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Daily Rules, Proposed Rules, and Notices of the Federal Government

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0668]

Agency Information Collection (Supplemental Income Questionnaire (For Philippine Claims Only)) Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans Affairs.
ACTION: Notice.
SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Veterans Benefits Administration (VBA), Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of Management and Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden; it includes the actual data collection instrument.
DATES: Comments must be submitted on or before July 7, 2011.
ADDRESSES: Submit written comments on the collection of information throughhttp://www.Regulations.govor to VA's OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503 (202) 395-7316. Please refer to "OMB Control No. 2900-0668" in any correspondence.
FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461-7485, Fax (202) 461-0966 or e-maildenise.mclamb@va.gov.Please refer to "OMB Control No. 2900-0668."
SUPPLEMENTARY INFORMATION:

Title:Supplemental Income Questionnaire (For Philippine Claims Only), VA Form 21-0784.

OMB Control Number:2900-0668.

Type of Review:Extension of a currently approved collection.

Abstract:Claimants residing in the Philippines complete VA Form 21-0784 to report their countable family income and net worth. VA uses the information to determine the claimant's entitlement to pension benefits.

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. TheFederal RegisterNotice with a 60-day comment period soliciting comments on this collection of information was published on March 25, 2011, at page 16858.

Affected Public:Individuals or households.

Estimated Annual Burden:30 hours.

Estimated Average Burden per Respondent:15 minutes.

Frequency of Response:One time.

Estimated Number of Respondents:120.

Dated: June 2, 2011.

By direction of the Secretary.

Denise McLamb, Program Analyst, Enterprise Records Service.