Federal Register / Vol. 69, No. 211 / Tuesday, November 2, 2004 / Notices 63571

factors. Individual factors such as 

income, marital status, the beneficiary’s 

number of dependents, may affect the 

amount of the benefit that he or she 

receives or they may affect his or her 

right to receive the benefits. 

Beneficiaries must report changes in 

these factors to VA in a timely manner. 

The information is needed to determine 

whether adjustment in rates of benefit 

payments are necessary. 

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 August 

10, 2004, at page 48565. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden: 31,017 

hours. 

Estimated Average Burden per 

Respondent: 5 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents:

372,209.

Dated: October 18, 2004. 

By direction of the Secretary. 

Loise Russell, 

Director, Records Management Service.

[FR Doc. 04–24398 Filed 11–1–04; 8:45 am] 

BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0095] 

Agency Information Collection 

Activities 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, has submitted 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 December 2, 2004.

FOR FURTHER INFORMATION CONTACT:

Denise McLamb, Records Management 

Service (005E3), Department of Veterans 

Affairs, 810 Vermont Avenue, NW., 

Washington, DC 20420, (202) 273–8030, 

fax (202) 273–5981 or e-mail 

denise.mclamb@mail.va.gov. Please 

refer to ‘‘OMB Control No. 2900–

0095.’’Send comments and 

recommendations concerning any 

aspect of the information collection 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–

0095’’ in any correspondence.

SUPPLEMENTARY INFORMATION:

Title: Pension Claim Questionnaire for 

Farm Income, VA Form 21–4165. 

OMB Control Number: 2900–0095. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA Form 21–4165 is used to 

gather information necessary to 

determine a claimant’s countable annual 

income and available assets due to farm 

operations. Eligibility to income-based 

benefits cannot be determined without 

complete information about a claimant’s 

income. Farm income is not necessarily 

received on a weekly or monthly basis, 

and farm operating expenses must be 

considered in determining income and 

total assets. If eligibility exists, the 

information will be used to determine 

the proper rate of benefits. 

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 June 

15, 2004, at page 33466. 

Affected Public: Individuals or 

households and farms. 

Estimated Annual Burden: 1,038 

hours. 

Estimated Average Burden per 

Respondent: 30 minutes. 

Frequency of Response: Annually. 

Estimated Number of Respondents:

2,075.

Dated: October 19, 2004.

By direction of the Secretary. 

Loise Russell, 

Director, Records Management Service.

[FR Doc. 04–24399 Filed 11–1–04; 8:45 am] 

BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–NEW] 

Agency Information Collection 

Activities 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. 3501–21), this notice 

announces that the Veterans Benefits 

Administration (VBA), Department of 

Veterans Affairs, has submitted 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 

includes the actual data collection 

instrument.

DATES: Comments must be submitted on 

or before December 2, 2004.

FOR FURTHER INFORMATION CONTACT:

Denise McLamb, Records Management 

Service (005E3), Department of Veterans 

Affairs, 810 Vermont Avenue, NW., or email denise.mclamb@mail.va.gov.

Please refer to ‘‘OMB Control No. 2900–

NEW.’’ Send comments and 

recommendations concerning any 

aspect of the information collection 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–

NEW’’ in any correspondence.

SUPPLEMENTARY INFORMATION: 

Title: Residency Verification Report—

Veterans and Survivors, VA Form Letter 

21–914. 

OMB Control Number: 2900–NEW. 

Type of Review: New collection. 

Abstract: VA Form Letter 21–914 is 

used to verify whether Filipino veterans 

of the Special Philippine Scouts, 

Commonwealth Army of the 

Philippines, organized guerilla groups, 

or survivors receiving service-connected 

compensation benefits at the full-dollar 

residing in the United States as United 

States citizens or as aliens lawfully 

admitted for permanent residence 

continue to meet the residency 

requirements. Continued eligibility to 

benefits at the full—dollar rate cannot 

be determined without complete 

information about a veteran’s or 

beneficiary’s residency. 

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 August 

3, 2004, at pages 46627–46628. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden: 417 hours. 

Estimated Average Burden Per 

Respondent: 20 minutes.