Agency Information Collection Activities Under OMB Review

---
identifier: "/us/fr/05-22421"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Agency Information Collection Activities Under OMB Review"
title_number: 0
title_name: "Federal Register"
section_number: "05-22421"
section_name: "Agency Information Collection Activities Under OMB Review"
positive_law: false
currency: "2005-11-10"
last_updated: "2005-11-10"
format_version: "1.1.0"
generator: "[email protected]"
agency: "Veterans Affairs Department"
document_number: "05-22421"
document_type: "notice"
publication_date: "2005-11-10"
agencies:
  - "Veterans Affairs Department"
fr_citation: "70 FR 68512"
fr_volume: 70
docket_ids:
  - "OMB Control No. 2900-0107"
comments_close_date: "2005-12-12"
fr_action: "Notice."
---


#  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 and includes the actual data collection instrument.

**DATES:**

Comments must be submitted on or before December 12, 2005.

**FOR FURTHER INFORMATION CONTACT:**

Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 565-8374, FAX (202) 565-6950 or e-mail: *[email protected].* Please refer to “OMB Control No. 2900-0107.”

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. 2900-0107” in any correspondence.

**SUPPLEMENTARY INFORMATION:**

*Title:* Certificate as to Assets, VA Form 21-4709.

*OMB Control Number:* 2900-0107.

*Type of Review:* Extension of a currently approved collection.

*Abstract:* Fiduciaries are required to complete VA Form 21-4709 to report investment in savings, bonds and other securities that he or she received on behalf of beneficiaries who are incompetent or under legal disability. Estate analysts employed by VA use the data collected to verify the fiduciaries accounting of the beneficiary's estate.

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 June 7, 2005, at page 33261.

*Affected Public:* Individuals or households, Business or other for-profit, Not-for-profit institutions, Federal Government, and State, local or tribal government.

*Estimated Annual Burden:* 863 hours.

*Estimated Average Burden Per Respondent:* 12 minutes.

*Frequency of Response:* Annually.

*Estimated Number of Respondents:* 4,316.

By direction of the Secretary.

Dated: October 31, 2005.

Denise McLamb,

Program Analyst, Records Management Service.