940 Federal Register / Vol. 70, No. 3 / Wednesday, January 5, 2005 / Notices 

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 eligibility for 

extended care benefits.

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before March 7, 2005.

ADDRESSES: Submit written comments 

on the collection of information to Ann 

Bickoff, Veterans Health Administration 

(193E1), Department of Veterans Affairs, 

810 Vermont Avenue, NW., 

Washington, DC 20420 or e-mail 

ann.bickoff@mail.va.gov. Please refer to 

‘‘OMB Control No. 2900–0629’’ in any 

correspondence.

FOR FURTHER INFORMATION CONTACT: Ann 

Bickoff at (202) 273–8310.

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, VHA invites 

comments on: (1) Whether the proposed 

collection of information is necessary 

for the proper performance of VHA’s 

functions, including whether the 

information will have practical utility; 

(2) the accuracy of VHA’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 Extended Care 

Services, VA Form 10–10EC. 

OMB Control Number: 2900–0629. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA Form 10–10EC is used to 

gather current income and financial 

information from nonservice-connected 

veterans and their spouse applying for 

extended care services. VA uses the data 

collected to establish veteran’s 

eligibility for extended care services, 

financial liability, if any, to pay if 

accepted for placement or treatment in 

extended care services, and the 

applicable co-payment. 

Affected Public: Individuals or 

Households. 

Estimated Total Annual Burden:

9,000 hours. 

Estimated Average Burden Per 

Respondent: 90 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents:

6,000.

Dated: December 22, 2004.

By direction of the Secretary: 

Jacqueline Parks, 

IT Specialist, Records Management Service.

[FR Doc. 05–204 Filed 1–4–05; 8:45 am] 

BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0469] 

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 establish entitlement to 

Government Life insurance proceeds.

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before March 7, 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. 2900–0469’’ 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: Certificate Showing Residence 

and Heirs of Deceased Veteran or 

Beneficiary, VA Form 29–541. 

OMB Control Number: 2900–0469. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA uses the information 

collected on VA Form 29–541 to 

establish entitlement to Government 

Life Insurance proceeds in estate cases 

when formal administration of the estate 

is not required. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden: 1,039 

hours. 

Estimated Average Burden Per 

Respondent: 30 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents:

2,078.

Dated: December 20, 2004. 

By direction of the Secretary. 

Loise Russell, 

Director, Records Management Service.

[FR Doc. 05–205 Filed 1–4–05; 8:45 am] 

BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0120] 

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