Proposed Information Collection Activity: Proposed Collection; Comment Request, 36234-36235 [05-12343]

Download as PDF 36234 Federal Register / Vol. 70, No. 119 / Wednesday, June 22, 2005 / Notices Estimated Number of Respondents/ Recordkeepers: 115,000. Estimated Burden Hours Respondent/ Recordkeeper: 45 minutes. Frequency of Response: On occasion. Estimated Total Reporting/ Recordkeeping Burden: 32,500 hours. DEPARTMENT OF VETERANS AFFAIRS OMB Number: 1545–1922. Form Number: IRS Form 12884. Type of Review: Extension. Title: Survey Questionnaire. Description: Form 12884 is used to collect statistical information regarding advertising sources and RNO data. Respondents: Individuals or households, Federal Government. Estimated Number of Respondents: 33,085. Estimated Burden Hours Respondent: 5 minutes. Frequency of Response: On occasion. Estimated Total Reporting Burden: 2,757 hours. AGENCY: OMB Number: 1545–1924. Form Number: IRS Form 8864. Type of Review: Extension. Title: Biodiesel Fuels Credit. Description: New Internal Revenue Code (IRC) section 40A provides a credit for biodiesel or qualified mixtures. IRC section 38(b)(17) allows a nonrefundable income tax credit for businesses that sell or use biodiesel. Form 8864 is used to figure the credits. Respondents: Business or other forprofit. Estimated Number of Respondents/ Recordkeepers: 40. Estimated Burden Hours Respondent/ Recordkeeper: Recordkeeping—7 hr., 24 min. Learning about the law or the form—45 min. Preparing and sending the form to the IRS—2 hr., 7 min. Frequency of Response: Annually. Estimated Total Reporting/ Recordkeeping Burden: 412 hours. Clearance Officer: Glenn P. Kirkland (202) 622–3428, Internal Revenue Service, Room 6516, 1111 Constitution Avenue, NW., Washington, DC 20224. OMB Reviewer: Alexander T. Hunt (202) 395–7316, Office of Management and Budget, Room 10235, New Executive Office Building, Washington, DC 20503. Lois K. Holland, Treasury PRA Clearance Officer. [FR Doc. 05–12325 Filed 6–21–05; 8:45 am] BILLING CODE 4830–01–P VerDate jul<14>2003 21:12 Jun 21, 2005 Jkt 205001 [OMB Control No. 2900–0620] Proposed Information Collection Activity: Proposed Collection; Comment Request Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. 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 extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments for information needed to determine a claimant’s eligibility for reimbursement or payment for emergency medical treatment at a non-VA facility. DATES: Written comments and recommendations on the proposed collection of information should be received on or before August 22, 2005. ADDRESSES: Submit written comments on the collection of information to Ann Bickoff, Veterans Health Administration (193B1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail: ann.bickoff@hq.med.va.gov. Please refer to ‘‘OMB Control No. 2900–0620’’ 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 PO 00000 Frm 00126 Fmt 4703 Sfmt 4703 collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology. Title: Payment and Reimbursement for Emergency Services for Non Service–Connected Conditions in Non– VA Facilities. OMB Control Number: 2900–0620. Type of Review: Extension of a currently approved collection. Abstract: VA uses the data collected to determine a claimant’s eligibility for reimbursement or payment for emergency medical treatment at a nonVA facility. Affected Public: Business or other forprofit, individuals or households, and not-for-profit institutions. Estimated Total Annual Burden: 147,187 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 294,373. Dated: June 13, 2005. By direction of the Secretary: Loise Russell, Director, Records Management Service. [FR Doc. 05–12340 Filed 6–21–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0635] Proposed Information Collection Activity: Proposed Collection; Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: SUMMARY: The Veterans Benefits Administration (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information used 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 extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to request a beneficiary’s current mailing address. DATES: Written comments and recommendations on the proposed collection of information should be received on or before August 22, 2005. E:\FR\FM\22JNN1.SGM 22JNN1 Federal Register / Vol. 70, No. 119 / Wednesday, June 22, 2005 / Notices Submit written comments on the collection of information to Nancy J. Kessinger, Veterans Benefits Administration (20M35), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail: nancy.kessinger.mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0635’’ in any correspondence. By direction of the Secretary Loise Russell, Director, Records Management Service. [FR Doc. 05–12343 Filed 6–21–05; 8:45 am] FOR FURTHER INFORMATION CONTACT: [OMB Control No. 2900–0052] ADDRESSES: Nancy J. Kessinger at (202) 273–7079 or fax (202) 275–5947. 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, 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. Title: Suspension of Monthly Check, VA Form 29–0759. OMB Control Number: 2900–0635. Type of Review: Extension of currently approved collection. Abstract: When a beneficiary’s monthly insurance check is not cashed within one year from the issued date, the Department of Treasury returns the funds to VA. VA Form 29–0759 is used to advise the beneficiary that his or her monthly insurance checks have been suspended and to request the beneficiary and to provide a current address or if desired banking institution for direct deposit for monthly checks. Affected Public: Individuals or households. Estimated Annual Burden: 200 hours. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 1,200. SUPPLEMENTARY INFORMATION: Dated: June 13, 2005. VerDate jul<14>2003 21:12 Jun 21, 2005 Jkt 205001 BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS 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 July 22, 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. 2900–0052.’’ 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– 0052’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Report of Medical Examination for Disability Evaluation, VA Form 21– 2545. OMB Control Number: 2900–0052. Type of Review: Extension of a currently approved collection. Abstract: Claimants complete VA Form 21–2545 prior to undergoing a VA examination for disability benefits. The examining physician also completes the form to record the findings of such examination. A VA examination is required where the reasonable probability of a valid claim is indicated in claims for disability compensation or pension, including claims for benefits PO 00000 Frm 00127 Fmt 4703 Sfmt 4703 36235 based on the need of a veteran, surviving spouse, or parent for regular aid and attendance, and for benefits based on a child’s’ incapacity of selfsupport. VA uses the data to determine the level of disability. 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 31, 2005, at pages 4918–4919. Affected Public: Individuals or households. Estimated Annual Burden: 45,000 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 180,000. Dated: June 13, 2005. By direction of the Secretary Loise Russell, Director, Records Management Service. [FR Doc. 05–12344 Filed 6–21–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0463] 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 July 22, 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. 2900–0463.’’ E:\FR\FM\22JNN1.SGM 22JNN1

