Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices 47081 

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. 1521, 1541, 1542. 

Title: Supplemental Income 

Questionnaire (For Philippine Claims 

Only) (VA Form 21P–0784). 

OMB Control Number: 2900–0668. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Abstract: Eligibility to benefits may be 

established based on service in the 

Philippine Scouts, Commonwealth 

Army of the Philippines, or recognized 

guerrilla organizations (38 U.S.C. 107). 

Title 38 U.S.C. 1521, 1541, and 1542 

provide for payment of Pension to 

eligible veterans, surviving spouses, and 

surviving children. A claimant’s 

eligibility for pension is determined, in 

part, by countable family income and 

net worth. Income information is 

requested by this form under the 

authority of 38 U.S.C. 1506. 

VBA uses VA Form 21P–0784 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: Once. 

Estimated Number of Respondents: 

120. 

By direction of the Secretary. 

Cynthia Harvey-Pryor, 

Department Clearance Officer, Office of 

Quality, Privacy and Risk, Department of 

Veterans Affairs. 

[FR Doc. 2017–21702 Filed 10–6–17; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0510] 

Agency Information Collection 

Activity: Application for Exclusion of 

Children’s Income 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: Veteran 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. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before December 11, 

2017. 

ADDRESSES: Submit written comments 

on the collection of information through 

Federal Docket Management System 

(FDMS) at www.Regulations.gov or to 

Dawn Johnson, Department of Veterans 

Affairs, 810 Vermont Avenue NW., 

Washington, DC 20420 or email to 

Dawn.Johnson7@va.gov. Please refer to 

‘‘OMB Control No. 2900–0510’’ in any 

correspondence. During the comment 

period, comments may be viewed online 

through FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Cynthia Harvey-Pryor at (202) 461– 

5870. 

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. 1521, 38 U.S.C 

1541. 

Title: Application for Exclusion of 

Children’s Income (VA Form 21P–0571). 

OMB Control Number: 2900–0510. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Abstract: A veteran’s or surviving 

spouse’s rate of Improved Pension is 

determined by family income. 

Normally, income of children who are 

members of the household is included 

in this determination. However, 

children’s income may be excluded if it 

is unavailable or if consideration of that 

income would cause hardship. 

38 U.S.C. 1521(h) and 1541(g) provide 

the authority for the exclusion of 

children’s income based on 

unavailability or hardship. VA Form 

21P–0571, Application for Exclusion of 

Children’s Income, is being transferred 

from Compensation Service to Pension 

and Fiduciary Service, due to changes 

in business lines. 

VA Form 21P–0571 is used for the 

sole purpose of collecting the 

information needed to determine 

whether children’s income is available 

to the beneficiary, and if it would cause 

hardship to consider their income. 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 2,025 

hours. 

Estimated Average Burden per 

Respondent: 45 minutes. 

Frequency of Response: Once. 

Estimated Number of Respondents: 

2,700. 

By direction of the Secretary. 

Cynthia Harvey-Pryor, 

Department Clearance Officer, Office of 

Quality, Privacy and Risk, Department of 

Veterans Affairs. 

[FR Doc. 2017–21701 Filed 10–6–17; 8:45 am] 

BILLING CODE 8320–01–P 


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