Proposed Information Collection Activity: Proposed Collection; Comment Request, 37898-37899 [E5-3447]

Download as PDF 37898 Federal Register / Vol. 70, No. 125 / Thursday, June 30, 2005 / Notices eligibility for continued disability insurance benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before August 29, 2005. By direction of the Secretary. Loise Russell, Director, Records Management Service. [FR Doc. E5–3446 Filed 6–29–05; 8:45 am] 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. 2900–0121’’ in any correspondence. DEPARTMENT OF VETERANS AFFAIRS ADDRESSES: FOR FURTHER INFORMATION CONTACT: 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: Obtaining Supplemental Information from Hospital or Doctor, VA FL 29–551b. OMB Control Number: 2900–0121. Type of Review: Extension of a currently approved collection. Abstract: This form letter is used to request medical evidence from an insured’s attending physician or hospital in connection with continuing disability insurance benefits. Affected Public: Individuals or households. Estimated Annual Burden: 61 hours. Estimated Average Burden Per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 244. SUPPLEMENTARY INFORMATION: Dated: June 23, 2005. VerDate jul<14>2003 16:26 Jun 29, 2005 Jkt 205001 BILLING CODE 8320–01–P [OMB Control No. 2900–0028] Proposed Information Collection Activity: Proposed Collection; Comment Request Office of Information and Technology, Department of Veterans Affairs. ACTION: Notice. AGENCY: SUMMARY: The Office of Information and Technology (IT), 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 this notice. This notice solicits comments for information needed (a) from service organizations requesting to be placed on VA’s mailing lists for specific publications; (b) to request additional information from the correspondent to identify a veteran; (c) to request for and consent to release of information from claimant’s records to a third party; and (d) to determine an applicant’s eligibility to receive a list of names and addresses of veterans and their dependents. DATES: Written comments and recommendations on the proposed collection of information should be received on or before August 29, 2005. ADDRESSES: Submit written comments on the collection of information to Dolly Jackson, Department of Veterans Affairs, Records Management Service (005E3), 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail: dolly.Jackson@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0028’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Dolly Jackson at (202) 273–8022 or FAX (202) 273–5981. 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 PO 00000 Frm 00154 Fmt 4703 Sfmt 4703 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, IT invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of IT’s functions, including whether the information will have practical utility; (2) the accuracy of IT’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. Application of Service Representative for Placement on Mailing List, VA Form 3215. b. Request for and Consent to Release of Information from Claimant’s Records, VA Form 3288. c. Request to Correspondent for Identifying Information, VA Form Letter 70–2. d. 38 CFR 1.519(A) Lists of Names and Addresses. OMB Control Number: 2900–0028. Type of Review: Extension of a currently approved collection. Abstract: a. VA operates an outreach services program to ensure veterans and beneficiaries have information about benefits and services to which they may be entitled. To support the program, VA distributes copies of publications to Veterans Service Organizations’ representatives to be used in rendering services and representation of veterans, their spouses and dependents. Service organizations complete VA Form 3215 to request placement on a mailing list for specific VA publications. b. Veterans or beneficiaries complete VA Form 3288 to provide VA with a written consent to release his or her records or information to third parties such as insurance companies, physicians and other individuals. c. VA Form Letter 70–2 is used to obtain additional information from a correspondent when the incoming correspondence does not provide sufficient information to identify a veteran. VA personnel use the information to identify the veteran, determine the location of a specific file, and to accomplish the action requested by the correspondent such as processing a benefit claim or file material in the individual’s claims folder. E:\FR\FM\30JNN1.SGM 30JNN1 Federal Register / Vol. 70, No. 125 / Thursday, June 30, 2005 / Notices d. Title 38 U.S.C. 5701(f)(1) authorized the disclosure of names or addresses, or both of present or former members of the Armed Forces and/or their beneficiaries to nonprofit organizations (including members of Congress) to notify veterans of Title 38 benefits and to provide assistance to veterans in obtaining these benefits. This release includes VA’s Outreach Program for the purpose of advising veterans of non-VA Federal State and local benefits and programs. Affected Public: Individuals or households, Not for profit institutions, and State, local or tribal government. Estimated Annual Burden: 22,700 hours. a. Application of Service Representative for Placement on Mailing List, VA Form 3215—25 hours. b. Request for and Consent to Release of Information From Claimant’s Records, VA Form 3288—18,875 hours. c. Request to Correspondent for