Agency Information Collection Activity (Living Will and Durable Power of Attorney for Health Care) Under OMB Review, 35950 [2011-15201]

Download as PDF 35950 Federal Register / Vol. 76, No. 118 / Monday, June 20, 2011 / Notices Title: Servicer’s Staff Appraisal Reviewer (SAR) Application, VA Form 26–0829. OMB Control Number: 2900–0715. Type of Review: Extension of a currently approved collection. Abstract: VA Form 26–0829 is completed by servicers to nominate employees for approval as Staff Appraisal Reviewer (SAR). Servicers SAR’s will have the authority to review real estate appraisals and to issue liquidation notices of value on behalf of VA. VA will also use the data collected to track the location of SARs when there is a change in employment. 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 April 13, 2011, at page 20822. Affected Public: Business or other forprofit. Estimated Annual Burden: 2 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 20. By direction of the Secretary. Dated: June 15, 2011. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–15200 Filed 6–17–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0556] Agency Information Collection Activity (Living Will and Durable Power of Attorney for Health Care) Under OMB Review Department of Veterans Affairs, Veterans Health Administration. 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 includes the actual data collection instrument. sroberts on DSK5SPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 18:24 Jun 17, 2011 Jkt 223001 DATES: Comments must be submitted on or before July 20, 2011. DEPARTMENT OF VETERANS AFFAIRS 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– 0556’’ in any correspondence. [OMB Control No. 2900–New (DBQs—Group 3)] ADDRESSES: 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. 2900–0556.’’ SUPPLEMENTARY INFORMATION Title: Living Will and Durable Power of Attorney for Health Care, VA Form 10–0137. OMB Control Number: 2900–0556. Type of Review: Extension of a currently approved collection. Abstract: Claimants admitted to a VA medical facility complete VA Form 10– 0137 to appoint a health care agent to make decision about his or her medical treat and to record specific instructions about their treatment preferences in the event they no longer can express their preferred treatment. VA’s health care professionals use the data to carry out the claimant’s wish. 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 April 13, 2011, at pages 20822–20823. Affected Public: Individuals or Households. Estimated Total Annual Burden: 171,811 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One time. Estimated Number of Respondents: 343,622. Dated: June 15, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–15201 Filed 6–17–11; 8:45 am] BILLING CODE 8320–01–P PO 00000 Frm 00119 Fmt 4703 Sfmt 4703 Agency Information Collection (Disability Benefits Questionnaires— Group 3) Activity 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 July 20, 2011. ADDRESSES: 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– New (DBQs—Group 3)’’ in any correspondence. SUMMARY: 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—New (DBQs— Group 3).’’ SUPPLEMENTARY INFORMATION: Titles: a. Central Nervous System and Neuromusculo Diseases, Disability Benefits Questionnaire, VA Form 21– 0960C–5. b. Headaches (Including Migraine Headaches), Disability Benefits Questionnaire, VA Form 21–0960C–8. c. Multiple Sclerosis (MS), Disability Benefits Questionnaire, VA Form 21– 0960C–9. d. Esophageal Disorders (Including GERD), Disability Benefits Questionnaire, VA Form 21–0960G–1. e. Gallbladder and Pancreas Conditions, Disability Benefits Questionnaire, VA Form 21–0960G–2. f. Intestinal Disorders (Other Than Surgical or Infectious) (Including E:\FR\FM\20JNN1.SGM 20JNN1

Agencies

[Federal Register Volume 76, Number 118 (Monday, June 20, 2011)]
[Notices]
[Page 35950]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-15201]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0556]


Agency Information Collection Activity (Living Will and Durable 
Power of Attorney for Health Care) Under OMB Review

AGENCY: Department of Veterans Affairs, Veterans Health Administration.

ACTION: Notice.

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

SUMMARY: 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 includes the actual data collection instrument.

DATES: Comments must be submitted on or before July 20, 2011.

ADDRESSES: 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. 2900-0556'' in any correspondence.

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. 2900-0556.''

SUPPLEMENTARY INFORMATION
    Title: Living Will and Durable Power of Attorney for Health Care, 
VA Form 10-0137.
    OMB Control Number: 2900-0556.
    Type of Review: Extension of a currently approved collection.
    Abstract: Claimants admitted to a VA medical facility complete VA 
Form 10-0137 to appoint a health care agent to make decision about his 
or her medical treat and to record specific instructions about their 
treatment preferences in the event they no longer can express their 
preferred treatment. VA's health care professionals use the data to 
carry out the claimant's wish.
    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 April 13, 2011, at pages 20822-20823.
    Affected Public: Individuals or Households.
    Estimated Total Annual Burden: 171,811 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 343,622.

    Dated: June 15, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-15201 Filed 6-17-11; 8:45 am]
BILLING CODE 8320-01-P
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