[Federal Register Volume 70, Number 19 (Monday, January 31, 2005)]
[Notices]
[Pages 4918-4919]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-1706]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0052]
Proposed Information Collection Activity: Proposed Collection;
Comment Request
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
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SUMMARY: The Veterans 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. This notice solicits comments for
information needed from claimants prior to undergoing a VA medical
examination for disability benefits.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before April 1, 2005.
ADDRESSES: Submit written comments on the collection of information to
Nancy J. Kessinger, Veterans Benefits Administration (20M35),
Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC
20420 or e-mail: [email protected]. Please refer to ``OMB Control No.
2900-0052'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 273-7079
or FAX (202) 275-5947.
SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Public Law 104-13; 44
U.S.C., 3501-3520), 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.
Title: Report of Medical Examination for Disability Evaluation, VA
Form 21-2545.
OMB Control Number: 2900-0052.
Type of Review: Extension of a currently approved collection.
Abstract: VA Form 21-2545 is completed by claimants prior to
undergoing a VA examination for disability benefits and by the
examining physician to record the findings of such examination. A VA
examination is required where the reasonable probability of a valid
claim is indicated in claims for disability compensation or pension,
including claims for benefits based on the need of a veteran, surviving
spouse, or parent for regular aid and attendance, and for benefits
[[Page 4919]]
based on a child's' incapacity of self-support. VA uses the data to
determine the level of disability.
Affected Public: Individuals or households.
Estimated Annual Burden: 45,000 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 180,000.
Dated: January 19, 2005.
By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. 05-1706 Filed 1-28-05; 8:45 am]
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