Proposed Information Collection (Application for Extended Care Services); Comment Request, 28851-28852 [2011-12137]

Download as PDF srobinson on DSKHWCL6B1PROD with NOTICES Federal Register / Vol. 76, No. 96 / Wednesday, May 18, 2011 / Notices requests for miscellaneous determinations now submitted to the Service by requestor letter. Respondents are exempt organizations. Respondents: Private sector: Not-forprofit institutions. Estimated Total Burden Hours: 28,959. OMB Number: 1545–2196. Type of Review: Extension without change of a currently approved collection. Title: Notice 2011–3—Special Rules Relating to Funding Relief for SingleEmployer Pension Plans under PRA 2010 and Notice 2010–83—Funding Relief for Multiemployer Defined Benefit Plans under PRA 2010. Abstract: Notice 2010–83 provides guidance in the form of questions and answers for sponsors of multiemployer defined benefit plans with respect to the special funding rules under § 431(b)(8), as added by section 211(a)(2) of the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (PRA 2010), Public Law 111 192. Notice 2011–3 provides guidance on the special rules relating to funding relief for single-employer defined benefit pension plans (including multiple employer defined benefit pension plans) under the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (PRA 2010), Public Law 111–192. Respondents: Private sector: Not-forprofit institutions. Estimated Total Burden Hours: 30,530. OMB Number: 1545–2198. Type of Review: Extension without change of a currently approved collection. Title: Credit for Small Employer Health Insurance Premiums. Form: 8941. Abstract: Form 8941 is the result of new legislation from the Patient Protection and Affordable Care Act. Form 8941 allows a small business to claim a tax credit for a percentage of the health insurance premiums paid by the employer. The tax credit became effective in 2010. Form 8941 is required by the employers as a way to claim the credit. The IRS will also need the form to gather information and process the tax credit. Respondents: Private sector: Farms, Businesses or other for-profits, Not-forprofit institutions. Estimated Total Burden Hours: 40,189,456. OMB Number: 1545–2199. Type of Review: Extension without change of a currently approved collection. VerDate Mar<15>2010 16:31 May 17, 2011 Jkt 223001 Title: Foreclosure Sale Purchaser Contact Information Request. Form: 15597. Abstract: This form is used to gather contact information of the purchaser from a 3rd party foreclosure sale when the IRS is considering the redemption of the property. Respondents: Individuals or households; Private sector: Farms, Businesses or other for-profits, Not-forprofit institutions. Estimated Total Burden Hours: 49. Bureau Clearance Officer: Yvette Lawrence, Internal Revenue Service, 1111 Constitution Avenue, NW., Washington, DC 20224; (202) 927–4374. OMB Reviewer: Shagufta Ahmed, Office of Management and Budget, New Executive Office Building, Room 10235, Washington, DC 20503; (202) 395–7873. Dawn D. Wolfgang, Treasury PRA Clearance Officer. [FR Doc. 2011–12239 Filed 5–17–11; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0629] Proposed Information Collection (Application for Extended Care Services); 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 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 eligibility for extended care benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before July 18, 2011. ADDRESSES: Submit written comments on the collection of information through the Federal Docket Management System (FDMS) at http://www.Regulations.gov; or to Cynthia Harvey-Pryor, Veterans Health Administration (193E1), Department of Veterans Affairs, 810 SUMMARY: PO 00000 Frm 00126 Fmt 4703 Sfmt 4703 28851 Vermont Avenue, NW., Washington, DC 20420 or e-mail: cynthia.harveypryor@va.gov. Please refer to ‘‘OMB Control No. 2900–0629’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461–5870 or FAX (202) 273–9387. 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: Application for Extended Care Services, VA Form 10–10EC. OMB Control Number: 2900–0629. Type of Review: Extension of a currently approved collection. Abstract: VA Form 10–10EC is used to gather current income and financial information from nonservice-connected veterans and their spouse when applying for extended care services and to establish a co-payment agreement for such services. VA provides extended care to non-service connected veterans who are unable to defray the necessary expenses of care if their income is not greater than the maximum annual pension rate. VA uses the data collected to establish the veteran’s eligibility for extended care services, financial liability, if any, of the veteran to pay if accepted for placement or treatment in extended care services, and to determine the appropriate co-payment. Affected Public: Individuals or Households. Estimated Total Annual Burden: 9,000 hours. Estimated Average Burden per Respondent: 90 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 6,000. E:\FR\FM\18MYN1.SGM 18MYN1 28852 Federal Register / Vol. 76, No. 96 / Wednesday, May 18, 2011 / Notices Dated: May 12, 2011. By direction of the Secretary: Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–12137 Filed 5–17–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0606] Agency Information Collection (Regulation for Submission of Evidence); Activity 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. 3501–3521), this notice announces that the Veterans Health Administration, 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 includes the actual data collection instrument. DATES: Comments must be submitted on or before June 17, 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– 0606’’ 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) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0606.’’ SUPPLEMENTARY INFORMATION: Title: Regulation for Submission of Evidence—Title 38 CFR 17.101(a)(4). OMB Control Number: 2900–0606. Type of Review: Extension of a currently approved collection. Abstract: Under the provisions of 38 CFR 17.101(a)(4), a third party payer that is liable for reimbursing VA for care and services VA provided to veterans with non-service-connected conditions continues to have the option of paying either the billed charges or the amount the health plan demonstrates it would pay to providers other than entities of srobinson on DSKHWCL6B1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 16:31 May 17, 2011 Jkt 223001 the United States for the same care or services in the same geographic area. If the amount submitted by the health plan is less than the amount billed, VA will accept the submission as payment, subject to verification at VA’s discretion. VA uses the information to determine whether the third-party payer has met the test of properly demonstrating its equivalent private sector provider payment amount for the same care or services VA provided. 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 March 9, 2011, at pages 13022–13023. Affected Public: Business or other forprofit. Estimated Total Annual Burden: 800 hours. Estimated Average Burden per Respondent: 2 hours. Frequency of Response: On occasion. Estimated Number of Respondents: 400. Dated: May 12, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–12138 Filed 5–17–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0129] Agency Information Collection (Supplemental Disability Report) Activities Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 June 17, 2011. ADDRESSES: Submit written comments on the collection of information through SUMMARY: PO 00000 Frm 00127 Fmt 4703 Sfmt 4703 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– 0129’’ 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) 273–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0129.’’ SUPPLEMENTARY INFORMATION: Title: Supplemental Disability Report, VA Form Letter 29–30a. OMB Control Number: 2900–0129. Type of Review: Extension of a currently approved collection. Abstract: VA Form Letter 29–30a is used by the insured to provide additional information required to process a claim for disability insurance benefits. 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 March 9, 2011, at pages 13021–13022. Affected Public: Individuals or households. Estimated Annual Burden: 548 hours. Estimated Average Burden Per Respondent: 5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 6,570. Dated: May 12, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–12139 Filed 5–17–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0665] Proposed Information Collection (Direct Deposit Enrollment/Change); 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 SUMMARY: E:\FR\FM\18MYN1.SGM 18MYN1

