Agency Information Collection Activity Under OMB Review: Request for Nursing Home Information in Connection With Claim for Aid and Attendance

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0652]

Agency Information Collection Activity Under OMB Review: Request for Nursing Home Information in Connection With Claim for Aid and Attendance

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 (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 by October 15, 2026.

ADDRESSES:

To submit comments and recommendations for the proposed information collection, please type the following link into your browser:

www.reginfo.gov/public/do/PRAMain,

select “Currently under Review—Open for Public Comments”, then search the list for the information collection by Title or “OMB Control No. 2900-0652.”

FOR FURTHER INFORMATION CONTACT:

VA PRA information:

Dorothy Glasgow, 202-461-1084,

VAPRA@va.gov.

SUPPLEMENTARY INFORMATION:

Title:

Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21-0779).

OMB Control Number:

2900-0652.

https://www.reginfo.gov/public/do/PRASearch.

Type of Review:

Revision of a currently approved collection.

Abstract:

VA Form 21-0779 is used to gather the necessary information to

determine eligibility for pension and aid and attendance benefits based on nursing home status. It also requests information regarding Medicaid status and nursing home care charges, so VA can determine the proper rate of payment. Without this information, determination of entitlement would not be possible. The respondent burden decreased since the previous approval due to the decline of 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 insert citation date: 91 FR 39723, June 30, 2026.

Affected Public:

Private Sector.

Estimated Annual Burden:

2,141 hours.

Estimated Average Burden per Respondent:

10 minutes.

Frequency of Response: example:

One time.

Estimated Number of Respondents:

12,847 per year.

Authority:

44 U.S.C. 3501

et seq.

Shunda Willis,

Alternate, VA PRA Clearance Officer, Office of Information and Technology/Office of Data Governance and Analytics, Department of Veterans Affairs.

[FR Doc. 2026-18831 Filed 9-14-26; 8:45 am]

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