Agency Information Collection Activities Under OMB Review, 24864-24865 [E5-2304]

Download as PDF 24864 Federal Register / Vol. 70, No. 90 / Wednesday, May 11, 2005 / Notices new collection, and allow 60 days for public comment in response to this notice. This notice solicits comments on information needed to process current and former employee’s claims for restored annual leave charged on a nonworkday while on military active duty. Written comments and recommendations on the proposed collection of information should be received on or before July 11, 2005. ADDRESSES: Submit written comments on the collection of information to Katie McCullough-Bradshaw, Human Resources Management (058), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail Katie.McCulloughBradshaw@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–New’’ in any correspondence. DATES: Katie McCullough-Bradshaw at (202) 273–9836 or fax (202) 275–7607. 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, HRM invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of HRM’s functions, including whether the information will have practical utility; (2) the accuracy of HRM’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: Claim for Credit of Annual Leave, VA Form 0862. OMB Control Number: 2900–New. Type of Review: New collection. Abstract: Current and former employee’s who were charged annual leave on a nonworkday while on active military duty complete VA Form 0862 to request restoration of annual leave. Those employees who separated or retired from VA will receive a lump sum payment for any reaccredited annual leave. The claimant must provide documentation supporting the period that he or she were on active military 16:48 May 10, 2005 Jkt 205001 Dated: April 29, 2005. By direction of the Secretary. Loise Russell, Director, Records Management Service. [FR Doc. E5–2302 Filed 5–10–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0161] FOR FURTHER INFORMATION CONTACT: VerDate jul<14>2003 duty during the time for which they were charged annual leave on a nonworkday. Affected Public: Individuals or households and Federal Government. Estimated Annual Burden: 3,375 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 13,501. 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 June 10, 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. 2900–0161.’’ 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– 0161’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Medical Expense Report, VA Form 21–8416. PO 00000 Frm 00100 Fmt 4703 Sfmt 4703 OMB Control Number: 2900–0161. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–8416 is completed by beneficiaries in receipt of or claiming income-based benefits to report medical expenses paid in connection with claims for pension and other income-based benefits. Unreimbursed medical expenses paid by a beneficiary or claimant may be excluded from their countable income. VA uses the data collected to determine the claimant’s entitlement to improved pension and the appropriate rate payable. 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 11, 2005, at page 1934. Affected Public: Individuals or households. Estimated Annual Burden: 48,200 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 96,400. Dated: April 29, 2005. By direction of the Secretary. Loise Russell, Director, Records Management Service. [FR Doc. E5–2303 Filed 5–10–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0629] Agency Information Collection Activities Under OMB Review Veterans Health 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 Health Administration (VHA), 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\11MYN1.SGM 11MYN1 Federal Register / Vol. 70, No. 90 / Wednesday, May 11, 2005 / Notices DATES: Comments must be submitted on or before June 10, 2005. DEPARTMENT OF VETERANS AFFAIRS FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise [OMB Control No. 2900–0101] 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 to: denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0629.’’ 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– 0629’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Application for Extended Care Services, VA Form 10–10EC. OMB Control Number: 2900–0629. Type of Review: Extension of a currently approved collection. Abstract: VA Form 10–10EC is used to gather current income and financial information from nonservice-connected veterans and their spouse when applying for extended care services and to establish a co-payment agreement for such services. VA provides extended care to non-service connected veterans who are unable to defray the necessary expenses of care if their income is not greater than the maximum annual pension rate. VA uses the data collected to establish the veteran’s eligibility for extended care services, financial liability, if any, of the veteran to pay if accepted for placement or treatment in extended care services, and to determine the appropriate co-payment. 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 5, 2005, at pages 939–940. Affected Public: Individuals or Households. Estimated Total Annual Burden: 9,000 hours. Estimated Average Burden per Respondent: 90 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 6,000. Agency Information Collection Activities Under OMB Review Dated: April 29, 2005. By direction of the Secretary. Loise Russell, Director, Records Management Service. [FR Doc. E5–2304 Filed 5–10–05; 8:45 am] BILLING CODE 8320–01–P VerDate jul<14>2003 16:48 May 10, 2005 Jkt 205001 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 June 10, 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. 2900–0101.’’ 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– 0101’’ in any correspondence. SUPPLEMENTARY INFORMATION: Titles: Eligibility Verification Reports (EVR). a. Eligibility Verification Report Instructions, VA Form 21–0510. b. Old Law and Section 306 Eligibility Verification Report (Surviving Spouse), VA Form 21–0512S–1. c. Old Law and Section 306 Eligibility Verification Report (Veteran), VA Form 21–0512V–1. d. Old Law and Section 306 Eligibility Verification Report (Children Only), VA Form 21–0513–1. e. DIC Parent’s Eligibility Verification Report, VA Forms 21–0514 and 21– 0514–1. f. Improved Pension Eligibility Verification Report (Veteran With No Children), VA Forms 21–0516 and 21– 0516–1. g. Improved Pension Eligibility Verification Report (Veteran With PO 00000 Frm 00101 Fmt 4703 Sfmt 4703 24865 Children), VA Forms 21–0517 and 21– 0517–1. h. Improved Pension Eligibility Verification Report (Surviving Spouse With No Children), VA Forms 21–0518 and 21–0518–1. i. Improved Pension Eligibility Verification Report (Child or Children), VA Forms 21–0519C and 21–0519C–1. j. Improved Pension Eligibility Verification Report (Surviving Spouse With Children), VA Forms 21–0519S and 21–0519S–1. OMB Control Number: 2900–0101. Type of Review: Revision of a currently approved collection. Abstract: VA uses Eligibility Verification Reports (EVR) forms to verify a claimant’s continued entitlement to benefits. Claimants who applied for or receives Improved Pension or Parents’ Dependency and Indemnity Compensation must promptly notify VA in writing of any changes in entitlement factors. EVRs are required annually by beneficiaries whose social security number (SSN) or whose spouse’s SSN is not verified, or who has income other than Social Security. Recipients of Old Law and Section 306 Pension are no longer required to submit annual EVRs unless there is a change in their income. 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 pages 65504– 65505. Affected Public: Individuals or households. Estimated Annual Burden: 113,075 hours. The annual burden for VA Forms 21–0512S–1, 21–0512V–1, 21–0513–1, 21–0514, 21–0514–1, 21–0516, 21– 0516–1, 21–0518, 21–0518–1, 21– 0519C, and 21–0519C–1 is 9,8775 and 14,300 for VA Forms 21–0517, 21– 0517–1, 21–0519S, and 21–0519S–1. Estimated Average Burden Per Respondent: The estimated burden respondent for VA Forms 21–0512S–1, 21–0512V–1, 21–0513–1, 21–0514, 21– 0514–1, 21–0516, 21–0516–1, 21–0518, 21–0518–1, 21–0519C, and 21–0519C–1 is 30 minutes and 40 minutes for VA Forms 21–0517, 21–0517–1, 21–0519S, and 21–0519S–1. Frequency of Response: Annually. Estimated Number of Respondents: 219,000. The number of respondents for VA Forms 21–0512S–1, 21–0512V–1, 21–0513–1, 21–0514, 21–0514–1, 21– 0516, 21–0516–1, 21–0518, 21–0518–1, 21–0519C, and 21–0519C–1 is 197,550 E:\FR\FM\11MYN1.SGM 11MYN1

