Proposed Information Collection (Disability Benefits Questionnaires) Activity: Comment Request, 60170-60171 [2010-24439]

Download as PDF 60170 Federal Register / Vol. 75, No. 188 / Wednesday, September 29, 2010 / Notices DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0080] Proposed Information Collection (Claim for Payment of Cost of Unauthorized Medical Services) Activity: Comment Request Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 extension 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 initiate and document expenditures, to claim reimbursement as well as make funeral arrangements and authorize burial benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before November 29, 2010. ADDRESSES: Submit written comments on the collection of information through https://www.Regulations.gov; or to Cynthia Harvey-Pryor, Veterans Health Administration (193E1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420; or e-mail: cynthia.harvey-pryor@va.gov. Please refer to ‘‘OMB Control No. 2900–0080’’ in any correspondence. During the comment period, comments may be viewed online through the Federal Docket Management System (FDMS) at https://www.Regulations.gov. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor at (202) 461–5870 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 erowe on DSK5CLS3C1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 15:17 Sep 28, 2010 Jkt 220001 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. Titles: a. Claim for Payment of Cost of Unauthorized Medical Services, VA Form 10–583. b. Funeral Arrangements Form for Disposition of Remains of the Deceased, VA Form 10–2065. c. Authority and Invoice for Travel by Ambulance or Other Hired Vehicle, VA Form 10–2511. d. Authorization and Invoice for Medical and Hospital Services, VA Form 10–7078. e. Request for Payment of Beneficiary Travel After the Date of Service. OMB Control Number: 2900–0080. Type of Review: Extension of a currently approved collection. Abstracts: a. VA Form 10–583 is used to request payment or reimbursement of the cost of unauthorized non-VA medical services. b. VA Form 10–2065 is completed by VA personnel during an interview with relatives of the deceased, and to identify the funeral home to which the remains are to be released. The form is also used as a control document when VA is requested to arrange for the transportation of the deceased from the place of death to the place of burial, and/or when burial is requested in a National Cemetery. c. VA Form 10–2511 is used to process payment for ambulance or other hired vehicular forms of transportation for eligible veterans to and from VA health care facilities for examination, treatment or care. d. VA uses VA Form 10–7078 to authorize expenditures from the medical care account and process payment of medical and hospital services provided by other than Federal health providers to VA beneficiaries. e. Claimants who request payment for beneficiary travel after the time of service may do so in writing or in person. Affected Public: Business or other for profit. Estimated Total Annual Burden: a. VA Form 10–583—19,376. b. VA Form 10–2065—2,053. c. VA Form 10–2511—2,333. d. VA Form 10–7078—8,900. PO 00000 Frm 00106 Fmt 4703 Sfmt 4703 e. Request for Payment of Beneficiary Travel After the Date of Service—417. Estimated Average Burden per Respondent: a. VA Form 10–583—15 minutes. b. VA Form 10–2065—5 minutes. c. VA Form 10–2511—2 minutes d. VA Form 10–7078—2 minutes. e. Request for Payment of Beneficiary Travel After the Date of Service—1 minute. Frequency of Response: Annually. Estimated Number of Respondents: a. VA Form 10–583—77,504 respondents. b. VA Form 10–2065—24,630 respondents. c. VA Form 10–2511—70,000 respondents. d. VA Form 10–7078—267,021,000 respondents. e. Request for Payment of Beneficiary Travel After the Date of Service—25,000 Dated: September 24, 2010. By direction of the Secretary. Denise McLamb, Program Analyst, Records Management Service. [FR Doc. 2010–24438 Filed 9–28–10; 8:45 am] BILLING CODE P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0749] Proposed Information Collection (Disability Benefits Questionnaires) Activity: Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Veterans Benefits Administration (VBA) 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 information needed to adjudicate a claim for disability benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before November 29, 2010. SUMMARY: Submit written comments on the collection of information through ADDRESSES: E:\FR\FM\29SEN1.SGM 29SEN1 erowe on DSK5CLS3C1PROD with NOTICES Federal Register / Vol. 75, No. 188 / Wednesday, September 29, 2010 / Notices Federal Docket Management System (FDMS) at 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 nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0749’’ in any correspondence. During the comment period, comments may be viewed online through the 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 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. SUPPLEMENTARY INFORMATION: Titles: a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, VA Form 21–0960a–1. b. Hairy Cell and Other B-Cell Leukemias Disability Benefits Questionnaire, VA Form 21–0960b–1. c. Parkinson’s Disease Disability Benefits Questionnaire, VA Form 21– 0960c–1. OMB Control Number: 2900–0749. Type of Review: Extension of a currently approved collection. Abstract: VA Forms 21–0960a–1, 21– 0960b–1, and 21–0960b–1 are used to expedite claims for the following presumptive diseases based on herbicide exposure: Hairy Cell and Other Chronic B-cell Leukemias, Parkinson’s and Ischemic Heart diseases. Veterans have the option of providing the forms to their private physician for completion and submission to VA in lieu of scheduling a VA medical examination. The data collected will be used to adjudicate veterans claim for disability benefits. VerDate Mar<15>2010 15:17 Sep 28, 2010 Jkt 220001 Affected Public: Individuals or households. Estimated Annual Burden: a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, VA Form 21–0960a–1—13,750. b. Hairy Cell and Other B-Cell Leukemias Disability Benefits Questionnaire, VA Form 21–0960b–1— 500. c. Parkinson’s Disease Disability Benefits Questionnaire, VA Form 21– 0960c–1—1,250. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, VA Form 21–0960a–1—55,000. b. Hairy Cell and Other B-Cell Leukemias Disability Benefits Questionnaire, VA Form 21–0960b–1— 2,000. c. Parkinson’s Disease Disability Benefits Questionnaire, VA Form 21– 0960c–1—5,000. Dated: September 24, 2010. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2010–24439 Filed 9–28–10; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0521] Proposed Information Collection (Credit Underwriting Standards and Procedures for Processing VA Guaranteed Loans) Activity: Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 information needed to underwrite VA-guaranteed loans. DATES: Written comments and recommendations on the proposed SUMMARY: PO 00000 Frm 00107 Fmt 4703 Sfmt 4703 60171 collection of information should be received on or before November 29, 2010. 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 nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0521’’ 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. Report and Certification of Loan Disbursement, VA Form 26–1820. b. Request for Verification of Employment, VA Form 26–8497. c. Request for Verification of Deposit, VA Form 26–8497a. OMB Control Number: 2900–0521. Type of Review: Extension of a currently approved collection. Abstracts: Lenders must obtain specific information concerning a veteran’s credit history in order to properly underwrite the veteran’s loan. VA loans may not be guaranteed unless the veteran is a satisfactory credit risk. The data collected on the following forms will be used to ensure applications for VA-guaranteed loans are underwritten in a reasonable and prudent manner. E:\FR\FM\29SEN1.SGM 29SEN1

