Proposed Information Collection (Eligibility Verification Reports); Comment Request, 27383-27384 [2011-11461]

Download as PDF Federal Register / Vol. 76, No. 91 / Wednesday, May 11, 2011 / Notices DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0075] Proposed Information Collection (Statement in Support of Claim); 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 ensure statements submitted by or on behalf of a claimant are true and correct. DATES: Written comments and recommendations on the proposed collection of information should be received on or before July 11, 2011. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at http://www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), 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. 2900–0075’’ 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; mstockstill on DSKH9S0YB1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 17:18 May 10, 2011 Jkt 223001 (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: Statement in Support of Claim, VA Form 21–4138. OMB Control Number: 2900–0075. Type of Review: Extension of a currently approved collection. Abstract: Statements submitted by or on behalf of a claimant must contain a certification by the respondent that the information provided to VA is true and correct in support of various types of benefit claims processed by VA. VA Form 21–4138 is to used collect the statement in support of such claims. Affected Public: Individuals or households. Estimated Annual Burden: 188,000 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 752,000. Dated: May 5, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–11463 Filed 5–10–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0101] Proposed Information Collection (Eligibility Verification Reports); 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 SUMMARY: PO 00000 Frm 00083 Fmt 4703 Sfmt 4703 27383 notice solicits comments on information needed to determine and verify entitlement to income-based benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before July 11, 2011. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at http://www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), 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. 2900–0101’’ 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: Eligibility Verification Reports (EVR). a. Eligibility Verification Report Instructions, VA Form 21–0510. b. Old Law and Section 306 Eligibility Verification Report (Surviving Spouse), VA Form 21–0512S–1. c. Old Law and Section 306 Eligibility Verification Report (Veteran), VA Form 21–0512V–1. d. Old Law and Section 306 Eligibility Verification Report (Children Only), VA Form 21–0513–1. e. DIC Parent’s Eligibility Verification Report, VA Forms 21–0514 and 21– 0514–1. E:\FR\FM\11MYN1.SGM 11MYN1 mstockstill on DSKH9S0YB1PROD with NOTICES 27384 Federal Register / Vol. 76, No. 91 / Wednesday, May 11, 2011 / Notices f. Improved Pension Eligibility Verification Report (Veteran With No Children), VA Forms 21–0516 and 21– 0516–1. g. Improved Pension Eligibility Verification Report (Veteran With Children), VA Forms 21–0517 and 21– 0517–1. h. Improved Pension Eligibility Verification Report (Surviving Spouse With No Children), VA Forms 21–0518 and 21–0518–1. i. Improved Pension Eligibility Verification Report (Child or Children), VA Forms 21–0519C and 21–0519C–1. j. Improved Pension Eligibility Verification Report (Surviving Spouse With Children), VA Forms 21–0519S and 21–0519S–1. OMB Control Number: 2900–0101. Type of Review: Extension of a currently approved collection. Abstract: VA uses Eligibility Verification Reports (EVR) forms to verify a claimant’s continued entitlement to benefits. Claimants who applied for or receives Improved Pension or Parents’ Dependency and Indemnity Compensation must promptly notify VA in writing of any changes in entitlement factors. EVRs are required annually by beneficiaries whose social security number (SSN) or whose spouse’s SSN is not verified, or who has income other than Social Security. Recipients of Old Law and Section 306 Pension are no longer required to submit annual EVRs unless there is a change in their income. Affected Public: Individuals or households. Estimated Annual Burden: 113,075 hours. The annual burden for VA Forms 21–0512S–1, 21–0512V–1, 21–0513–1, 21–0514, 21–0514–1, 21–0516, 21– 0516–1, 21–0518, 21–0518–1, 21– 0519C, and 21–0519C–1 is 98,775 and 14,300 for VA Forms 21–0517, 21– 0517–1, 21–0519S, and 21–0519S–1. Estimated Average Burden per Respondent: The estimated burden respondent for VA Forms 21–0512S–1, 21–0512V–1, 21–0513–1, 21–0514, 21– 0514–1, 21–0516, 21–0516–1, 21–0518, 21–0518–1, 21–0519C, and 21–0519C–1 is 30 minutes and 40 minutes for VA Forms 21–0517, 21–0517–1, 21–0519S, and 21–0519S–1. Frequency of Response: Annually. Estimated Number of Respondents: 219,000. The number of respondents for VA Forms 21–0512S–1, 21–0512V–1, 21–0513–1, 21–0514, 21–0514–1, 21– 0516, 21–0516–1, 21–0518, 21–0518–1, 21–0519C, and 21–0519C–1 is 197,550 and 21,450 for VA Forms 21–0517, 21– 0517–1, 21–0519S, and 21–0519S–1. Dated: May 5, 2011. VerDate Mar<15>2010 17:18 May 10, 2011 Jkt 223001 By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–11461 Filed 5–10–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–New (VA Form 10– 0513)] Agency Information Collection Activity (Veteran Suicide Prevention Online Quantitative Surveys) Under OMB Review Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–21), this notice announces that the Veterans Health Administration (VHA), 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 and it includes the actual data collection instrument. SUMMARY: Comments must be submitted on or before June 10, 2011. ADDRESSES: 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– New (VA Form 10–0513)’’ in any correspondence. DATES: FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461–7485, FAX (202) 461–0966 or e-mail: denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–New (VA Form 10–0513).’’ 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. PO 00000 Frm 00084 Fmt 4703 Sfmt 4703 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. Titles a. Veterans Online Survey, VA Form 10–0513. b. Veterans Family Online Survey, VA Form 10–0513a. c. Veterans Primary Care Provider Online Survey, VA Form 10–0513b. OMB Control Number: 2900–New (VA Form 10–0513). Type of Review: New collection. Abstract: VA’s top priority is the prevention of Veterans suicide. It is imperative to reach these at-risk populations with proactive and trustworthy communications and focused and effective outreach activities. As a part of this outreach, VA will collect information from Veterans, primary care providers and families of veterans. Data collected on the surveys will be used to better understand Veterans and their families’ awareness of VA’s suicide prevention and mental health support services. In addition, the surveys will help gauge how Veterans view the need for and willingness to accept help when in crises or contemplating suicide. 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 February 18, 2011, at page 9637. Affected Public: Individuals and Households. Estimated Annual Burden a. Veterans Online Survey, VA Form 10–0513—300 hours. b. Veterans Family Online Survey, VA Form 10–0513a—300 hours. c. Veterans Primary Care Provider Online Survey, VA Form 10–0513b— 300 hours. E:\FR\FM\11MYN1.SGM 11MYN1

