Agency Information Collection Activities Under OMB Review

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0324]

Agency Information Collection Activities Under OMB Review

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

(44 U.S.C., 3501 et seq.), 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 May 28, 1999.

FOR FURTHER INFORMATION CONTACT: Ron Taylor, Information Management

Service (045A4), Department of Veterans Affairs, 810 Vermont Avenue,

NW, Washington, DC 20420, (202) 273-8015 or FAX (202) 273-5981. Please

refer to ``OMB Control No. 2900-0324.''

SUPPLEMENTARY INFORMATION:

Title: Supplemental Physical Examination Report.

Form Numbers:

a. Supplemental Physical Examination Report (Gall Bladder or

Gastrointestinal), VA Form 29-8137.

b. Supplemental Physical Examination Report (Neurological--

Psychological), VA Form 29-8142.

c. Supplemental Physical Examination Report, VA Form 29-8146.

d. Supplemental Physical Examination Report (Three Day Urinalyses

Series), VA Form 29-8148.

e. Supplemental Physical Examination Report (Tumor or Cyst), VA

Form 29-8152.

f. Supplemental Physical Examination Report (Arthritis or

Rheumatism), VA Form 29-8155.

g. Attending Physician's Statement, VA Form 29-8158.

h. Supplemental Physical Examination Report (Diabetes--Physicians

Report), VA Form 29-8160.

OMB Control Number: 2900-0324.

Type of Review: Reinstatement, without change, of a previously

approved collection for which approval has expired.

Abstract: The forms are used by VBA to obtain complete information

as to the physical and/or mental condition of a veteran who has

submitted an application for Government Life Insurance or reinstatement

of eligibility. The information is used to process the insured's

request.

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 December 23, 1998 at pages 71189-71190.

[[Page 22901]]

Affected Public: Individuals or households.

Estimated Annual Burden: 1,080 hours.

Estimated Average Burden Per Respondent: 45 minutes.

Frequency of Response: Generally one time.

Estimated Number of Respondents: 1,440.

Send comments and recommendations concerning any aspect of the

information collection to VA's OMB Desk Officer, Allison Eydt, OMB

Human Resources and Housing Branch, New Executive Office Building, Room

10235, Washington, DC 20503 (202) 395-4650. Please refer to ``OMB

Control No. 2900-0324'' in any correspondence.

Dated: April 9, 1999.

By direction of the Secretary.

Donald L. Neilson,

Director, Information Management Service.

[FR Doc. 99-10598 Filed 4-27-99; 8:45 am]

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