Agency Information Collection Activities Under OMB Review, 59199-59200 [E6-16510]

Download as PDF Federal Register / Vol. 71, No. 194 / Friday, October 6, 2006 / Notices By direction of the Secretary: Denise McLamb, Program Analyst, Initiative Coordination Service. [FR Doc. E6–16506 Filed 10–5–06; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-New (10–21083 series)] 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 November 6, 2006. DATES: FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise McLamb, Initiative Coordination Service (005G1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 565–8374, FAX (202) 565–7870 or e-mail: denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900-New (10–21083 series).’’ 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. 2900New (10–21083 series)’’ in any correspondence. cprice-sewell on PROD1PC66 with NOTICES SUPPLEMENTARY INFORMATION: Title: Pilot of the Hospital Consumer Assessment of Health Plan Survey (HCAHPS) and Survey of Healthcare Experiences of Patients (SHEP) Satisfaction Survey Instruments, VA Forms 10–21083a through 10–21083e. OMB Control Number: 2900-New (10– 21083 series). Type of Review: New collection. VerDate Aug<31>2005 14:52 Oct 05, 2006 Jkt 211001 Abstract: VA will conduct a series of five pilots to better understand how the Hospital Consumer Assessment of Health Plan Survey (HCAPHS) questionnaire (either alone or combined with all or part of VA’s Survey of Healthcare Experiences of Patients (SHEP) survey) will perform in measuring patient satisfaction, and how hospitalized veteran patients will respond to healthcare related questions using the HCAHPS questionnaire. 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 July 13, 2006 at page 39704. Affected Public: Individuals or households. Estimated Annual Burden: 3,625 hours. a. 10–21083a—362.50 hours. b. 10–21083b—725 hours. c. 10–21083c—1,087.50 hours. d. 10–21083d—725 hours. e. 10–21083e-725 hours. Estimated Average Burden Per Respondent: a. 10–21083a—15 minutes. b. 10–21083b—30 minutes. c. 10–21083c—45 minutes. d. 10–21083d—30 minutes. e. 10–21083de—30 minutes. Frequency of Response: One time. Estimated Number of Respondents: 7,250. a. 10–21083a—1,450. b. 10–21083b—1,450. c. 10–21083c—1,450. d. 10–21083d—1,450. e. 10–21083de—1,450. Dated: September 27, 2006. By direction of the Secretary. Denise McLamb, Program Analyst, Initiative Coordination Service. [FR Doc. E6–16508 Filed 10–5–06; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-New (10–21034j)] 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 PO 00000 Frm 00130 Fmt 4703 Sfmt 4703 59199 (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; it includes the actual data collection instrument. DATES: Comments must be submitted on or before November 6, 2006. FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise McLamb, Records Management Service (005G1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 565–8374, FAX (202) 565–7870 or e-mail: denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900-New (10–21034j).’’ 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. 2900New (10–21034j)’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Health Insurance and Key Driver Modules for the Survey of Veteran Enrollees’ Health and Reliance Upon VA, VA Forms 10–21034j and 10– 21034k. OMB Control Number: 2900-New (10– 21034j). Type of Review: New collection. Abstract: VA will use the data collected on VA Forms 10–21034j and 10–21034k to accurately project the number of veterans’ enrolled in and/or utilizing VA’s health care system and as the basis for policy and budgetary analyses. 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 20, 2006, at pages 35481–35482. Affected Public: Federal Government. Estimated Annual Burden: VA Form 10–21034j—2,800 hours. VA Form 10–21034k—367 hours. Estimated Average Burden Per Respondent: VA Form 10–21034j—4 minutes. VA Form 10–21034k-11 minutes. Frequency of Response: Annually. Estimated Number of Respondents: E:\FR\FM\06OCN1.SGM 06OCN1 59200 Federal Register / Vol. 71, No. 194 / Friday, October 6, 2006 / Notices VA Form 10–21034j—42,000. VA Form 10–21034k—2,000. Dated: September 25, 2006. By direction of the Secretary. Denise McLamb, Program Analyst, Initiative Coordination Service. [FR Doc. E6–16510 Filed 10–5–06; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0525] 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 and includes the actual data collection instrument. DATES: Comments must be submitted on or before November 6, 2006. cprice-sewell on PROD1PC66 with NOTICES FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise McLamb, Initiative Coordination Service (005G1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 565–8374, FAX (202) 565–7870 or e-mail: denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0525.’’ 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– 0525’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: VA MATIC Change, VA Form 29–0165. OMB Control Number: 2900–0525. Type of Review: Extension of a currently approved collection. Abstract: Claimants complete VA Form 29–0165 to enroll in VA MATIC or change their financial institution from which VA currently deducts their Government Life Insurance premium. VerDate Aug<31>2005 14:52 Oct 05, 2006 Jkt 211001 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 July 13, 2006, at page 39705. Affected Public: Individuals or households. Estimated Annual Burden: 1,250 hours. Estimated Average Burden Per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 5,000. Dated: September 25, 2006. By direction of the Secretary: Denise McLamb, Program Analyst, Initiative Coordination Service. [FR Doc. E6–16511 Filed 10–5–06; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0017] 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 November 6, 2006. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Initiative Coordination Service (005G1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 565–8374, fax (202) 565–7870 or e-mail denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0017.’’ 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, PO 00000 Frm 00131 Fmt 4703 Sfmt 4703 Washington, DC 20503 (202) 395–7316. Please refer to ‘‘OMB Control No. 2900– 0017’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: a. Annual-Final Report and Account, VA Form 21–4706. b. Federal Fiduciary’s Account, VA Form 21–4706b. c. Court Appointed Fiduciary’s Account, VA Form 21–4706c. d. Account Book, VA Form 21–4718. e. Certificate of Balance on Deposit and Authorization to Disclose Financial Records (Pursuant to Title 38, U.S.C., Chapter 55 and Title 12, U.S.C., Chapter 35), VA Form 27–4718a. OMB Control Number: 2900–0017. Type of Review: Extension of a currently approved collection. Abstract: VA maintain supervision of the distribution and use of VA benefits paid to fiduciaries on behalf of VA claimants who are incompetent, a minor, or under legal disability. The forms are used to verify beneficiaries’ deposit remaining at a financial institution against a fiduciary’s accounting. The following forms will be used to ensure claimants’ benefits payments are administered properly. a. VA Forms 21–4706, 4706b and 4706c are used by estate to determine proper usage of benefits paid to fiduciaries. The 21–4706 and 21–4706b are both necessary to conform to requirement of various state courts. b. VA Form 21–4718 is provided to VA fiduciaries to submit accountings to either State courts or the VA. It is not a reporting form per se, but a vehicle to assist the fiduciary in accurately maintaining records of monies received and spent. c. VA Form 21–4718a—Fiduciaries are required to obtain certifications that the balances remaining on deposit in financial institutions as shown on accountings are correct. Certifying official at a financial institution completing the form must affix the institution’s official seal or stamp. The data collected is used to appoint an appropriate fiduciary for a VA beneficiary and to prevent fiduciaries from supplying false certification, embezzling funds, and possibly prevent and/or identify fraud, waste and abuse of government funds paid to fiduciaries on behalf of VA beneficiaries. 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 May 18, 2006 at page 28918. E:\FR\FM\06OCN1.SGM 06OCN1

