Notice2024-14840
Agency Information Collection Activity Under OMB Review: Statement of Marital Relationship
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
July 8, 2024
Issuing agencies
Veterans Affairs Department
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 130 (Monday, July 8, 2024)</title>
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[Federal Register Volume 89, Number 130 (Monday, July 8, 2024)]
[Notices]
[Pages 56025-56026]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-14840]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0114]
Agency Information Collection Activity Under OMB Review:
Statement of Marital Relationship
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: Comments and recommendations for the proposed information
collection should be sent within 30 days of publication of this notice
by clicking on the following link <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>,
select ``Currently under Review--Open for Public Comments'', then
search the
[[Page 56026]]
list for the information collection by Title or ``OMB Control No. 2900-
0114.''
FOR FURTHER INFORMATION CONTACT:
VA PRA information: Maribel Aponte, 202-461-8900,
<a href="/cdn-cgi/l/email-protection#2e584f4d415e4f5e4b5c59415c455c4b4a5b4f4d5a6e584f00494158"><span class="__cf_email__" data-cfemail="abddcac8c4dbcadbced9dcc4d9c0d9cecfdecac8dfebddca85ccc4dd">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Title: Statement of Marital Relationship (VA Form 21-4170).
OMB Control Number: 2900-0114 <a href="https://www.reginfo.gov/public/do/PRASearch">https://www.reginfo.gov/public/do/PRASearch</a>.
Type of Review: Revision of a currently approved collection.
Abstract: VA Form 21-4170 is primarily used to gather information
that is necessary to determine whether a valid common law marriage was
established. The form is used by persons claiming to be common law
widows/widowers of deceased veterans and by veterans and their claimed
common law spouses. Benefits cannot be authorized unless a valid
marriage is established. No changes have been made to this form. The
respondent burden has decreased due to the estimated number of
receivables averaged over the past year.
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 35305, May 1, 2024.
Affected Public: Individuals or Households.
Estimated Annual Burden: 827 hours.
Estimated Average Burden per Respondent: 25 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 1,984 per year.
Authority: 44 U.S.C. 3501 et seq.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2024-14840 Filed 7-5-24; 8:45 am]
BILLING CODE 8320-01-P
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