Proposed Information Collection Activity: Proposed Collection; Comment Request, 10169 [05-3967]

Download as PDF Federal Register / Vol. 70, No. 40 / Wednesday, March 2, 2005 / Notices ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology. Title: Statement of Radiation Exposure during Military Service, VA Form 21–0783. OMB Control Number: 2900–NEW. Type of Review: New collection. Abstract: VA will use the information collected on VA Form 21–0783 to assist claimants in obtaining supporting documentation to substantiate their claim of radiation exposure during military service and, when applicable, a radiation dose assessment. The information collected will be used to establish claimants’ eligibility for disability benefit. Affected Public: Individuals and households. Estimated Annual Burden: 1,680 hours. Estimated Average Burden Per Respondent: 60 minutes. Frequency of Response: One time. Estimated Number of Respondents: 1,680. Dated: February 15, 2005. By direction of the Secretary: Cindy Stewart, Program Analyst, Records Management Service. [FR Doc. 05–3966 Filed 3–1–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–NEW] Proposed Information Collection Activity: Proposed Collection; Comment Request Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: SUMMARY: The Veterans Health Administration (VHA) is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed new collection, and allow 60 days for public comment in response to the notice. This notice solicits comments needed to determine a claimant’s eligibility to receive transportation or reimbursement for travel to VA or VerDate jul<14>2003 15:00 Mar 01, 2005 Jkt 205001 authorized non-VA health care providers. DATES: Written comments and recommendations on the proposed collection of information should be received on or before May 2, 2005. ADDRESSES: Submit written comments on the collection of information to Ann Bickoff, Veterans Health Administration (193E1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail ann.bickoff@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–NEW’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Ann Bickoff at (202) 273–8310. SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 3501–3521), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA. With respect to the following collection of information, VHA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VHA’s functions, including whether the information will have practical utility; (2) the accuracy of VHA’s estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology. Title: Regulation on Beneficiary Travel (38 U.S.C. 111). OMB Control Number: 2900–NEW. Type of Review: New collection. Abstract: VA will use the data collected to determine a claimant’s eligibility for transportation or reimbursement for travel to VA or authorized non-VA health care providers. VA personnel will collect verbal and possibly written information in a form of a bill, receipt or appointment letter from the claimant when transportation or reimbursement for travel is requested. Affected Public: Individuals or households. Estimated Total Annual Burden: 390,708 hours. Estimated Average Burden Per Respondent: 5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 4,688,496. PO 00000 Frm 00099 Fmt 4703 Sfmt 4703 10169 Dated: February 15, 2005. By direction of the Secretary: Cindy Stewart, Program Analyst, Records Management Service. [FR Doc. 05–3967 Filed 3–1–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0179] Agency Information Collection Activities Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 April 1, 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 denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0179.’’ Send comments and recommendations concerning any aspect of the information collection to VA’s 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. 2900–0179’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Application for Change of Permanent Plan (Medical) (Change to a policy with a lower reserve value), VA Form 29–1549. OMB Control Number: 2900–0179. Type of Review: Extension of a currently approved collection. Abstract: The form is used by the insured to establish his/her eligibility to change insurance plans from a higher reserve to a lower reserve value. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information E:\FR\FM\02MRN1.SGM 02MRN1

Agencies

[Federal Register Volume 70, Number 40 (Wednesday, March 2, 2005)]
[Notices]
[Page 10169]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-3967]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Proposed Information Collection Activity: Proposed Collection; 
Comment Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Health Administration (VHA) is announcing an 
opportunity for public comment on the proposed collection of certain 
information by the agency. Under the Paperwork Reduction Act (PRA) of 
1995, Federal agencies are required to publish notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed new collection, and allow 60 days for public comment in 
response to the notice. This notice solicits comments needed to 
determine a claimant's eligibility to receive transportation or 
reimbursement for travel to VA or authorized non-VA health care 
providers.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before May 2, 2005.

ADDRESSES: Submit written comments on the collection of information to 
Ann Bickoff, Veterans Health Administration (193E1), Department of 
Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-
mail ann.bickoff@mail.va.gov. Please refer to ``OMB Control No. 2900-
NEW'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Ann Bickoff at (202) 273-8310.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-3521), Federal agencies must obtain approval from the 
Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. This request for comment is being 
made pursuant to Section 3506(c)(2)(A) of the PRA.
    With respect to the following collection of information, VHA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VHA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VHA's estimate of the burden of the proposed collection of 
information; (3) ways to enhance the quality, utility, and clarity of 
the information to be collected; and (4) ways to minimize the burden of 
the collection of information on respondents, including through the use 
of automated collection techniques or the use of other forms of 
information technology.
    Title: Regulation on Beneficiary Travel (38 U.S.C. 111).
    OMB Control Number: 2900-NEW.
    Type of Review: New collection.
    Abstract: VA will use the data collected to determine a claimant's 
eligibility for transportation or reimbursement for travel to VA or 
authorized non-VA health care providers. VA personnel will collect 
verbal and possibly written information in a form of a bill, receipt or 
appointment letter from the claimant when transportation or 
reimbursement for travel is requested.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden: 390,708 hours.
    Estimated Average Burden Per Respondent: 5 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 4,688,496.

    Dated: February 15, 2005.

    By direction of the Secretary:
Cindy Stewart,
Program Analyst, Records Management Service.
[FR Doc. 05-3967 Filed 3-1-05; 8:45 am]
BILLING CODE 8320-01-P
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