Agency Information Collection Activities Under OMB Review, 24865-24866 [E5-2305]
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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
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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
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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
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24866
Federal Register / Vol. 70, No. 90 / Wednesday, May 11, 2005 / Notices
and 21,450 for VA Forms 21–0517, 21–
0517–1, 21–0519S, and 21–0519S–1.
Dated: April 29, 2005.
By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. E5–2305 Filed 5–10–05; 8:45 am]
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]]>Agencies
[Federal Register Volume 70, Number 90 (Wednesday, May 11, 2005)]
[Notices]
[Pages 24865-24866]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E5-2305]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0101]
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 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
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
[[Page 24866]]
and 21,450 for VA Forms 21-0517, 21-0517-1, 21-0519S, and 21-0519S-1.
Dated: April 29, 2005.
By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. E5-2305 Filed 5-10-05; 8:45 am]
BILLING CODE 8320-01-P
