Agency Information Collection Activity Under OMB Review: Application for Automobile or Other Conveyance and Adaptive Equipment

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0067]

Agency Information Collection Activity Under OMB Review: Application for Automobile or Other Conveyance and Adaptive Equipment

AGENCY:

Veterans Benefits Administration, Department of Veterans Affairs.

ACTION:

Notice.

SUMMARY:

In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Benefits Administration, 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 must be submitted on or before September 25, 2017.

ADDRESSES:

Submit written comments on the collection of information through

www.Regulations.gov,

or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to

oira_submission@omb.eop.gov.

Please refer to “OMB Control No. 2900-0067” in any correspondence.

FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-5870 or email

cynthia.harvey-pryor@va.gov.

Please refer to “OMB Control No. 2900-0067” in any correspondence.

SUPPLEMENTARY INFORMATION:

Authority:

44 U.S.C. 3501-21.

Title:

Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904) (VA Form 21-4502).

OMB Control Number:

2900-0067.

Type of Review:

Extension of a currently approved collection.

Abstract:

VA Form 21-4502 is used to gather the necessary information to determine if a veteran or serviceperson is entitled to an automobile allowance and adaptive equipment.

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 82 FR 113 on June 14, 2017, page 27328.

Affected Public:

Individuals or Households.

Estimated Annual Burden:

388.

Estimated Average Burden per Respondent:

15 minutes.

Frequency of Response:

One time.

Estimated Number of Respondents:

1,552.

By direction of the Secretary.

Cynthia Harvey-Pryor,

Department Clearance Officer, Office of Quality and Compliance, Department of Veterans Affairs.

[FR Doc. 2017-17982 Filed 8-24-17; 8:45 am]

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