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###### Department of Veterans Affairs

          - [OMB Control No. 2900-0668]

# AGENCY:

Veterans Benefits Administration, Department of Veterans Affairs.

# ACTION:

Notice.

# SUMMARY:

                        Veteran's 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 Nancy Kessinger, Veterans Benefits Administration, Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to                         *nancy.kessinger@va.gov.*                         Please refer to “OMB Control No. 2900-0668” 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.                          ( print page 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