Agencies

[Federal Register Volume 70, Number 90 (Wednesday, May 11, 2005)]
[Notices]
[Pages 24864-24865]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E5-2304]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0629]


Agency Information Collection Activities Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-21), this notice announces that the Veterans Health 
Administration (VHA), 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.

[[Page 24865]]


DATES: Comments must be submitted on or before June 10, 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 to: denise.mclamb@mail.va.gov. Please 
refer to ``OMB Control No. 2900-0629.''
    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. 
2900-0629'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Application for Extended Care Services, VA Form 10-10EC.
    OMB Control Number: 2900-0629.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 10-10EC is used to gather current income and 
financial information from nonservice-connected veterans and their 
spouse when applying for extended care services and to establish a co-
payment agreement for such services. VA provides extended care to non-
service connected veterans who are unable to defray the necessary 
expenses of care if their income is not greater than the maximum annual 
pension rate. VA uses the data collected to establish the veteran's 
eligibility for extended care services, financial liability, if any, of 
the veteran to pay if accepted for placement or treatment in extended 
care services, and to determine the appropriate co-payment.
    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 5, 2005, at pages 939-940.
    Affected Public: Individuals or Households.
    Estimated Total Annual Burden: 9,000 hours.
    Estimated Average Burden per Respondent: 90 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 6,000.

    Dated: April 29, 2005.

    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. E5-2304 Filed 5-10-05; 8:45 am]
BILLING CODE 8320-01-P
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