65504 Federal Register / Vol. 69, No. 218 / Friday, November 12, 2004 / Notices 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

the use of other forms of information 

technology. 

Titles:

a. Application for Ordinary Life 

Insurance, Replacement Insurance for 

Modified Life Reduced at Age 65, 

National Service Life Insurance, VA 

Form 29–8485. 

b. Application for Ordinary Life 

Insurance, Replacement Insurance for 

Modified Life Reduced at Age 70, 

National Service Life Insurance, VA 

Form 29–8485a. 

c. Application for Ordinary Life 

Insurance, Replacement Insurance for 

Modified Life Reduced at Age 65, 

National Service Life Insurance, VA 

Form 29–8700. 

d. Information About Modified Life 

Reduction, VA Forms 29–8700a–e and 

VA Forms 29–8701a–e. 

e. Application for Ordinary Life 

Insurance, Replacement Insurance for 

Modified Life Reduced at Age 70, 

National Service Life Insurance, VA 

Form 29–0701. 

OMB Control Number: 2900–0166. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: Policyholders applying for 

replacement insurance for Modified Life 

reduced at age 65 and 70 use these 

forms. The information collected is used 

to determine the insured’s eligibility for 

the insurance. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden: 1,284 

hours. 

Estimated Average Burden Per 

Respondent: 5 minutes. 

Frequency of Response: One time. 

Estimated Number of Respondents:

15,400.

Dated: November 1, 2004.

By direction of the Secretary. 

Loise Russell, 

Director, Records Management Service.

[FR Doc. 04–25150 Filed 11–10–04; 8:45 am] 

BILLING CODE 8320–01–P

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.

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: 

irmnkess@vba.va.gov. 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. 

Federal Register / Vol. 69, No. 218 / Friday, November 12, 2004 / Notices 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

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0129] 

Proposed Information Collection 

Activity: Proposed Collection; 

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 evaluate a claim for disability 

insurance 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: 

irmnkess@vba.va.gov. Please refer to 

‘‘OMB Control No. 2900–0129’’ 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 (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: Supplemental Disability Report, 

VA Form Letter 29–30a. 

OMB Control Number: 2900–0129. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA Form Letter 29–30a is 

used by the insured to provide 

additional information required to 

process a claim for disability insurance 

benefits. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden: 548 hours. 

Estimated Average Burden Per 

Respondent: 5 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents:

6,570.

Dated: November 1, 2004.

By direction of the Secretary. 

Loise Russell, 

Director, Records Management Service.

[FR Doc. 04–25152 Filed 11–10–04; 8:45 am] 

BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0261] 

Proposed Information Collection 

Activity: Proposed Collection; 

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 the 

information needed to process refunds 

of contributions made by program 

participants who disenroll from the Post 

Vietnam Era Veterans Education 

Program.

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: 

irmnkess@vba.va.gov. Please refer to 

‘‘OMB Control No. 2900–0261’’ 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 (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 Refund of 

Educational Contributions (VEAP, 

Chapter 32, Title 38, U.S.C.), VA Form 

24–5281. 

OMB Control Number: 2900–0261. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA Form 24–5281 is 

completed by veterans and service 

persons to request a refund of their