Agencies

[Federal Register Volume 75, Number 188 (Wednesday, September 29, 2010)]
[Notices]
[Pages 60170-60171]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-24439]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0749]


Proposed Information Collection (Disability Benefits 
Questionnaires) Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: The Veterans Benefits Administration (VBA) 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 information needed to adjudicate a claim for 
disability benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before November 29, 2010.

ADDRESSES: Submit written comments on the collection of information 
through

[[Page 60171]]

Federal Docket Management System (FDMS) at 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 nancy.kessinger@va.gov. Please refer to ``OMB Control 
No. 2900-0749'' in any correspondence. During the comment period, 
comments may be viewed online through the 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 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.

SUPPLEMENTARY INFORMATION: 
    Titles:
    a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, 
VA Form 21-0960a-1.
    b. Hairy Cell and Other B-Cell Leukemias Disability Benefits 
Questionnaire, VA Form 21-0960b-1.
    c. Parkinson's Disease Disability Benefits Questionnaire, VA Form 
21-0960c-1.
    OMB Control Number: 2900-0749.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Forms 21-0960a-1, 21-0960b-1, and 21-0960b-1 are used 
to expedite claims for the following presumptive diseases based on 
herbicide exposure: Hairy Cell and Other Chronic B-cell Leukemias, 
Parkinson's and Ischemic Heart diseases. Veterans have the option of 
providing the forms to their private physician for completion and 
submission to VA in lieu of scheduling a VA medical examination. The 
data collected will be used to adjudicate veterans claim for disability 
benefits.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, 
VA Form 21-0960a-1--13,750.
    b. Hairy Cell and Other B-Cell Leukemias Disability Benefits 
Questionnaire, VA Form 21-0960b-1--500.
    c. Parkinson's Disease Disability Benefits Questionnaire, VA Form 
21-0960c-1--1,250.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, 
VA Form 21-0960a-1--55,000.
    b. Hairy Cell and Other B-Cell Leukemias Disability Benefits 
Questionnaire, VA Form 21-0960b-1--2,000.
    c. Parkinson's Disease Disability Benefits Questionnaire, VA Form 
21-0960c-1--5,000.

    Dated: September 24, 2010.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-24439 Filed 9-28-10; 8:45 am]
BILLING CODE 8320-01-P
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