Federal Register / Vol. 87, No. 58 / Friday, March 25, 2022 / Notices 17139 

• Evaluate the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used. 

• Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

• Minimize the burden of the 

collection of information on those who 

are to respond, including using 

appropriate automated, electronic, 

mechanical, or other technological 

collection techniques or other forms of 

information technology, e.g., by 

permitting electronic submissions of 

responses. 

Comments submitted in response to 

this notice will be summarized and/or 

included in the ICR for OMB approval 

of the extension of the information 

collection; they will also become a 

matter of public record. 

Approved: March 21, 2022. 

Ronald J. Durbala, 

IRS Tax Analyst. 

[FR Doc. 2022–06329 Filed 3–24–22; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0004] 

Agency Information Collection 

Activity: Application for Dependency 

and Indemnity Compensation, 

Survivors Pension and Accrued 

Benefits by a Surviving Spouse or 

Child (Including Death Compensation 

if Available); Application for 

Dependency and Indemnity 

Compensation by a Surviving Spouse 

or Child—In-Service Death Only; 

Application for DIC, Survivors Pension, 

and/or Accrued Benefits 

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 May 24, 2022. 

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. 2900–0004’’ 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), 1717 H Street NW, 

Washington, DC 20006, (202) 266–4688 

or email maribel.aponte@va.gov. Please 

refer to ‘‘OMB Control No. 2900–0004’’ 

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: Title 38 U.S.C. 1151; 1310; 

1541; 1542; 5101(a); and 5121. 

Title: 

VA Form no. Title 

21P–534 ............ Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or 

Child (Including Death Compensation if Available). 

21P–534a .......... Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child—In-Service Death Only. 

21P–534EZ ........ Application for DIC, Survivors Pension, and/or Accrued Benefits. 

OMB Control Number: 2900–0004. 

Type of Review: Revision of a 

currently approved collection. 

Abstract: The VA Form 21P–534 is 

used to gather the necessary information 

to determine the eligibility of surviving 

spouses and children for dependency 

and indemnity compensation (DIC), 

death pension, accrued benefits, and 

death compensation. VA Form 21P– 

534a is an abbreviated application for 

DIC that is used only by surviving 

spouses and children of veterans who 

died while on active duty service. The 

VA Form 21P–534EZ is used for the 

Fully Developed Claims (FDC) program 

for pension claims, DIC and accrued 

claims. 

VA Form 21P–534EZ has been 

updated, to include: 

• Removed all Parent’s DIC questions 

from the form as this will be covered 

under the VA Form 21–535, Application 

for Dependency and Indemnity 

Compensation by Parent(s) (Including 

Accrued Benefits and Death 

Compensation When Applicable). 

• Updated instructions. 

• Added an optional use Survivors 

Benefits Application Checklist for 

applicant’s benefit to assist in 

organizing submission of claim. 

• Separated Section I and II to 

include Veteran’s Identification 

Information/Claimant’s Identification 

Information. 

• Removed questions—How many 

times veteran married?/How many times 

claimant married? as regulations allow. 

• Removed mailing address of 

nursing home or facility from Section 


lotter on DSK11XQN23PROD with NOTICES1
17140 Federal Register / Vol. 87, No. 58 / Friday, March 25, 2022 / Notices 

VIII as this is covered in the Worksheet 

the claimant is directed to complete. 

• Added an income source section 

and updated Section IV instructions to 

reflect this change. 

• Added an Alternate Signer 

Certification and Signature (Section 

XVI). 

• Restructured Worksheet for An 

Assisted Living, Adult Daycare, or a 

Similar Facility and Worksheet for InHome Attendant Expenses and 

questions removed for better clarity. 

• New standardization data points; to 

include optical character recognition 

boxes. This is a non-substantive change. 

• The burden has been increased 

from 25 to 40 minutes as the 25 minute 

time frame did not fit the length of this 

form. 

No changes have been made to the VA 

Form 21P–534, and VA Form 21P–534a. 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 130,138 

hours. 

Estimated Average Burden per 

Respondent: 43 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents: 

181,588. 

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. 2022–06318 Filed 3–24–22; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0216] 

Agency Information Collection 

Activity: Application for Accrued 

Amounts Due a Deceased Beneficiary 

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 May 24, 2022. 

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. 2900–0216’’ 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), 1717 H Street NW, 

Washington, DC 20006, (202) 266–4688 

or email maribel.aponte@va.gov. Please 

refer to ‘‘OMB Control No. 2900–0216’’ 

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. 5121. VA 

regulated the eligibility criteria 38 CFR 

3.1000 through 3.1010. 

Title: VA Form 21P–601, Application 

for Accrued Amounts Due a Deceased 

Beneficiary. 

OMB Control Number: 2900–0216. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA Form 21P–601 is used to 

gather the information necessary to 

determine a claimant’s entitlement to 

accrued benefits. Accrued benefits are 

amounts of VA benefits due, but unpaid, 

to a beneficiary at the time of his or her 

death. Benefits are paid to eligible 

survivors based on the priority 

described in 38 U.S.C. 5121(a). When 

there are no eligible survivors entitled to 

accrued benefits based on their 

relationship to the deceased beneficiary, 

the person or persons who bore the 

expenses of the beneficiary’s last illness 

and burial may claim reimbursement for 

these expenses from accrued amounts. 

No changes have been made to this 

form. The respondent burden has 

decreased due to the estimated number 

of receivables averaged over the past 

year. 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 2,725 

hours. 

Estimated Average Burden per 

Respondent: 30 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents: 

5,449 per year. 

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. 2022–06343 Filed 3–24–22; 8:45 am] 

BILLING CODE 8320–01–P 


lotter on DSK11XQN23PROD with NOTICES1