Title:Information from Remarried Widow/er, VA Form 21-4103.
OMB Control Number:2900-0038.
Type of Review:Extension of a currently approved collection.
Abstract:VA Form 21-4103 is used to collected data necessary to determine whether a child or children of a deceased veteran who served during a wartime period are eligible to receive death pension benefits when the surviving spouse's entitlement to death pension is permanently discontinued when he or she remarries.
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 18, 2011, at pages 15053-15054.
Affected Public:Individuals or households.
Estimated Annual Burden:334 hours.
Estimated Average Burden per Respondent:20 minutes.
Frequency of Response:One-time.
Estimated Number of Respondents:1,000.
Dated: June 2, 2011.
By direction of the Secretary.
Program Analyst,Enterprise Records Service.