Agencies

[Federal Register Volume 76, Number 91 (Wednesday, May 11, 2011)]
[Notices]
[Pages 27383-27384]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-11461]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0101]


Proposed Information Collection (Eligibility Verification 
Reports); 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 information 
needed to determine and verify entitlement to income-based benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before July 11, 2011.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at http://www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits 
Administration (20M33), 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. 2900-0101'' 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: Eligibility Verification Reports (EVR).
    a. Eligibility Verification Report Instructions, VA Form 21-0510.
    b. Old Law and Section 306 Eligibility Verification Report 
(Surviving Spouse), VA Form 21-0512S-1.
    c. Old Law and Section 306 Eligibility Verification Report 
(Veteran), VA Form 21-0512V-1.
    d. Old Law and Section 306 Eligibility Verification Report 
(Children Only), VA Form 21-0513-1.
    e. DIC Parent's Eligibility Verification Report, VA Forms 21-0514 
and 21-0514-1.

[[Page 27384]]

    f. Improved Pension Eligibility Verification Report (Veteran With 
No Children), VA Forms 21-0516 and 21-0516-1.
    g. Improved Pension Eligibility Verification Report (Veteran With 
Children), VA Forms 21-0517 and 21-0517-1.
    h. Improved Pension Eligibility Verification Report (Surviving 
Spouse With No Children), VA Forms 21-0518 and 21-0518-1.
    i. Improved Pension Eligibility Verification Report (Child or 
Children), VA Forms 21-0519C and 21-0519C-1.
    j. Improved Pension Eligibility Verification Report (Surviving 
Spouse With Children), VA Forms 21-0519S and 21-0519S-1.
    OMB Control Number: 2900-0101.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA uses Eligibility Verification Reports (EVR) forms to 
verify a claimant's continued entitlement to benefits. Claimants who 
applied for or receives Improved Pension or Parents' Dependency and 
Indemnity Compensation must promptly notify VA in writing of any 
changes in entitlement factors. EVRs are required annually by 
beneficiaries whose social security number (SSN) or whose spouse's SSN 
is not verified, or who has income other than Social Security. 
Recipients of Old Law and Section 306 Pension are no longer required to 
submit annual EVRs unless there is a change in their income.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 113,075 hours. The annual burden for VA 
Forms 21-0512S-1, 21-0512V-1, 21-0513-1, 21-0514, 21-0514-1, 21-0516, 
21-0516-1, 21-0518, 21-0518-1, 21-0519C, and 21-0519C-1 is 98,775 and 
14,300 for VA Forms 21-0517, 21-0517-1, 21-0519S, and 21-0519S-1.
    Estimated Average Burden per Respondent: The estimated burden 
respondent for VA Forms 21-0512S-1, 21-0512V-1, 21-0513-1, 21-0514, 21-
0514-1, 21-0516, 21-0516-1, 21-0518, 21-0518-1, 21-0519C, and 21-0519C-
1 is 30 minutes and 40 minutes for VA Forms 21-0517, 21-0517-1, 21-
0519S, and 21-0519S-1.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 219,000. The number of respondents 
for VA Forms 21-0512S-1, 21-0512V-1, 21-0513-1, 21-0514, 21-0514-1, 21-
0516, 21-0516-1, 21-0518, 21-0518-1, 21-0519C, and 21-0519C-1 is 
197,550 and 21,450 for VA Forms 21-0517, 21-0517-1, 21-0519S, and 21-
0519S-1.

    Dated: May 5, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-11461 Filed 5-10-11; 8:45 am]
BILLING CODE 8320-01-P