Identifying Information, VA Form Letter 70—2–3,750 hours. d. 38 CFR(A) 1.519 Lists of Names and Addresses—50 hours. Estimated Average Burden Per Respondent: a. Application of Service Representative for Placement on Mailing List, VA Form 3215—10 minutes. b. Request for and Consent to Release of Information From Claimant’s Records, VA Form 3288—7.5 minutes. c. Request to Correspondent for Identifying Information, VA Form Letter 70—2–5 minutes. d. 38 CFR(A) 1.519 Lists of Names and Addresses—60 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. Application of Service Representative for Placement on Mailing List, VA Form 3215—150. b. Request for and Consent to Release of Information From Claimant’s Records, VA Form 3288—151,000. c. Request to Correspondent for Identifying Information, VA Form Letter 70—2–45,000. d. 38 CFR(A) 1.519 Lists of Names and Addresses—50. DEPARTMENT OF VETERANS AFFAIRS DEPARTMENT OF VETERANS AFFAIRS Veterans’ Advisory Committee on Environmental Hazards; Notice of Meeting Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting The Department of Veterans Affairs (VA) gives notice under Public Law 92– 463 (Federal Advisory Committee Act) that a meeting of the Veterans’ Advisory Committee on Environmental Hazards will be held August 1–2, 2005, in room C–7B at VA Central Office, 810 Vermont Avenue, NW., Washington, DC 20420. The meeting will run from 8 a.m. to 4 p.m. each day and is open to the public. The purpose of the Committee is to provide advice to the Secretary of Veterans Affairs on adverse health effects that may be associated with exposure to ionizing radiation and to make recommendations on proposed standards and guidelines regarding VA benefit claims based upon exposure to ionizing radiation. On August 1, VA’s Public Health and Environmental Hazards Office and Compensation and Pension Service will make presentations to the Committee. On August 2, the Committee will plan future activities and assign tasks to committee members. Those who wish to attend should contact Ms. Bernice Green of the Department of Veterans Affairs, Compenstaion and Pension Service, 810 Vermont Avenue, SW., Washington, DC 20420, by phone at (202) 273–7210, or by fax at (202) 275–1728. The Committee will accept written comments, which can be addressed to Ms. Ersie Farber, Designated Federal Officer, at the Department of Veterans Affairs, Veterans Benefits Administration (21), 810 Vermont Avenue, NW., Washington, DC 20420. In all communication to the Committee, writers must identify themselves and state the organizations, associations, or persons they represent. An open forum for verbal statements from the public will also be available in the afternoon each day. Each person who wishes to make a verbal statement before the Committee will be accommodated on a first come, first served basis and will be provided three (3) minutes to present the statement. The Department of Veterans Affairs gives notice under Public Law 92–463 (Federal Advisory Committee Act) that a meeting of the Rehabilitation Research and Development Service Scientific Merit Review Board will be held on August 22–25, 2005, at the Hamilton Crowne Plaza Hotel, 14th & K Streets NW., Washington, DC. The sessions are scheduled to begin at 8 a.m. and end at 5:30 p.m. each day. The purpose of the Board is to review rehabilitation research and development applications for scientific and technical merit and to make recommendations to the Director, Rehabilitation Research and Development Service, regarding their funding. The meeting will be open to the public for the August 22 and August 24 sessions from 8 a.m. to 9 a.m. for the discussion of administrative matters, the general status of the program and the administrative details of the review process. The meeting will be closed on August 22–August 25 from 9 a.m. to 5:30 p.m for the Board’s review of research and development applications. This review involves oral comments, discussion of site visits, staff and consultant critiques of proposed research protocols, and similar analytical documents that necessitate the consideration of the personal qualifications, performance and competence of individual research investigators. Disclosure of such information would constitute a clearly unwarranted invasion of personal privacy. Disclosure would also reveal research proposals and research underway which could lead to the loss of these projects to third parties and thereby frustrate future agency research efforts. Thus, the closing is in accordance with 5 U.S.C. 552b(c)(6), and (c)(9)(B) and the determination of the Secretary of the Department of Veterans Affairs under Sections 10(d) of the Public Law 92–463 as amended by Section 5(c) of the Public Law 94–109. Those who plan to attend the open session should contact Dr. Denise Burton, Portfolio Manager, Rehabilitation Research and Development Service (122P), Department of Veterans Affairs, 810 Vermont Ave., NW., Washington, DC 20420, at (202) 254–0068 Dated: June 23, 2005. By direction of the Secretary. Loise Russell, Records Management Service. [FR Doc. E5–3447 Filed 6–29–05; 8:45 am] E. Philip Riggin, Committee Management Officer. [FR Doc. 05–12959 Filed 6–29–05; 8:45 am] BILLING CODE 8320–01–P BILLING CODE 8320–01–M VerDate jul<14>2003 22:57 Jun 29, 2005 Jkt 205001 37899 Dated: June 24, 2005. By direction of the Secretary. PO 00000 Frm 00155 Fmt 4703 Dated: June 21, 2005. Sfmt 4703 E:\FR\FM\30JNN1.SGM 30JNN1

