# 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 July 22, 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: *[email protected]* . Please refer to “OMB Control No. 2900-0052.”
Send comments and recommendations concerning any aspect of the information collection to VA's OMB 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. 2900-0052” in any correspondence.
**SUPPLEMENTARY INFORMATION:**
*Title:* Report of Medical Examination for Disability Evaluation, VA Form 21-2545.
*OMB Control Number:* 2900-0052.
*Type of Review:* Extension of a currently approved collection.
*Abstract:* Claimants complete VA Form 21-2545 prior to undergoing a VA examination for disability benefits. The examining physician also completes the form to record the findings of such examination. A VA examination is required where the reasonable probability of a valid claim is indicated in claims for disability compensation or pension, including claims for benefits based on the need of a veteran, surviving spouse, or parent for regular aid and attendance, and for benefits based on a child's' incapacity of self-support. VA uses the data to determine the level of disability.
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 January 31, 2005, at pages 4918-4919.
*Affected Public:* Individuals or households.
*Estimated Annual Burden:* 45,000 hours.
*Estimated Average Burden per Respondent:* 15 minutes.
*Frequency of Response:* On occasion.
*Estimated Number of Respondents:* 180,000.
By direction of the Secretary
Dated: June 13, 2005.
Loise Russell,
Director, Records Management Service.