2756 Federal Register / Vol. 76, No. 10 / Friday, January 14, 2011 / Notices 

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 the notice. This 

notice solicits comments for information 

needed to obtain evidence to 

substantiate claims for service 

connection post-traumatic stress 

disorder (PTSD). 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before March 15, 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 (20M35), 

Department of Veterans Affairs, 810 

Vermont Avenue, NW., Washington, DC 

20420 or e-mail to 

nancy.kessinger@va.gov. Please refer to 

‘‘OMB Control No. 2900–0659’’ in any 

correspondence. During the comment 

period, comments may be viewed online 

through FDMS. 

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. 

Titles: 

a. Statement in Support of Claim for 

Service Connection for Post-Traumatic 

Stress Disorder (PTSD), VA Form 21– 

0781. 

b. 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: Extension of a 

currently approved collection. 

Abstract: Veterans seeking 

compensation for post-traumatic stress 

disorder and need VA’s assistance in 

obtaining evidence from military 

records and other sources to 

substantiate their claims of in-service 

stressors must complete VA Forms 21– 

0781 and 21–0791a. Veterans who did 

not serve in combat or were not a 

prisoner of war and are claiming 

compensation for post-traumatic stress 

disorder due to in-service stressors, he 

or she must provide credible supporting 

evidence that the claimed in-service 

stressor occurred. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden: 

a. Statement in Support of Claim for 

Service Connection for Post-Traumatic 

Stress Disorder (PTSD), VA Form 21– 

0781—16,800 hours. 

b. Statement in Support of Claim for 

Service Connection for Post-Traumatic 

Stress Disorder (PTSD) Secondary to 

Personal Assault, VA Form 21–0781a— 

980 hours. 

Estimated Average Burden per 

Respondent: 

a. Statement in Support of Claim for 

Service Connection for Post-Traumatic 

Stress Disorder (PTSD), VA Form 21– 

0781—70 minutes. 

b. Statement in Support of Claim for 

Service Connection for Post-Traumatic 

Stress Disorder (PTSD) Secondary to 

Personal Assault, VA Form 21–0781a— 

70 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents: 

a. Statement in Support of Claim for 

Service Connection for Post-Traumatic 

Stress Disorder (PTSD), VA Form 21– 

0781—14,400. 

b. Statement in Support of Claim for 

Service Connection for Post-Traumatic 

Stress Disorder (PTSD) Secondary to 

Personal Assault, VA Form 21–0781a— 

840. 

Dated: January 11, 2011. 

By direction of the Secretary. 

Denise McLamb, 

Program Analyst, Enterprise Records Service. 

[FR Doc. 2011–779 Filed 1–13–11; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0149] 

Agency Information Collection 

(Application for Conversion) 

(Government Life Insurance) 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 February 14, 2011. 

ADDRESSES: Submit written comments 

on the collection of information through 

http://www.Regulations.gov; or to VA’s 

OMB Desk Officer, OMB Human 

Resources and Housing Branch, New 

Executive Office Building, Room 10235, 

Washington, DC 20503 (202) 395–7316. 

Please refer to ‘‘OMB Control No. 2900– 

0149’’ in any correspondence. 

FOR FURTHER INFORMATION CONTACT: 

Denise McLamb, Enterprise Records 

Service (005R1B), Department of 

Veterans Affairs, 810 Vermont Avenue, 

NW., Washington, DC 20420, (202) 461– 

7485, fax (202) 273–0966 or e-mail 

denise.mclamb@va.gov. Please refer to 

‘‘OMB Control No. 2900–0149.’’ 

SUPPLEMENTARY INFORMATION: 

Title: Application for Conversion 

(Government Life Insurance), VA Form 

29–0152. 

OMB Control Number: 2900–0149. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA Form 29–0152 is 

completed by insured veterans to 

convert his/her term insurance to a 

permanent plan of insurance. 

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 

November 4, 2010, at page 68036. 

Affected Public: Individuals or 

households. 

mstockstill on DSKH9S0YB1PROD with NOTICES

Federal Register / Vol. 76, No. 10 / Friday, January 14, 2011 / Notices 2757 

Estimated Annual Burden: 1,125 

hours. 

Estimated Average Burden per 

Respondent: 15 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents: 

4,500. 

Dated: January 11, 2011. 

By direction of the Secretary. 

Denise McLamb, 

Program Analyst, Enterprise Records Service. 

[FR Doc. 2011–780 Filed 1–13–11; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0179] 

Proposed Information Collection 

(Application for Change of Permanent 

Plan (Medical); Comment Request 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

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 the notice. This 

notice solicits comments on information 

needed to establish eligibility to change 

insurance plans. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before March 15, 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 

nancy.kessinger@va.gov. Please refer to 

‘‘OMB Control No. 2900–0179’’ in any 

correspondence. During the comment 

period, comments may be viewed online 

through FDMS. 

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: Application for Change of 

Permanent Plan (Medical) (Change to a 

policy with a lower reserve value), VA 

Form 29–1549. 

OMB Control Number: 2900–0179. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: The form is used by the 

insured to establish his/her eligibility to 

change insurance plans from a higher 

reserve to a lower reserve value. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden: 14 hours. 

Estimated Average Burden per 

Respondent: 30 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents: 

28. 

Dated: January 11, 2011. 

By direction of the Secretary. 

Denise McLamb, 

Program Analyst, Enterprise Records Service. 

[FR Doc. 2011–781 Filed 1–13–11; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0139] 

Proposed Information Collection 

(Notice—Payment Not Applied); 

Comment Request 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

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 for 

information needed to determine a 

claimant’s eligibility to reinstate 

government life insurance. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before March 15, 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 nancy.kessinger@ 

va.gov. Please refer to ‘‘OMB Control No. 

2900–0139’’ in any correspondence. 

During the comment period, comments 

may be viewed online through FDMS. 

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: Notice—Payment Not Applied, 

VA Form 29–4499a. 

OMB Control Number: 2900–0139. 

Type of Review: Extension of a 

currently approved collection. 

mstockstill on DSKH9S0YB1PROD with NOTICES