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