Agency Information Collection (Report of General Information) Activities Under OMB Review, 14189-14190 [E9-7004]

Download as PDF sroberts on PROD1PC70 with NOTICES Federal Register / Vol. 74, No. 59 / Monday, March 30, 2009 / Notices Abstract: The data collected on VA Forms 10–2850, 2850a through d, and VA Form Letters 10–341a and b, will be used to evaluate an applicant’s qualification for employment with the VA, as well as their training, educational, and professional experiences. The data is necessary to determine the applicant’s suitability, grade level and clinical privileges. Affected Public: Individuals or Households. Estimated Annual Burden: a. Application for Physicians, Dentists, Podiatrists and Optometrists, Chiropractors, VA Form 10–2850— 7,450 hours. b. Application for Nurses and Nurse Anesthetists, VA Form 10–2850a— 29,799 hours. c. Application for Residents, VA Form 10–2850b—17,001 hours. d. Application for Associated Health Occupations, VA Form 10–2850c— 9,933 hours. e. Application for Health Professions Trainees, VA Form 10–2850d—33,670 hours. f. Appraisal of Applicant, VA Form Letter 10–341a—25,410 hours. g. Trainee Qualification and Credentials Verification Letter, VA Form Letter 10–341b—6,709 hours. Estimated Average Burden per Respondent: a. Application for Physicians, Dentists, Podiatrists and Optometrists, Chiropractors, VA Form 10–2850—30 minutes. b. Application for Nurses and Nurse Anesthetists, VA Form 10–2850a—30 minutes. c. Application for Residents, VA Form 10–2850b—30 minutes. d. Application for Associated Health Occupations, VA Form 10–2850c—30 minutes. e. Application for Health Professions Trainees, VA Form 10–2850d—30 minutes. f. Appraisal of Applicant, VA Form FL 10–341a—30 minutes. g. Trainee Qualification and Credentials Verification Letter, VA Form 10–341b—5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. Application for Physicians, Dentists, Podiatrists and Optometrists, Chiropractors, VA Form 10–2850— 14,900. b. Application for Nurses and Nurse Anesthetists, VA Form 10–2850a— 59,598. c. Application for Residents, VA Form 10–2850b—34,003. d. Application for Associated Health Occupations, VA Form 10–2850c— 19,866. VerDate Nov<24>2008 18:33 Mar 27, 2009 Jkt 217001 e. Application for Health Professions Trainees, VA Form 10–2850d—67,341. f. Appraisal of Applicant, VA Form 10–341a—50,820. g. Trainee Qualification and Credentials Verification Letter, VA Form 10–341b—80,518. By direction of the Secretary: Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–6967 Filed 3–27–09; 8:45 am] BILLING CODE DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0678] Agency Information Collection (Agreement to Train on the Job Disabled Veterans) Activities Under OMB Review AGENCY: Veterans Benefits 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 Benefits Administration (VBA), Department of Veterans Affairs, will submit 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 April 29, 2009. ADDRESSES: Submit written comments on the collection of information through https://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– 0678’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 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@va.gov. Please refer to ‘‘OMB Control No. 2900–0678.’’ SUPPLEMENTARY INFORMATION: Title: Agreement to Train On The Job Disabled Veterans, VA Form 28–1904. OMB Control Number: 2900–0678. Type of Review: Extension of a currently approved collection. Abstract: VA Form 28–1904 is a written agreement between an On the PO 00000 Frm 00085 Fmt 4703 Sfmt 4703 14189 Job Training (OJT) establishments and VA. The agreement is necessary to ensure that OJT is providing claimants with the appropriate training and supervision, and VA’s obligation to provide claimants with the necessary tools, supplies, and equipment for such training. 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 January 21, 2009, at pages 3672–3673. Affected Public: Business or other forprofit. Estimated Annual Burden: 150 hours. Estimated Average Burden Per Respondent: 15 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 600. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–6985 Filed 3–27–09; 8:45 am] BILLING CODE DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–New (VA Form 21– 0820 series)] Agency Information Collection (Report of General Information) Activities Under OMB Review AGENCY: Veterans Benefits 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 Benefits Administration (VBA), Department of Veterans Affairs, will submit 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. DATE: Comments must be submitted on or before April 29, 2009. ADDRESSES: Submit written comments on the collection of information through https://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. E:\FR\FM\30MRN1.SGM 30MRN1 sroberts on PROD1PC70 with NOTICES 14190 Federal Register / Vol. 74, No. 59 / Monday, March 30, 2009 / Notices Please refer to ‘‘OMB Control No. 2900– New (VA Form 21–0820 series)’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 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@va.gov. Please refer to ‘‘OMB Control No. 2900–New (VA Form 21–0820 series).’’ SUPPLEMENTARY INFORMATION: Titles: a. VA Form 21–0820, Report of General Information. b. VA Form 21–0820a, Report of Death of Beneficiary. c. VA Form 21–0820b, Report of Nursing Home Information. d. VA Form 21–0820c, Report of Defense Finance and Accounting Service (DFAS). e. VA Form 21–0820d, Report of Lost Check. f. VA Form 21–0820e, Report of Incarceration. g. VA Form 21–0820f, Month of Death Check. OMB Control Number: 2900–New. Type of Review: New collection. Abstract: The forms will be used by VA personnel to document verbal information obtained telephonically from claimants or their beneficiary. The data collected will be used as part of the evidence needed to determine the claimant’s or beneficiary’s eligibility for benefits. 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 January 5, 2009, at pages 336–337. Affected Public: Federal Government. Estimated Annual Burden: a. VA Form 21–0820, Report of General Information—19,667. b. VA Form 21–0820a, Report of Death of Beneficiary—6,667. c. VA Form 21–0820b, Report of Nursing Home Information—2,500 d. VA Form 21–0820c, Report of Defense Finance and Accounting Service (DFAS)—2,500. e. VA Form 21–0820d, Report of Lost Check—2,500. f. VA Form 21–0820e, Report of Incarceration—833. g. VA Form 21–0820f, Month of Death Check. Estimated Average Burden Per Respondent: 5 minutes. Frequency of Response: Hourly. VerDate Nov<24>2008 18:33 Mar 27, 2009 Jkt 217001 Estimated Number of Respondents: a. VA Form 21–0820, Report of General Information—2,360,000. b. VA Form 21–0820a, Report of Death of Beneficiary—80,000. c. VA Form 21–0820b, Report of Nursing Home Information—30,000. d. VA Form 21–0820c, Report of Defense Finance and Accounting Service (DFAS)—30,000. e. VA Form 21–0820d, Report of Lost Check—30,000. f. VA Form 21–0820e, Report of Incarceration—10,000. g. VA Form 21–0820f, Month of Death Check. Dated: March 25, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–7004 Filed 3–27–09; 8:45 am] BILLING CODE DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0564] Proposed Information Collection (Direct Deposit Enrollment) Activity: Comment Request AGENCY: Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. 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 the information needed to enroll claimants receiving benefit payments into an electronic funds transfer program. DATES: Written comments and recommendations on the proposed collection of information should be received on or before May 29, 2009. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at https://www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail to PO 00000 Frm 00086 Fmt 4703 Sfmt 4703 nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0564’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 461–9769 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. Titles: a. Direct Deposit Enrollment, VA Form 24–0296. b. Direct Deposit Enrollment (Australia), VA Form 24–0296a. c. Direct Deposit Enrollment (Canada), VA Form 24–0596b. d. Direct Deposit Enrollment (Germany), VA Form 24–2096c. e. Direct Deposit Enrollment (Ireland), VA Form 24–0296d. f. Direct Deposit Enrollement (United Kingdom), VA Form 24–0296e. OMB Control Number: 2900–0564. Type of Review: Extension of a currently approved collection. Abstract: Claimants who wish to have their benefit payments electronically deposited into their financial institution account must complete the appropriate direct deposit enrollment form. Affected Public: Individuals or households. Estimated Annual Burden: a. VA Form 24–0296—750 hours. b. VA Form 24–0296a (Australia)— 100 hours. c. VA Form 24–2096b (Canada)—100 hours. d. VA Form 24–2096c (Germany)— 100 hours. e. VA Form 24–2096d (Ireland)—100 hours. E:\FR\FM\30MRN1.SGM 30MRN1

