Agency Information Collection Activity Under OMB Review: Decision Review Request: Supplemental Claim
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Issuing agencies
Abstract
In compliance with the Paperwork Reduction Act (PRA) of 1995, 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 and it includes the actual data collection instrument.
Full Text
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<title>Federal Register, Volume 89 Issue 77 (Friday, April 19, 2024)</title>
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[Federal Register Volume 89, Number 77 (Friday, April 19, 2024)]
[Notices]
[Page 28853]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-08343]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0886]
Agency Information Collection Activity Under OMB Review: Decision
Review Request: Supplemental Claim
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995,
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 and it
includes the actual data collection instrument.
DATES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Refer to
``OMB Control No. 2900-0886.
FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise
and Integration, Data Governance Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20006, (202) 266-4688 or email <a href="/cdn-cgi/l/email-protection#c0ada1b2a9a2a5aceea1b0afaeb4a580b6a1eea7afb6"><span class="__cf_email__" data-cfemail="8de0ecffe4efe8e1a3ecfde2e3f9e8cdfbeca3eae2fb">[email protected]</span></a>.
Please refer to ``OMB Control No. 2900-0886'' in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: Public Law 115-55, sec 2, 38 U.S.C. 5108, 38 CFR 3.2501.
Title: Decision Review Request: Supplemental Claim (VA Form 20-
0995).
OMB Control Number: 2900-0886.
Type of Review: Revision of a currently approved collection.
Abstract: VA Form 20-0995 is used by a claimant and/or beneficiary
to formally request a review of an initial VA decision, based on new
and relevant evidence, in accordance with the Appeals Modernization
Act. Without the information solicited by this form, VA would be unable
to initiate the `Supplemental Claim' on behalf of the claimant or
determine the issues for which the claimant seeks review.
This proposed revision consists of; non-substantive edits to the
`Instructions' to help clarify the content, a new question that helps
identify what benefit type the claimant is requesting, a new section
that separates Veteran from claimant, a new section identifying if the
claimant is homeless or at risk of becoming homeless, a new section
that provides an option to the claimant to check a box if they want VBA
to notify the Veteran Health Administration about certain upcoming
event(s) during the claim and/or appeal process, and a witness
signature section, alternate signer signature section, and a power of
attorney signature section has been added to help clarify who is
signing the form. The respondent burden has increased due to the
estimated number of receivables averaged over the past year.
The frequency of collection depends solely upon the desire of VA
claimants to seek review of an initial VA decision in the Supplemental
Claim Lane. In that sense, VA does not control the frequency of
collection.
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. The Federal Register Notice with a
60-day comment period soliciting comments on this collection of
information was published at 89 FR 10161 on Tuesday, February 13, 2024.
Affected Public: Individuals or households.
Estimated Annual Burden: 160,119.
Estimated Average Burden per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 640,477.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2024-08343 Filed 4-18-24; 8:45 am]
BILLING CODE 8320-01-P
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