Agency Information Collection Activities Under OMB Review, 15690 [E5-1328]
Download as PDF
15690
Federal Register / Vol. 70, No. 58 / Monday, March 28, 2005 / Notices
Administration (20M35), Department of
Veterans Affairs, 810 Vermont Avenue,
NW., Washington, DC 20420 or e-mail:
irmnkess@vba.va.gov. Please refer to
‘‘OMB Control No. 2900–0324’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Nancy J. Kessinger at (202) 273–7079 or
FAX (202) 275–5947.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–3520), 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, VBA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VBA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VBA’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.
Titles:
a. Supplemental Physical
Examination Report, VA Form 29–8146.
b. Attending Physician’s Statement,
VA Form 29–8158.
c. Supplemental Physical
Examination Report (Diabetes—
Physician’s Report), VA Form 29–8160.
OMB Control Number: 2900–0324.
Type of Review: Extension of a
currently approved collection.
Abstract: The forms are used to obtain
information regarding the physical and/
or mental condition of a veteran who
has submitted an application for
Government Life Insurance or
reinstatement of eligibility for such
insurance.
Affected Public: Individuals or
households.
Estimated Annual Burden: 1,080
hours.
a. VA Form 29–8146—750 hours.
b. VA Form 29–8158—165 hours.
c. VA Form 29–8160—165 hours.
Estimated Average Burden Per
Respondent:
a. VA Form 29–8146—45 minutes.
b. VA Form 29–8158—45 minutes.
c. VA Form 29–8160—45 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
1,440.
VerDate jul<14>2003
15:12 Mar 25, 2005
Jkt 205001
a. VA Form 29–8146—220.
b. VA Form 29–8158—1,000.
c. VA Form 29–8160—220.
Dated: March 17, 2005.
By direction of the Secretary.
Martin Hill,
Management Analyst, Records Management
Service.
[FR Doc. E5–1327 Filed 3–25–05; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0605]
Agency Information Collection
Activities Under OMB Review
Office of General Counsel,
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 Office of General
Counsel (OGC), 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 27, 2005.
FOR FURTHER INFORMATION OR A COPY OF
THE SUBMISSION 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. 2900–0605.’’
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–
0605’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Application for Accreditation as
a Claims Agent, VA Form 21a.
OMB Control Number: 2900–0605.
Type of Review: Extension of a
currently approved collection.
Abstract: Applicants seeking
accreditation as claims agents to
represent benefits claimants before
Department of Veterans Affairs must
complete VA Form 21a. The applicant is
PO 00000
Frm 00078
Fmt 4703
Sfmt 4703
required to file the application with VA
General Counsel to establish initial
eligibility for accreditation. The
information requested is necessary to
establish the statutory and regulatory
eligibility requirements, e.g., good
character and reputation which includes
basic identifying information,
information concerning past
representation, military service,
employment, criminal activity and
mental health of the applicant. VA uses
the information to determine the
applicant’s eligibility for accreditation
as a claims agent.
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
December 23, 2004, at page 76976.
Affected Public: Individuals or
households.
Estimated Annual Burden: 15 hours.
Estimated Average Burden Per
Respondent: 45 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
20.
Dated: March 17, 2005.
By direction of the Secretary.
Martin Hill,
Management Analyst, Records Management
Service.
[FR Doc. E5–1328 Filed 3–25–05; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0114]
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.
E:\FR\FM\28MRN1.SGM
28MRN1
Agencies
[Federal Register Volume 70, Number 58 (Monday, March 28, 2005)]
[Notices]
[Page 15690]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E5-1328]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0605]
Agency Information Collection Activities Under OMB Review
AGENCY: Office of General Counsel, 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 Office of General
Counsel (OGC), 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 27, 2005.
FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION 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. 2900-0605.''
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.
2900-0605'' in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Application for Accreditation as a Claims Agent, VA Form
21a.
OMB Control Number: 2900-0605.
Type of Review: Extension of a currently approved collection.
Abstract: Applicants seeking accreditation as claims agents to
represent benefits claimants before Department of Veterans Affairs must
complete VA Form 21a. The applicant is required to file the application
with VA General Counsel to establish initial eligibility for
accreditation. The information requested is necessary to establish the
statutory and regulatory eligibility requirements, e.g., good character
and reputation which includes basic identifying information,
information concerning past representation, military service,
employment, criminal activity and mental health of the applicant. VA
uses the information to determine the applicant's eligibility for
accreditation as a claims agent.
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 December 23, 2004, at page 76976.
Affected Public: Individuals or households.
Estimated Annual Burden: 15 hours.
Estimated Average Burden Per Respondent: 45 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 20.
Dated: March 17, 2005.
By direction of the Secretary.
Martin Hill,
Management Analyst, Records Management Service.
[FR Doc. E5-1328 Filed 3-25-05; 8:45 am]
BILLING CODE 8320-01-P