Agency Information Collection Activity Under Review: Proposed Information Collection, Claim for Standard Government Headstone or Marker and Claim for Government Medallion for Placement in a Private Cemetery, 22724 [2017-09946]

Download as PDF 22724 Federal Register / Vol. 82, No. 94 / Wednesday, May 17, 2017 / Notices Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0805’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB Control No. 2900–0805’’ in any correspondence. SUPPLEMENTARY INFORMATION: nlaroche on DSK30NT082PROD with NOTICES Authority: 44 U.S.C. 3501–21. Title: Wrist Conditions Disability Benefits Questionnaire (VA Form 21– 0960M–16). OMB Control Number: 2900–0805. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–0960 series is used to gather necessary information from a claimant’s treating physician regarding the results of medical examinations. VA gathers medical information related to the claimant that is necessary to adjudicate the claim for VA disability benefits. The Disability Benefit Questionnaire title will include the name of the specific disability for which it will gather information. VAF 21–0960M–16, Wrist Conditions Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of a wrist condition. 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 82 FR 42, on March 6, 2017, pages 12703 and 12704. Affected Public: Individuals or Households. Estimated Annual Burden: 20,000. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One time. Estimated Number of Respondents: 40,000. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Enterprise Records Service, Office of Quality and Compliance, Department of Veterans Affairs. [FR Doc. 2017–09950 Filed 5–16–17; 8:45 am] BILLING CODE 8320–01–P VerDate Sep<11>2014 15:18 May 16, 2017 Jkt 241001 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0222] Agency Information Collection Activity Under Review: Proposed Information Collection, Claim for Standard Government Headstone or Marker and Claim for Government Medallion for Placement in a Private Cemetery National Cemetery Administration (NCA), Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with Paperwork Reduction Act (PRA) 0f 1995, this notice announces that the National Cemetery Administration (NCA), 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. SUMMARY: Comments must be submitted on or before June 16, 2017. 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 oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0222’’ in any correspondence. DATES: FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), (202)461– 5870 or email Cynthia.harvey-pryor@ va.gov. Please refer to ‘‘OMB Control No. 2900–0222’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: Public Law 104–13; U.S.C. 3501–21. Title: VA Form 40–1330, Claim for Standard Government Headstone or Marker, and VA Form 40–1330M, Claim for Government Medallion for Placement in a Private Cemetery. OMB Control Number: 2900–0222. Type of Review: Reinstatement of a previously approved collection. Abstract: The National Cemetery Administration (NCA) updated its current VA Form 40–1330 and VA Form 40–1330M. The original VA Form 40– 1330 and 40–1330M is a request for a Government-furnished headstone or marker, or medallion, respectively. The PO 00000 Frm 00082 Fmt 4703 Sfmt 9990 updates to the form include the following: • Change to the Applicant Definition, who can apply for a Government headstone, marker or medallion; • Information about the Presidential Memorial Certificate (PMC) program and the option to receive a PMC in addition to the headstone, marker or medallion; • Changes in eligibility for a medallion, consistent with section 301 of Public Law 114–315; • Addition of language that clarifies that ‘‘mandatory’’ and ‘‘optional’’ inscription items are provided in English, and that ‘‘additional’’ inscription items may be provided in English or non-English text that consists of the Latin Alphabet or numbers; • Addition of information on VA Form 40–1330 and VA Form 40–1330M related to whether the Veteran was previously determined by VA to be eligible for burial, and related to whether the request is initial or for a replacement headstone or marker; • Addition of ‘‘Iraq’’ and ‘‘Afghanistan’’ as indicators of ‘‘War Service,’’ consistent with Public Law 114–315; • Addition of Age at the Time of Death on VA Form 40–1330 and VA Form 40–1330M; and • Addition of demographic information for statistical reporting purposes only on VA Form 40–1330 and VA Form 40–1330M. 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 82 FRN 17740 on April 12, 2017. Affected Public: Individuals or Households. Estimated Annual Burden: 88,643 Burden Hours. Estimated Average Burden per Respondent: 15 Minutes. Frequency of Response: One-time. Estimated Number of Respondents: 166,135. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Enterprise Records Service, Office of Quality and Compliance, Department of Veterans Affairs. [FR Doc. 2017–09946 Filed 5–16–17; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\17MYN1.SGM 17MYN1

Agencies

[Federal Register Volume 82, Number 94 (Wednesday, May 17, 2017)]
[Notices]
[Page 22724]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-09946]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0222]


Agency Information Collection Activity Under Review: Proposed 
Information Collection, Claim for Standard Government Headstone or 
Marker and Claim for Government Medallion for Placement in a Private 
Cemetery

AGENCY: National Cemetery Administration (NCA), Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with Paperwork Reduction Act (PRA) 0f 1995, this 
notice announces that the National Cemetery Administration (NCA), 
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 must be submitted on or before June 16, 2017.

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 
oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
0222'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), (202)461-5870 or email Cynthia.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900-0222'' in any 
correspondence.

SUPPLEMENTARY INFORMATION:
    Authority: Public Law 104-13; U.S.C. 3501-21.
    Title: VA Form 40-1330, Claim for Standard Government Headstone or 
Marker, and VA Form 40-1330M, Claim for Government Medallion for 
Placement in a Private Cemetery.
    OMB Control Number: 2900-0222.
    Type of Review: Reinstatement of a previously approved collection.
     Abstract: The National Cemetery Administration (NCA) updated its 
current VA Form 40-1330 and VA Form 40-1330M. The original VA Form 40-
1330 and 40-1330M is a request for a Government-furnished headstone or 
marker, or medallion, respectively. The updates to the form include the 
following:
     Change to the Applicant Definition, who can apply for a 
Government headstone, marker or medallion;
     Information about the Presidential Memorial Certificate 
(PMC) program and the option to receive a PMC in addition to the 
headstone, marker or medallion;
     Changes in eligibility for a medallion, consistent with 
section 301 of Public Law 114-315;
     Addition of language that clarifies that ``mandatory'' and 
``optional'' inscription items are provided in English, and that 
``additional'' inscription items may be provided in English or non-
English text that consists of the Latin Alphabet or numbers;
     Addition of information on VA Form 40-1330 and VA Form 40-
1330M related to whether the Veteran was previously determined by VA to 
be eligible for burial, and related to whether the request is initial 
or for a replacement headstone or marker;
     Addition of ``Iraq'' and ``Afghanistan'' as indicators of 
``War Service,'' consistent with Public Law 114-315;
     Addition of Age at the Time of Death on VA Form 40-1330 
and VA Form 40-1330M; and
     Addition of demographic information for statistical 
reporting purposes only on VA Form 40-1330 and VA Form 40-1330M.
    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 82 FRN 17740 on April 12, 2017.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 88,643 Burden Hours.
    Estimated Average Burden per Respondent: 15 Minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 166,135.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise Records Service, Office of 
Quality and Compliance, Department of Veterans Affairs.
[FR Doc. 2017-09946 Filed 5-16-17; 8:45 am]
 BILLING CODE 8320-01-P
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