Agencies

[Federal Register Volume 76, Number 96 (Wednesday, May 18, 2011)]
[Notices]
[Pages 28851-28852]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-12137]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0629]


Proposed Information Collection (Application for Extended Care 
Services); 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 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 eligibility for 
extended care benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before July 18, 2011.

ADDRESSES: Submit written comments on the collection of information 
through the Federal Docket Management System (FDMS) at http://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. 2900-0629'' in any 
correspondence. During the comment period, comments may be viewed 
online through FDMS.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461-5870 or 
FAX (202) 273-9387.

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: Application for Extended Care Services, VA Form 10-10EC.
    OMB Control Number: 2900-0629.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 10-10EC is used to gather current income and 
financial information from nonservice-connected veterans and their 
spouse when applying for extended care services and to establish a co-
payment agreement for such services. VA provides extended care to non-
service connected veterans who are unable to defray the necessary 
expenses of care if their income is not greater than the maximum annual 
pension rate. VA uses the data collected to establish the veteran's 
eligibility for extended care services, financial liability, if any, of 
the veteran to pay if accepted for placement or treatment in extended 
care services, and to determine the appropriate co-payment.
    Affected Public: Individuals or Households.
    Estimated Total Annual Burden: 9,000 hours.
    Estimated Average Burden per Respondent: 90 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 6,000.


[[Page 28852]]


    Dated: May 12, 2011.

    By direction of the Secretary:
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-12137 Filed 5-17-11; 8:45 am]
BILLING CODE 8320-01-P