Agency Information Collection (Supporting Statement Regarding Marriage) Activity Under OMB Review

---
identifier: "/us/fr/2014-08553"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Agency Information Collection (Supporting Statement Regarding Marriage) Activity Under OMB Review"
title_number: 0
title_name: "Federal Register"
section_number: "2014-08553"
section_name: "Agency Information Collection (Supporting Statement Regarding Marriage) Activity Under OMB Review"
positive_law: false
currency: "2014-04-16"
last_updated: "2014-04-16"
format_version: "1.1.0"
generator: "[email protected]"
agency: "Veterans Affairs Department"
document_number: "2014-08553"
document_type: "notice"
publication_date: "2014-04-16"
agencies:
  - "Veterans Affairs Department"
fr_citation: "79 FR 21518"
fr_volume: 79
docket_ids:
  - "OMB Control No. 2900-0115"
comments_close_date: "2014-05-16"
fr_action: "Notice."
---


#  Agency Information Collection (Supporting Statement Regarding Marriage) Activity 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, 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; it includes the actual data collection instrument.

**DATES:**

Comments must be submitted on or before May 16, 2014.

**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 *[email protected]* . Please refer to “OMB Control No. 2900-0115” in any correspondence.

**FOR FURTHER INFORMATION CONTACT:**

Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email *[email protected]* . Please refer to “OMB Control No. 2900-0115.”

**SUPPLEMENTARY INFORMATION:**

*Title:* Supporting Statement Regarding Marriage, VA Form 21P-4171.

*OMB Control Number:* 2900-0115.

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

*Abstract:* The data collected on VA Form 21P-4171 is used to determine a claimant's eligibility for benefits based on a common law marital relationship. Benefits cannot be pay unless the marital relationship between the claimant and the veteran is established.

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 15, 2014, at page 2755.

*Affected Public:* Individuals or households.

*Estimated Annual Burden:* 800 hours.

*Estimated Average Burden per Respondent:* 20 minutes.

*Frequency of Response:* One-time.

*Estimated Number of Respondents:* 2,400.

By direction of the Secretary.

Dated: April 10, 2014.

Crystal Rennie,

Department Clearance Officer, Department of Veterans Affairs.