14154 Federal Register / Vol. 89, No. 38 / Monday, February 26, 2024 / Notices 

(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. 

Authority: Title 38 U.S.C. 1506, 1521, 

1541, and 1542. 

Title: Supplemental Income 

Questionnaire (For Philippine Claims 

Only). 

OMB Control Number: 2900–0668. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA Form 21P–0784 is 

primarily used to gather income 

information that is necessary to 

determine eligibility for Pension 

benefits. Entitlement to pension cannot 

be determined without complete 

information about a claimant’s family 

income and net worth. Claimants 

residing in the Philippines have 

different types of income than claimants 

residing in the United States, and this 

form better captures those types of 

income than other VA Pension forms. 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 30 hours. 

Estimated Average Burden per 

Respondent: 15 minutes. 

Frequency of Response: One time. 

Estimated Number of Respondents: 

120. 

By direction of the Secretary. 

Maribel Aponte, 

VA PRA Clearance Officer, Office of 

Enterprise and Integration/Data Governance 

Analytics, Department of Veterans Affairs. 

[FR Doc. 2024–03764 Filed 2–23–24; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0545] 

Agency Information Collection 

Activity: Report of Medical, Legal, and 

Other Expenses Incident to Recovery 

for Injury or Death 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: Veterans Benefits 

Administration, 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 

revision of a currently approved 

collection, and allow 60 days for public 

comment in response to the notice. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before April 26, 2024. 

ADDRESSES: Submit written comments 

on the collection of information through 

Federal Docket Management System 

(FDMS) at www.Regulations.gov or to 

Nancy J. Kessinger, Veterans Benefits 

Administration (20M33), Department of 

Veterans Affairs, 810 Vermont Avenue 

NW, Washington, DC 20420 or email to 

nancy.kessinger@va.gov. Please refer to 

‘‘OMB Control No. 2900–0545’’ in any 

correspondence. During the comment 

period, comments may be viewed online 

through FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Maribel Aponte, Office of Enterprise 

and Integration, Data Governance 

Analytics (008), 810 Vermont Ave. NW, 

Washington, DC 20420, (202) 266–4688 

or email maribel.aponte@va.gov. Please 

refer to ‘‘OMB Control No. 2900–0545’’ 

in any correspondence. 

SUPPLEMENTARY INFORMATION: Under the 

PRA of 1995, 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. 

Authority: 38 U.S.C. 1503, 28 CFR 

3.262, 3.271, and 3.272. 

Title: Report of Medical, Legal, and 

Other Expenses Incident to Recovery for 

Injury or Death. 

OMB Control Number: 2900–0545. 

Type of Review: Revision of a 

currently approved collection. 

Abstract: VA Form 21P–8416b is used 

to gather information about certain 

expenses related to securing 

compensation based on personal injury 

or death. The form is used by claimants 

for VA income-based benefits to 

determine the amount of countable 

income. Without this information, the 

VA would be unable to properly 

determine entitlement to income-based 

benefits and the rate payable. There 

have been no changes from the 

previously approved collection, This is 

a revision of a currently approved 

collection as the respondent burden has 

decreased. 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 75 hours. 

Estimated Average Burden per 

Respondent: 45 minutes. 

Frequency of Response: One time. 

Estimated Number of Respondents: 

100. 

By direction of the Secretary. 

Maribel Aponte, 

VA PRA Clearance Officer, Office of 

Enterprise and Integration/Data Governance 

Analytics, Department of Veterans Affairs. 

[FR Doc. 2024–03770 Filed 2–23–24; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0101] 

Agency Information Collection 

Activity: Eligibility Verification Reports 

(EVRs) 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: Veterans Benefits 

Administration, 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. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before April 26, 2024. 

ADDRESSES: Submit written comments 

on the collection of information through 

Federal Docket Management System 

(FDMS) at www.Regulations.gov or to 


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