Agency Information Collection Activities Under OMB Review, 1792 [E6-130]
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Federal Register / Vol. 71, No. 7 / Wednesday, January 11, 2006 / Notices
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0260]
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. 3501–3521), 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 February 10, 2006.
DATE:
rmajette on PROD1PC71 with NOTICES
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. 2900–0260.’’
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–
0260’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Title:
a. Request for and Authorization to
Release Medical Records or Health
Information, VA Form 10–5345.
b. Individual’s Request for a Copy of
Their Own Health Information, VA
Form 10–5345a.
OMB Control Number: 2900–0260.
Type of Review: Revision of a
currently approved collection.
Abstract:
a. VA Form 10–5345 is used to obtain
a written consent from patients before
information concerning his or her
treatment for alcoholism or alcohol
abuse, drug abuse, sickle cell anemia, or
infection with the human
immunodeficiency virus (HIV) can be
disclosed to private insurance
companies, physicians and other third
parties.
VerDate Aug<31>2005
14:20 Jan 10, 2006
Jkt 208001
b. Patients complete VA Form 10–
5345 to request a copy of their medical
records from the Department of Veterans
Affairs.
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 August
25, 2005 at page 49975.
Affected Public: Business or other for
profit, Individuals or households, not
for profit institutions.
Estimated Total Annual Burden:
a. VA Form 10–5345—16,667 hours.
b. VA Form 10–5345a—16,667 hours.
Estimated Average Burden Per
Respondent:
a. VA Form 10–5345—2 minutes.
b. VA Form 10–5345a—2 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
a. VA Form 10–5345—500,000.
b. VA Form 10–5345a—500,000.
Dated: December 22, 2005.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management
Service.
[FR Doc. E6–130 Filed 1–10–06; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0353]
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 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 the number of
correspondence courses completed by a
student and serviced by the
correspondence school.
PO 00000
Frm 00062
Fmt 4703
Sfmt 4703
Written comments and
recommendations on the proposed
collection of information should be
received on or before March 13, 2006.
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:
irmnkess@vba.va.gov. Please refer to
‘‘OMB Control No. 2900–0353’’ in any
correspondence.
DATES:
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: Certification of Lessons
Completed, (Chapters 30, 32, and 35,
Title 38, U.S.C.; Chapter 31, 110, 1606
and 1607, Title 10, U.S.C.; and section
903, Pub. L. 96–342), VA Forms 22–
6553b and 22–6553b–1.
OMB Control Number: 2900–0353.
Type of Review: Extension of a
currently approved collection.
Abstract: Students enrolled in a
correspondence school complete VA
Forms 22–6553b and 22–6553b–1 to
report the number of correspondence
course lessons completed and forward
the forms to the correspondence school
for certification. School official certifies
the number of lessons serviced and
submits the forms to VA for processing.
Benefits are payable based on the data
provided on the form. Benefits are not
payable when students interrupt,
discontinue, or complete the training.
VA uses the data collected to determine
the amount of benefit is payable.
E:\FR\FM\11JAN1.SGM
11JAN1
]]>Agencies
[Federal Register Volume 71, Number 7 (Wednesday, January 11, 2006)]
[Notices]
[Page 1792]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-130]
[[Page 1792]]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0260]
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. 3501-3521), 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.
DATE: Comments must be submitted on or before February 10, 2006.
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. 2900-0260.''
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.
2900-0260'' in any correspondence.
SUPPLEMENTARY INFORMATION:
Title:
a. Request for and Authorization to Release Medical Records or
Health Information, VA Form 10-5345.
b. Individual's Request for a Copy of Their Own Health Information,
VA Form 10-5345a.
OMB Control Number: 2900-0260.
Type of Review: Revision of a currently approved collection.
Abstract:
a. VA Form 10-5345 is used to obtain a written consent from
patients before information concerning his or her treatment for
alcoholism or alcohol abuse, drug abuse, sickle cell anemia, or
infection with the human immunodeficiency virus (HIV) can be disclosed
to private insurance companies, physicians and other third parties.
b. Patients complete VA Form 10-5345 to request a copy of their
medical records from the Department of Veterans Affairs.
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 August 25, 2005 at page 49975.
Affected Public: Business or other for profit, Individuals or
households, not for profit institutions.
Estimated Total Annual Burden:
a. VA Form 10-5345--16,667 hours.
b. VA Form 10-5345a--16,667 hours.
Estimated Average Burden Per Respondent:
a. VA Form 10-5345--2 minutes.
b. VA Form 10-5345a--2 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
a. VA Form 10-5345--500,000.
b. VA Form 10-5345a--500,000.
Dated: December 22, 2005.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E6-130 Filed 1-10-06; 8:45 am]
BILLING CODE 8320-01-P
