Agency Information Collection Activities Under OMB Review, 10169-10170 [05-3968]

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 10170 Federal Register / Vol. 70, No. 40 / Wednesday, March 2, 2005 / Notices 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 November 12, 2004 at page 65507. Affected Public: Individuals or households. Estimated Annual Burden: 14 hours. Estimated Average Burden Per Respondent: 30 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 28. Dated: February 15, 2005. By direction of the Secretary. Cindy Stewart, Program Analyst, Records Management Service. [FR Doc. 05–3968 Filed 3–1–05; 8:45 am] BILLING CODE 8320–02–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0139] 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. 2900–0139.’’ 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. 2900–0139’’ in any correspondence. SUPPLEMENTARY INFORMATION: VerDate jul<14>2003 15:00 Mar 01, 2005 Jkt 205001 Title: Notice-Payment Not Applied (Government Life Insurance), VA Form 29–4499a. OMB Control Number: 2900–0139. Type of Review: Extension of a currently approved collection. Abstract: VA Form 29–4499a is used by policy holders to reinstate their National Service Life Insurance (NSLI) policy. The information collected is used to determine the insurer’s eligibility for reinstatement to government life insurance. 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 November 12, 2004 at page 65507. Affected Public: Individuals or households. Estimated Annual Burden: 300 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 1,200. Dated: February 15, 2005. By direction of the Secretary. Cindy Stewart, Program Analyst, Records Management Service. [FR Doc. 05–3969 Filed 3–1–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0404] 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. 3501–21), 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. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., or email denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900– 0404.’’ 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– 0404’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Veteran’s Application for Increased Compensation Based on Unemployability, VA Form 21–8940. OMB Control Number: 2900–0404. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–8940 is used by veterans to file a claim for increased VA disability compensation based on unemployability. The claimant is required to provide current medical, educational, and occupational history in order to determine whether he or she is unable to secure or follow a substantially gainful occupation due to service-connected disabilities. 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 November 17, 2004 at pages 67388– 67389. Affected Public: Individuals or households. Estimated Annual Burden: 18,000 hours. Estimated Average Burden Per Respondent: 45 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 24,000. Dated: February 17, 2005. By direction of the Secretary. Cindy Stewart, Program Analyst, Records Management Service. [FR Doc. 05–3971 Filed 3–1–05; 8:45 am] BILLING CODE 8320–01–P Comments must be submitted on or before April 1, 2005. DATES: PO 00000 Frm 00100 Fmt 4703 Sfmt 4703 E:\FR\FM\02MRN1.SGM 02MRN1

Agencies

[Federal Register Volume 70, Number 40 (Wednesday, March 2, 2005)]
[Notices]
[Pages 10169-10170]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-3968]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0179]


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 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

[[Page 10170]]

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 November 12, 2004 at 
page 65507.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 14 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 28.

    Dated: February 15, 2005.

    By direction of the Secretary.
Cindy Stewart,
Program Analyst, Records Management Service.
[FR Doc. 05-3968 Filed 3-1-05; 8:45 am]
BILLING CODE 8320-02-P
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