Agency Information Collection Activities Under OMB Review

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0179]

Agency Information Collection Activities 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, has submitted 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 April 1, 2005.

FOR FURTHER INFORMATION CONTACT:

Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-8030, fax (202) 273-5981 or e-mail

denise.mclamb@mail.va.gov

. Please refer to “OMB Control No. 2900-0179.” Send comments and recommendations concerning any aspect of the information collection to VA's 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. 2900-0179” in any correspondence.

SUPPLEMENTARY INFORMATION:

Title:

Application for Change of Permanent Plan (Medical) (Change to a policy with a lower reserve value), VA Form 29-1549.

OMB Control Number:

2900-0179.

Type of Review:

Extension of a currently approved collection.

Abstract:

The form is used by the insured to establish his/her eligibility to change insurance plans from a higher reserve to a lower reserve value.

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 on November 12, 2004 at page 65507.

Affected Public:

Individuals or households.

Estimated Annual Burden:

14 hours.

Estimated Average Burden Per Respondent:

30 minutes.

Frequency of Response:

On occasion.

Estimated Number of Respondents:

28.

Dated: February 15, 2005.

By direction of the Secretary.

Cindy Stewart,

Program Analyst, Records Management Service.

[FR Doc. 05-3968 Filed 3-1-05; 8:45 am]

BILLING CODE 8320-02-P