Agency Information Collection (Annual-Final Report and Account) Activities Under OMB Review, 46483-46484 [E9-21572]

Download as PDF Federal Register / Vol. 74, No. 173 / Wednesday, September 9, 2009 / Notices Submit written comments on the collection of information through the Federal Docket Management System (FDMS) at http://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. 2900–0358’’ 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. Title: Supplemental Information for Change of Program or Reenrollment after Unsatisfactory Attendance, Conduct or Progress, VA Form 22–8873. OMB Control Number: 2900–0358. Type of Review: Extension of a currently approved collection. Abstract: Veterans and other eligible persons may change their program of education under conditions prescribed by Title 38 U.S.C. 3691. A claimant can normally make one change of program without VA approval. VA approval is required if the claimant makes any additional change of program. Before VA can approve benefits for a second or subsequent change of program, VA must first determine that the new program is suitable to the claimant’s aptitudes, interests, and abilities, or that the cause of any unsatisfactory progress or conduct has been resolved before entering into a different program. VA Form 22–8873 is used to gather the cprice-sewell on DSK2BSOYB1PROD with NOTICES ADDRESSES: VerDate Nov<24>2008 15:47 Sep 08, 2009 Jkt 217001 necessary information only if the suitability of the proposed training program cannot be established from information already available in the claimant’s VA education records or the results of academic or vocational counseling are not available to VA. Affected Public: Individuals or households. Estimated Annual Burden: 14,629 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 29,258. Dated: September 2, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–21571 Filed 9–8–09; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0017] Agency Information Collection (Annual-Final Report and Account) 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 October 9, 2009. ADDRESSES: Submit written comments on the collection of information through http://www.Regulations.gov or to VA’s OMB Desk Officer, Office of Information and Regulatory Affairs, New Executive Office Building, Room 10235, Washington, DC 20503, (202) 395–7316. Please refer to ‘‘OMB Control No. 2900– 0017’’ 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 PO 00000 Frm 00077 Fmt 4703 Sfmt 4703 46483 denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0017.’’ SUPPLEMENTARY INFORMATION: 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 21–4718a. 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 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 June 29, 2009, at pages 31111–31112. E:\FR\FM\09SEN1.SGM 09SEN1 46484 Federal Register / Vol. 74, No. 173 / Wednesday, September 9, 2009 / Notices 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 21–4718a–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 21–4718a–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 21–4718a–3,312. Dated: September 2, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–21572 Filed 9–8–09; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0427] cprice-sewell on DSK2BSOYB1PROD with NOTICES Agency Information Collection (Former POW Medical History), VA Form 10– 0048 Activities Under OMB Review AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. 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, will submit the SUMMARY: VerDate Nov<24>2008 15:47 Sep 08, 2009 Jkt 217001 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 October 9, 2009. Submit written comments on the collection of information through http://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– 0427’’ in any correspondence. ADDRESSES: 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@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0427.’’ SUPPLEMENTARY INFORMATION: Titles: Former POW Medical History, VA Form 10–0048. OMB Control Number: 2900–0427. 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. 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 29, 2009, at pages 31110–31111. 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: September 2, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–21573 Filed 9–8–09; 8:45 am] BILLING CODE 8320–01–P PO 00000 Frm 00078 Fmt 4703 Sfmt 4703 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0260] Proposed Information Collection (Request for and Authorization To Release Medical Records or Health Information) Activity: Comment Request AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. 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 obtain a patient written consent to disclose medical records or health information to individuals or third parties. DATES: Written comments and recommendations on the proposed collection of information should be received on or before November 9, 2009. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at 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. 2900–0260’’ 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 E:\FR\FM\09SEN1.SGM 09SEN1

Agencies

[Federal Register Volume 74, Number 173 (Wednesday, September 9, 2009)]
[Notices]
[Pages 46483-46484]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-21572]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0017]


Agency Information Collection (Annual-Final Report and Account) 
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 October 9, 2009.

ADDRESSES: Submit written comments on the collection of information 
through http://www.Regulations.gov or to VA's OMB Desk Officer, Office 
of Information and Regulatory Affairs, New Executive Office Building, 
Room 10235, Washington, DC 20503, (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0017'' 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. 2900-0017.''

SUPPLEMENTARY INFORMATION:
    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 21-4718a.
    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 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 June 29, 2009, at pages 31111-31112.

[[Page 46484]]

    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 21-4718a-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 21-4718a-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 21-4718a-3,312.

    Dated: September 2, 2009.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9-21572 Filed 9-8-09; 8:45 am]
BILLING CODE 8320-01-P