Agencies

[Federal Register Volume 70, Number 125 (Thursday, June 30, 2005)]
[Notices]
[Pages 37898-37899]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E5-3447]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0028]


Proposed Information Collection Activity: Proposed Collection; 
Comment Request

AGENCY: Office of Information and Technology, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: The Office of Information and Technology (IT), 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 this notice. This notice solicits comments for 
information needed (a) from service organizations requesting to be 
placed on VA's mailing lists for specific publications; (b) to request 
additional information from the correspondent to identify a veteran; 
(c) to request for and consent to release of information from 
claimant's records to a third party; and (d) to determine an 
applicant's eligibility to receive a list of names and addresses of 
veterans and their dependents.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 29, 2005.

ADDRESSES: Submit written comments on the collection of information to 
Dolly Jackson, Department of Veterans Affairs, Records Management 
Service (005E3), 810 Vermont Avenue, NW., Washington, DC 20420 or e-
mail: dolly.Jackson@mail.va.gov. Please refer to ``OMB Control No. 
2900-0028'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Dolly Jackson at (202) 273-8022 or FAX 
(202) 273-5981.

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, IT invites 
comments on: (1) Whether the proposed collection of information is 
necessary for the proper performance of IT's functions, including 
whether the information will have practical utility; (2) the accuracy 
of IT'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. Application of Service Representative for Placement on Mailing 
List, VA Form 3215.
    b. Request for and Consent to Release of Information from 
Claimant's Records, VA Form 3288.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70-2.
    d. 38 CFR 1.519(A) Lists of Names and Addresses.
    OMB Control Number: 2900-0028.
    Type of Review: Extension of a currently approved collection.
    Abstract:
    a. VA operates an outreach services program to ensure veterans and 
beneficiaries have information about benefits and services to which 
they may be entitled. To support the program, VA distributes copies of 
publications to Veterans Service Organizations' representatives to be 
used in rendering services and representation of veterans, their 
spouses and dependents. Service organizations complete VA Form 3215 to 
request placement on a mailing list for specific VA publications.
    b. Veterans or beneficiaries complete VA Form 3288 to provide VA 
with a written consent to release his or her records or information to 
third parties such as insurance companies, physicians and other 
individuals.
    c. VA Form Letter 70-2 is used to obtain additional information 
from a correspondent when the incoming correspondence does not provide 
sufficient information to identify a veteran. VA personnel use the 
information to identify the veteran, determine the location of a 
specific file, and to accomplish the action requested by the 
correspondent such as processing a benefit claim or file material in 
the individual's claims folder.

[[Page 37899]]

    d. Title 38 U.S.C. 5701(f)(1) authorized the disclosure of names or 
addresses, or both of present or former members of the Armed Forces 
and/or their beneficiaries to nonprofit organizations (including 
members of Congress) to notify veterans of Title 38 benefits and to 
provide assistance to veterans in obtaining these benefits. This 
release includes VA's Outreach Program for the purpose of advising 
veterans of non-VA Federal State and local benefits and programs.
    Affected Public: Individuals or households, Not for profit 
institutions, and State, local or tribal government.
    Estimated Annual Burden: 22,700 hours.
    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215--25 hours.
    b. Request for and Consent to Release of Information From 
Claimant's Records, VA Form 3288--18,875 hours.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70--2-3,750 hours.
    d. 38 CFR(A) 1.519 Lists of Names and Addresses--50 hours.
    Estimated Average Burden Per Respondent:
    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215--10 minutes.
    b. Request for and Consent to Release of Information From 
Claimant's Records, VA Form 3288--7.5 minutes.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70--2-5 minutes.
    d. 38 CFR(A) 1.519 Lists of Names and Addresses--60 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215--150.
    b. Request for and Consent to Release of Information From 
Claimant's Records, VA Form 3288--151,000.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70--2-45,000.
    d. 38 CFR(A) 1.519 Lists of Names and Addresses--50.

    Dated: June 23, 2005.

    By direction of the Secretary.
Loise Russell,
Records Management Service.
[FR Doc. E5-3447 Filed 6-29-05; 8:45 am]
BILLING CODE 8320-01-P