'' in any correspondence. 
During the comment period, comments may be viewed online through FDMS.

[[Page 16859]]


FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 461-9769 
or FAX (202) 275-5947.

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 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 of Marital Relationship, VA Form 21-4170.
    OMB Control Number: 2900-0114.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-4170 is completed by individuals claiming to 
be common law widows/widowers of deceased veterans and by veterans and 
their claimed common law spouses to establish marital status. VA uses 
the information collected to determine whether a common law marriage 
was valid under the law of the place where the parties resided at the 
time of the marriage or under the law of the place where the parties 
resided when the right to benefits accrued.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 2,708 hours.
    Estimated Average Burden per Respondent: 25 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 6,500.

    Dated: March 21, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-7031 Filed 3-24-11; 8:45 am]
BILLING CODE 8320-01-P


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