Agencies

[Federal Register Volume 74, Number 59 (Monday, March 30, 2009)]
[Notices]
[Pages 14189-14190]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-7004]


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

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (VA Form 21-0820 series)]


Agency Information Collection (Report of General Information) 
Activities Under OMB Review

AGENCY: Veterans Benefits 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 Benefits 
Administration (VBA), Department of Veterans Affairs, will submit 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.

DATE: Comments must be submitted on or before April 29, 2009.

ADDRESSES: Submit written comments on the collection of information 
through https://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.

[[Page 14190]]

Please refer to ``OMB Control No. 2900-New (VA Form 21-0820 series)'' 
in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 
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@va.gov. Please refer to ``OMB Control No. 2900-New (VA 
Form 21-0820 series).''

SUPPLEMENTARY INFORMATION:
    Titles:
    a. VA Form 21-0820, Report of General Information.
    b. VA Form 21-0820a, Report of Death of Beneficiary.
    c. VA Form 21-0820b, Report of Nursing Home Information.
    d. VA Form 21-0820c, Report of Defense Finance and Accounting 
Service (DFAS).
    e. VA Form 21-0820d, Report of Lost Check.
    f. VA Form 21-0820e, Report of Incarceration.
    g. VA Form 21-0820f, Month of Death Check.
    OMB Control Number: 2900-New.
    Type of Review: New collection.
    Abstract: The forms will be used by VA personnel to document verbal 
information obtained telephonically from claimants or their 
beneficiary. The data collected will be used as part of the evidence 
needed to determine the claimant's or beneficiary's eligibility for 
benefits.
    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 January 5, 2009, at pages 336-337.
    Affected Public: Federal Government.
    Estimated Annual Burden:
    a. VA Form 21-0820, Report of General Information--19,667.
    b. VA Form 21-0820a, Report of Death of Beneficiary--6,667.
    c. VA Form 21-0820b, Report of Nursing Home Information--2,500
    d. VA Form 21-0820c, Report of Defense Finance and Accounting 
Service (DFAS)--2,500.
    e. VA Form 21-0820d, Report of Lost Check--2,500.
    f. VA Form 21-0820e, Report of Incarceration--833.
    g. VA Form 21-0820f, Month of Death Check.
    Estimated Average Burden Per Respondent: 5 minutes.
    Frequency of Response: Hourly.
    Estimated Number of Respondents:
    a. VA Form 21-0820, Report of General Information--2,360,000.
    b. VA Form 21-0820a, Report of Death of Beneficiary--80,000.
    c. VA Form 21-0820b, Report of Nursing Home Information--30,000.
    d. VA Form 21-0820c, Report of Defense Finance and Accounting 
Service (DFAS)--30,000.
    e. VA Form 21-0820d, Report of Lost Check--30,000.
    f. VA Form 21-0820e, Report of Incarceration--10,000.
    g. VA Form 21-0820f, Month of Death Check.

    Dated: March 25, 2009.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9-7004 Filed 3-27-09; 8:45 am]
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