Proposed Information Collection (Annual-Final Report and Account) Activity: Comment Request, 31111-31112 [E9-15274]

Download as PDF sroberts on PROD1PC70 with NOTICES Federal Register / Vol. 74, No. 123 / Monday, June 29, 2009 / Notices SUMMARY: The Veterans Health Administration (VHA) 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 revision 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 assess the health care disability compensation or rehabilitation needs of Former Prisoners of War (FPOW) veteran. DATES: Written comments and recommendations on the proposed collection of information should be received on or before August 28, 2009. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at https://www.Regulations.gov; or to Mary Stout, Veterans Health Administration (193E1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail: mary.stout@va.gov. Please refer to ‘‘OMB Control No. 2900–0427’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Mary Stout (202) 461–5867 or FAX (202) 273–9381. 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, VHA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VHA’s functions, including whether the information will have practical utility; (2) the accuracy of VHA’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: Former POW Medical History, VA Form 10–0048. OMB Control Number: 2900–0427. VerDate Nov<24>2008 19:07 Jun 26, 2009 Jkt 217001 Type of Review: Revision of a currently approved collection. Abstract: VA Form 10–0048 is completed by a VA physician during a medical examination of a Former Prisoner of War veteran. VA will use the data collected as a guide and reference for treatment planning for the FPOW veteran. Affected Public: Individuals or households. Estimated Total Annual Burden: 113 hours. Estimated Average Burden per Respondent: 90 minutes. Frequency of Response: One time. Estimated Number of Respondents: 75. Dated: June 24, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–15273 Filed 6–26–09; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0017] Proposed Information Collection (Annual-Final Report and Account) 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 ensure that fiduciaries are properly administering VA beneficiaries’ compensation and pension payments. DATES: Written comments and recommendations on the proposed collection of information should be received on or before August 28, 2009. ADDRESSES: Submit written comments on the collection of information through the Federal Docket Management System (FDMS) at https://www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), PO 00000 Frm 00112 Fmt 4703 Sfmt 4703 31111 Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0017’’ 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. 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 maintains 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 E:\FR\FM\29JNN1.SGM 29JNN1 sroberts on PROD1PC70 with NOTICES 31112 Federal Register / Vol. 74, No. 123 / Monday, June 29, 2009 / Notices 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. Affected Public: Individuals or households. Estimated Annual Burden: a. Annual-Final Report and Account, VA Form 21–4706—1,100. b. Federal Fiduciary’s Account, VA Form 21–4706b—6,300. c. Court Appointed Fiduciary’s Account, VA Form 21–4706c—2,000. d. Account Book, VA Form 21–4718— 20,000. e. Certificate of Balance on Deposit and Authorization to Disclose Financial Records, VA Form 27–4718a—166. Estimated Average Burden per Respondent: a. Annual-Final Report and Account, VA Form 21–4706—30 minutes. b. Federal Fiduciary’s Accounts, VA Form 21–4706b—27 minutes. c. Court Appointed Fiduciary’s Account, VA Form 21–4706c—30 minutes. d. Account Book, VA Form 21–4718— 21⁄2 hours. e. Certificate of Balance on Deposit and Authorization to Disclose Financial Records, VA Form 27–4718a—3 minutes. Frequency of Response: Annually. Estimated Number of Respondents: a. Annual-Final Report and Account, VA Form 21–4706—2,200. b. Federal Fiduciary’s Accounts, VA Form 21–4706b—14,000. c. Court Appointed Fiduciary’s Account, VA Form 21–4706c—4,000. VerDate Nov<24>2008 19:07 Jun 26, 2009 Jkt 217001 d. Account Book, VA Form 21–4718— 8,000. e. Certificate of Balance on Deposit and Authorization to Disclose Financial Records, VA Form 27–4718a—3,312. Dated: June 24, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–15274 Filed 6–26–09; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0319] Proposed Information Collection (Fiduciary Agreement) 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 for information needed to establish a legal contract between VA and a Federally appointed fiduciary. DATES: Written comments and recommendations on the proposed collection of information should be received on or before August 28, 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 nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0319’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. PO 00000 Frm 00113 Fmt 4703 Sfmt 4703 FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 461–9769 or FAX (202) 275–5947. 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: Fiduciary Agreement, VA Form 21–4703. OMB Control Number: 2900–0319. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–4703 is a legal binding contract between VA and Federally appointed fiduciaries receiving VA funds on behalf of beneficiaries who were determined to be incompetent or under legal disability by reason of minority or court action. The form outlines the fiduciary’s responsibility regarding the use of VA funds. Affected Public: Individuals or households. Estimated Annual Burden: 1,467 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: One time. Estimated Number of Respondents: 17,600. SUPPLEMENTARY INFORMATION: Dated: June 24, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–15275 Filed 6–26–09; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\29JNN1.SGM 29JNN1

Agencies

[Federal Register Volume 74, Number 123 (Monday, June 29, 2009)]
[Notices]
[Pages 31111-31112]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-15274]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0017]


Proposed Information Collection (Annual-Final Report and Account) 
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 ensure that fiduciaries are properly 
administering VA beneficiaries' compensation and pension payments.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 28, 2009.

ADDRESSES: Submit written comments on the collection of information 
through the 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 nancy.kessinger@va.gov. 
Please refer to ``OMB Control No. 2900-0017'' 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. 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 maintains 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

[[Page 31112]]

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.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. Annual-Final Report and Account, VA Form 21-4706--1,100.
    b. Federal Fiduciary's Account, VA Form 21-4706b--6,300.
    c. Court Appointed Fiduciary's Account, VA Form 21-4706c--2,000.
    d. Account Book, VA Form 21-4718--20,000.
    e. Certificate of Balance on Deposit and Authorization to Disclose 
Financial Records, VA Form 27-4718a--166.
    Estimated Average Burden per Respondent:
    a. Annual-Final Report and Account, VA Form 21-4706--30 minutes.
    b. Federal Fiduciary's Accounts, VA Form 21-4706b--27 minutes.
    c. Court Appointed Fiduciary's Account, VA Form 21-4706c--30 
minutes.
    d. Account Book, VA Form 21-4718--2\1/2\ hours.
    e. Certificate of Balance on Deposit and Authorization to Disclose 
Financial Records, VA Form 27-4718a--3 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents:
    a. Annual-Final Report and Account, VA Form 21-4706--2,200.
    b. Federal Fiduciary's Accounts, VA Form 21-4706b--14,000.
    c. Court Appointed Fiduciary's Account, VA Form 21-4706c--4,000.
    d. Account Book, VA Form 21-4718--8,000.
    e. Certificate of Balance on Deposit and Authorization to Disclose 
Financial Records, VA Form 27-4718a--3,312.

    Dated: June 24, 2009.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9-15274 Filed 6-26-09; 8:45 am]
BILLING CODE 8320-01-P
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