Agency Information Collection Activities Under OMB Review, 61173-61174 [E5-5781]

Download as PDF Federal Register / Vol. 70, No. 202 / Thursday, October 20, 2005 / Notices enrollment status. Benefits are not payable when the student interrupts or terminates a program. VA uses the information to determine the student’s entitlement to educational benefits or if the student’s benefits should be increased, decreased, or terminated. Affected Public: State, Local or Tribal Government, Business or other forprofit, and Not-for-profit institutions. Estimated Annual Burden: 50,570 hours. a. VA Form 22–1999b (Paper Copy)— 24, 670 hours. b. VA Form 22–1999b (Electronically Filed)—25,900 hours. Estimated Average Burden Per Respondent: a. VA Form 22–1999b (Paper Copy)— 10 minutes. b. VA Form 22–1999b (Electronically Filed)—7 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 8,274. Estimated Total Number of Responses Annually: 370,000. a. VA Form 22–1999b (Paper Copy)— 148,000. b. VA Form 22–1999b (Electronically Filed)—222,000. Dated: October 11, 2005. By direction of the Secretary. Denise McLamb, Program Analyst, Records Management Service. [FR Doc. E5–5779 Filed 10–19–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0620] 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. Comments must be submitted on or before November 21, 2005. DATE: VerDate Aug<31>2005 16:14 Oct 19, 2005 Jkt 208001 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) 565–8374, FAX (202) 565–6950 or e-mail to: denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0620.’’ 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– 0620’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Payment and Reimbursement for Emergency Services for Non ServiceConnected Conditions in Non-VA Facilities. OMB Control Number: 2900–0620. Type of Review: Extension of a currently approved collection. Abstract: Veterans enrolled in VA’s health-care system are personally liable for emergency treatment rendered at non-VA health facilities. Veterans or their representative, and the health care provider of the emergency treatment to the veteran must submit a claim in writing or complete a Health Insurance Claim Form HCFA 1450 and 1500 or Medical Uniform Institutional Provider Bill Form UB–82 and 92 to request payment or reimbursement for such treatment. VA uses the data collected to determine the claimant’s eligibility for payment or reimbursement. 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 June 22, 2005, at page 36234. 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: October 6, 2005. By direction of the Secretary. Denise McLamb, Program Analyst, Records Management Service, [FR Doc. E5–5780 Filed 10–19–05; 8:45 am] BILLING CODE 8320–01–P PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 61173 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0028] Agency Information Collection Activities Under OMB Review Office of Information and Technology, 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. Comments must be submitted on or before November 21, 2005. DATES: 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) 565–8374, FAX (202) 565–6950 or e-mail: denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0028’’. Send comments and recommendations concerning any aspect of the information collection to VA’s 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– 0028’’. SUPPLEMENTARY INFORMATION: 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 E:\FR\FM\20OCN1.SGM 20OCN1 61174 Federal Register / Vol. 70, No. 202 / Thursday, October 20, 2005 / Notices 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. 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. 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 June 30, 2005, at pages 37898–37899. 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: 196,200. 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: October 6, 2005. By direction of the Secretary. Denise McLamb, Program Analyst, Records Management Service. [FR Doc. E5–5781 Filed 10–19–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS The Department of Veterans Affairs (VA) gives notice under Public Law 92– 463 (Federal Advisory Committee Act) that a meeting of the Clinical Science Research and Development Service Cooperative Studies Scientific Merit Review Board will be held on November 2–3, 2005, at the Sheraton National Hotel—Arlington, 900 South Orme Street, Arlington, VA 22204. The sessions are scheduled to begin at 8 a.m. and end at 3 p.m. The Board advises the Chief Research and Development Officer through the Director of the Clinical Science Research and Development Service on Jkt 208001 PO 00000 DEPARTMENT OF VETERANS AFFAIRS Joint Biomedical Laboratory Research and Development and Clinical Science Research and Development Services Scientific Merit Review Board; Notice of Meetings The Department of Veterans Affairs gives notice under the Public Law 92– 463 (Federal Advisory Committee Act) that the subcommittees of the Joint Biomedical Laboratory Research and Development and Clinical Science Research and Development Services Scientific Merit Review Board will meet from 8 a.m. to 5 p.m. as indicated below: Date(s) Infectious Diseases-A ...................................................................................... Hematology ...................................................................................................... Mental Hlth & Behav Sciences-A .................................................................... Mental Hlth & Behav Sciences-B .................................................................... 16:14 Oct 19, 2005 Dated: October 13, 2005. By direction of the Secretary. E. Philip Riggin, Committee Management Officer. [FR Doc. 05–21015 Filed 10–19–05; 8:45 am] BILLING CODE 8320–01–M Clinical Science Research and Development Service Cooperative Studies Scientific Merit Review Board; Notice of Meeting Subcommittee for VerDate Aug<31>2005 the relevance and feasibility of proposed studies, the adequacy of the protocols, and the scientific validity and propriety of technical details, including protection of human subjects. The sessions each day will open to the public from 8 a.m. to 8:30 a.m. for the discussion of administrative matters and the general status of the program. The sessions will be closed from 8:30 a.m. to 3 p.m. for the Board’s review of research and development applications. During the closed sessions of the meeting, discussions and recommendations will deal with qualifications of personnel conducting the studies, staff and consultant critiques of research proposals and similar documents, and the medical records of patients who are study subjects, he disclosure of which would constitute a clearly unwarrantwed invasion of personal privacy. As provided by section 10(d) of Public Law 92–463, as amended, closing portions of this meeting is in accordance with 5 U.S.C. 552b(c)(6) and (c)(9)(B). Those who plan to attend should contact Dr. Grant Huang, Assistant Director, Cooperative Studies Program (125), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, at (202) 254– 0183. Frm 00062 Fmt 4703 November November November November Sfmt 4703 Location 9, 2005 ............................. 10, 2005 ........................... 11, 2005 ........................... 17, 2005 ........................... E:\FR\FM\20OCN1.SGM 20OCN1 St. Gregory Hotel. Hotel Madera. Hilton Embassy Row. The Churchill Hotel.

Agencies

[Federal Register Volume 70, Number 202 (Thursday, October 20, 2005)]
[Notices]
[Pages 61173-61174]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E5-5781]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0028]


Agency Information Collection Activities Under OMB Review

AGENCY: Office of Information and Technology, 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.

DATES: Comments must be submitted on or before November 21, 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) 565-8374, 
FAX (202) 565-6950 or e-mail: denise.mclamb@mail.va.gov. Please refer 
to ``OMB Control No. 2900-0028''.
    Send comments and recommendations concerning any aspect of the 
information collection to VA's 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. 2900-0028''.

SUPPLEMENTARY INFORMATION:
    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

[[Page 61174]]

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.
    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.
    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 June 30, 2005, at pages 37898-37899.
    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: 196,200.
    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: October 6, 2005.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E5-5781 Filed 10-19-05; 8:45 am]
BILLING CODE 8320-01-P