[Federal Register Volume 82, Number 194 (Tuesday, October 10, 2017)]
[Notices]
[Pages 47080-47081]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-21702]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0668]


Agency Information Collection Activity: Supplemental Income 
Questionnaire (for Philippine Claims Only)

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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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 <a href="/cdn-cgi/l/email-protection#caa4aba4a9b3e4a1afb9b9a3a4adafb88abcabe4ada5bc"><span class="__cf_email__" data-cfemail="8be5eae5e8f2a5e0eef8f8e2e5eceef9cbfdeaa5ece4fd">[email protected]</span></a>. 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.

[[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


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