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[Federal Register Volume 69, Number 218 (Friday, November 12, 2004)]
[Notices]
[Pages 65504-65505]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-25151]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0101]

Proposed Information Collection Activity: Proposed Collection; 
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 the notice. This notice solicits comments on information 
needed to determine and verify entitlement to income-based benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before January 11, 2005.

ADDRESSES: Submit written comments on the collection of information to 
Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 
20420 or e-mail: [email protected]. Please refer to ``OMB Control No. 
2900-0101'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 273-7079 
or fax (202) 275-5947.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Public Law 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: Eligibility Verification Reports (EVR).
    a. Eligibility Verification Report Instructions, VA Form 21-0510.
    b. Old Law and Section 306 Eligibility Verification Report 
(Surviving Spouse), VA Form 21-0512S-1.
    c. Old Law and Section 306 Eligibility Verification Report 
(Veteran), VA Form 21-0512V-1.
    d. Old Law and Section 306 Eligibility Verification Report 
(Children Only), VA Form 21-0513-1.
    e. DIC Parent's Eligibility Verification Report, VA Forms 21-0514 
and 21-0514-1.
    f. Improved Pension Eligibility Verification Report (Veteran With 
No Children), VA Forms 21-0516 and 21-0516-1.
    g. Improved Pension Eligibility Verification Report (Veteran With 
Children), VA Forms 21-0517 and 21-0517-1.
    h. Improved Pension Eligibility Verification Report (Surviving 
Spouse With No Children), VA Forms 21-0518 and 21-0518-1.
    i. Improved Pension Eligibility Verification Report (Child or 
Children), VA Forms 21-0519C and 21-0519C-1.
    j. Improved Pension Eligibility Verification Report (Surviving 
Spouse With Children), VA Forms 21-0519S and 21-0519S-1.
    OMB Control Number: 2900-0101.
    Type of Review: Extension of a currently approved collection.
    Abstract: Eligibility Verification Reports (EVR) forms are used to 
verify continued entitlement to benefits. Individuals who have applied 
for or receives Improved Pension or Parents' Dependency and Indemnity 
Compensation must promptly notify VA in writing of any changes in 
entitlement factors. EVRs are required annually by beneficiaries whose 
social security number (SSN) or whose spouse's SSN is not verified, or 
who has income other than Social Security. Recipients of Old Law and 
Section 306 Pension are no longer required to submit annual EVRs unless 
there is a change in their income.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 113,075 hours. The annual burden for VA 
Forms 21-512S, 21-512S-1, 21-512V, 21-512V-1, 21-513-1, 21-514, 21-514-
1, 21-0516, 21-0516-1, 21-0518, 21-0518-1, 21-519C, and 21-519C-1 is 
9,8775 and 14,300 for VA Forms 21-517, 21-0517-a, 21-0519S, and 21-
519S-1.
    Estimated Average Burden Per Respondent: The estimated burden 
respondent for VA Forms 21-512S, 21-512S-1, 21-512V, 21-512V-1, 21-513-
1, 21-514, 21-514-1, 21-0516, 21-0516-1, 21-0518, 21-0518-1, 21-519C, 
and 21-519C-1 is 30 minutes and 40 minutes for VA Forms 21-517, 21-
0517-a, 21-0519S, and 21-519S-1.
    Frequency of Response: Annually.

[[Page 65505]]

    Estimated Number of Respondents: 219,000. The number of respondents 
for VA Forms 21-512S, 21-512S-1, 21-512V, 21-512V-1, 21-513-1, 21-514, 
21-514-1, 21-0516, 21-0516-1, 21-0518, 21-0518-1, 21-519C, and 21-519C-
1 is 197,550 and 21,450 for VA Forms 21-517, 21-0517-a, 21-0519S, and 
21-519S-1.

    Dated: November 1, 2004.

    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. 04-25151 Filed 11-10-04; 4:45 am]
BILLING CODE 8320-01-P
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