Agencies

[Federal Register Volume 70, Number 119 (Wednesday, June 22, 2005)]
[Notices]
[Pages 36234-36235]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-12343]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0635]


Proposed Information Collection Activity: Proposed Collection; 
Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs (VA), is announcing an opportunity for public comment 
on the proposed collection of certain information used 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 extension 
of a currently approved collection, and allow 60 days for public 
comment in response to the notice. This notice solicits comments on 
information needed to request a beneficiary's current mailing address.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 22, 2005.

[[Page 36235]]


ADDRESSES: Submit written comments on the collection of information to 
Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 
20420 or e-mail: nancy.kessinger.mail.va.gov. Please refer to ``OMB 
Control No. 2900-0635'' 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. 3501-3521), 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, 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.
    Title: Suspension of Monthly Check, VA Form 29-0759.
    OMB Control Number: 2900-0635.
    Type of Review: Extension of currently approved collection.
    Abstract: When a beneficiary's monthly insurance check is not 
cashed within one year from the issued date, the Department of Treasury 
returns the funds to VA. VA Form 29-0759 is used to advise the 
beneficiary that his or her monthly insurance checks have been 
suspended and to request the beneficiary and to provide a current 
address or if desired banking institution for direct deposit for 
monthly checks.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 200 hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 1,200.

    Dated: June 13, 2005.
    By direction of the Secretary
Loise Russell,
Director, Records Management Service.
[FR Doc. 05-12343 Filed 6-21-05; 8:45 am]
BILLING CODE 8320-01-P