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 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. 2900–0358’’ 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
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ADDRESSES:
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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
https://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
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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.
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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:
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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
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–
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
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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]
-----------------------------------------------------------------------
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 https://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