Agency Information Collection Activities Under OMB Review, 62732 [E7-21771]
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62732
Federal Register / Vol. 72, No. 214 / Tuesday, November 6, 2007 / Notices
Affected Public: Individuals or
households, and farms.
Estimated Annual Burden: 1,038
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
2,075.
Titles
Dated: October 30, 2007.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management
Service.
[FR Doc. E7–21770 Filed 11–5–07; 8:45 am]
BILLING CODE 8320–01–P
Abstract
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0080]
Agency Information Collection
Activities Under OMB Review
Veterans Health
Administration, Department of Veterans
Affairs.
AGENCY:
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.
Comments must be submitted on
or before December 6, 2007.
DATES:
Submit written comments
on the collection of information through
www.Regulations.gov; or 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–
0080’’ in any correspondence.
ADDRESSES:
mstockstill on PROD1PC66 with NOTICES
FOR FURTHER INFORMATION CONTACT:
Denise McLamb, Records Management
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue,
NW., Washington, DC 20420, (202) 461–
7485, fax (202) 273–0443 or e-mail
denise.mclamb@mail.va.gov. Please
refer to ‘‘OMB Control No. 2900–0080.’’
SUPPLEMENTARY INFORMATION:
VerDate Aug<31>2005
16:55 Nov 05, 2007
Jkt 214001
a. Claim for Payment of Cost of
Unauthorized Medical Services, VA
Form 10–583.
b. Funeral Arrangements Form for
Disposition of Remains of the Deceased,
VA Form 10–2065.
c. Authority and Invoice for Travel by
Ambulance or Other Hired Vehicle, VA
Form 10–2511.
d. Authorization and Invoice for
Medical and Hospital Services, VA
Form 10–7078.
e. Request for Payment of Beneficiary
Travel after the Date of Service.
OMB Control Number: 2900–0080.
Type of Review: Revision of a
currently approved collection.
a. VA Form 10–583 is used to request
payment or reimbursement of the cost of
unauthorized non-VA medical services.
b. VA Form 10–2065 is completed by
VA personnel during an interview with
relatives of the deceased, and to identify
the funeral home to which the remains
are to be released. The form is also used
as a control document when VA is
requested to arrange for the
transportation of the deceased from the
place of death to the place of burial,
and/or when burial is requested in a
National Cemetery.
c. VA Form 10–2511 is used to
process payment for ambulance or other
hired vehicular forms of transportation
for eligible veterans to and from VA
health care facilities for examination,
treatment or care.
d. VA uses VA Form 10–7078 to
authorize expenditures from the
medical care account and process
payment of medical and hospital
services provided by other than Federal
health providers to VA beneficiaries.
e. Claimants who request payment for
beneficiary travel after the time of
service may do so in writing or in
person.
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
29, 2007 at pages 49758–49759.
Affected Public: Business or other for
profit, Individuals or households, and
not for profit institutions.
Estimated Total Annual Burden:
30,391 hours.
a. VA Form 10–583—17,188.
b. VA Form 10–2065—2,053.
c. VA Form 10–2511—2,333.
d. VA Form 10–7078—8,400.
PO 00000
Frm 00110
Fmt 4703
Sfmt 4703
e. Request for Payment of Beneficiary
Travel after the Date of Service—417.
Estimated Average Burden Per
Respondent:
a. VA Form 10–583—15 minutes.
b. VA Form 10–2065—5 minutes.
c. VA Form 10–2511—2 minutes.
d. VA Form 10–7078—2 minutes.
e. Request for Payment of Beneficiary
Travel after the Date of Service—1
minute.
Frequency of Response: On occasion.
Estimated Number of Respondents:
440,380.
a. VA Form 10–583—68,750
respondents.
b. VA Form 10–2065—24,630
respondents.
c. VA Form 10–2511—70,000
respondents.
d. VA Form 10–7078—252,000
respondents.
e. Request for Payment of Beneficiary
Travel after the Date of Service—25,000.
Dated: October 30, 2007.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management
Service.
[FR Doc. E7–21771 Filed 11–5–07; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0055]
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 on information
needed to determine surviving spouse of
a veteran eligibility for a VA home loan.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before January 7, 2008.
ADDRESSES: Submit written comments
on the collection of information through
E:\FR\FM\06NON1.SGM
06NON1
]]>Agencies
[Federal Register Volume 72, Number 214 (Tuesday, November 6, 2007)]
[Notices]
[Page 62732]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-21771]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0080]
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.
DATES: Comments must be submitted on or before December 6, 2007.
ADDRESSES: Submit written comments on the collection of information
through www.Regulations.gov; or 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. 2900-0080'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue,
NW., Washington, DC 20420, (202) 461-7485, fax (202) 273-0443 or e-mail
denise.mclamb@mail.va.gov. Please refer to ``OMB Control No. 2900-
0080.''
SUPPLEMENTARY INFORMATION:
Titles
a. Claim for Payment of Cost of Unauthorized Medical Services, VA
Form 10-583.
b. Funeral Arrangements Form for Disposition of Remains of the
Deceased, VA Form 10-2065.
c. Authority and Invoice for Travel by Ambulance or Other Hired
Vehicle, VA Form 10-2511.
d. Authorization and Invoice for Medical and Hospital Services, VA
Form 10-7078.
e. Request for Payment of Beneficiary Travel after the Date of
Service.
OMB Control Number: 2900-0080.
Type of Review: Revision of a currently approved collection.
Abstract
a. VA Form 10-583 is used to request payment or reimbursement of
the cost of unauthorized non-VA medical services.
b. VA Form 10-2065 is completed by VA personnel during an interview
with relatives of the deceased, and to identify the funeral home to
which the remains are to be released. The form is also used as a
control document when VA is requested to arrange for the transportation
of the deceased from the place of death to the place of burial, and/or
when burial is requested in a National Cemetery.
c. VA Form 10-2511 is used to process payment for ambulance or
other hired vehicular forms of transportation for eligible veterans to
and from VA health care facilities for examination, treatment or care.
d. VA uses VA Form 10-7078 to authorize expenditures from the
medical care account and process payment of medical and hospital
services provided by other than Federal health providers to VA
beneficiaries.
e. Claimants who request payment for beneficiary travel after the
time of service may do so in writing or in person.
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 29, 2007 at pages 49758-49759.
Affected Public: Business or other for profit, Individuals or
households, and not for profit institutions.
Estimated Total Annual Burden: 30,391 hours.
a. VA Form 10-583--17,188.
b. VA Form 10-2065--2,053.
c. VA Form 10-2511--2,333.
d. VA Form 10-7078--8,400.
e. Request for Payment of Beneficiary Travel after the Date of
Service--417.
Estimated Average Burden Per Respondent:
a. VA Form 10-583--15 minutes.
b. VA Form 10-2065--5 minutes.
c. VA Form 10-2511--2 minutes.
d. VA Form 10-7078--2 minutes.
e. Request for Payment of Beneficiary Travel after the Date of
Service--1 minute.
Frequency of Response: On occasion.
Estimated Number of Respondents: 440,380.
a. VA Form 10-583--68,750 respondents.
b. VA Form 10-2065--24,630 respondents.
c. VA Form 10-2511--70,000 respondents.
d. VA Form 10-7078--252,000 respondents.
e. Request for Payment of Beneficiary Travel after the Date of
Service--25,000.
Dated: October 30, 2007.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E7-21771 Filed 11-5-07; 8:45 am]
BILLING CODE 8320-01-P