Agencies

[Federal Register Volume 71, Number 194 (Friday, October 6, 2006)]
[Notices]
[Pages 59199-59200]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-16510]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (10-21034j)]


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; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before November 6, 2006.

FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise 
McLamb, Records Management Service (005G1), Department of Veterans 
Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 565-8374, 
FAX (202) 565-7870 or e-mail: denise.mclamb@mail.va.gov. Please refer 
to ``OMB Control No. 2900-New (10-21034j).''
    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-New (10-21034j)'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Health Insurance and Key Driver Modules for the Survey of 
Veteran Enrollees' Health and Reliance Upon VA, VA Forms 10-21034j and 
10-21034k.
    OMB Control Number: 2900-New (10-21034j).
    Type of Review: New collection.
    Abstract: VA will use the data collected on VA Forms 10-21034j and 
10-21034k to accurately project the number of veterans' enrolled in 
and/or utilizing VA's health care system and as the basis for policy 
and budgetary analyses.
    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 20, 2006, at pages 35481-35482.
    Affected Public: Federal Government.
    Estimated Annual Burden:
    VA Form 10-21034j--2,800 hours.
    VA Form 10-21034k--367 hours.
    Estimated Average Burden Per Respondent:
    VA Form 10-21034j--4 minutes.
    VA Form 10-21034k-11 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents:

[[Page 59200]]

    VA Form 10-21034j--42,000.
    VA Form 10-21034k--2,000.

    Dated: September 25, 2006.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Initiative Coordination Service.
 [FR Doc. E6-16510 Filed 10-5-06; 8:45 am]
BILLING CODE 8320-01-P
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