Agency Information Collection (Eligibility Verification Reports) Activity Under OMB Review, 44088-44089 [2011-18546]

Download as PDF mstockstill on DSK4VPTVN1PROD with NOTICES 44088 Federal Register / Vol. 76, No. 141 / Friday, July 22, 2011 / Notices 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 August 22, 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– 0079’’ 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. 2900–0079.’’ SUPPLEMENTARY INFORMATION: Title: Employment Questionnaire, VA Forms 21–4140 and 21–4140–1. OMB Control Number: 2900–0079. Type of Review: Extension of a currently approved collection. Abstract: Claimants who are under the age of 60 and receiving individual unemployability compensation at 100 percent rate are required to complete VA Forms 21–4140 and 21–4140–1 certifying that they are still unable to secure or follow a substantially gainful occupation because of a service connected-disability. VA will use the information collected to determine the claimant’s continued entitlement to individual unemployability 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 May 11, 2011, at page 27386. Affected Public: Individuals or households. Estimated Annual Burden: 10,833 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 130,000. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18545 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P VerDate Mar<15>2010 17:59 Jul 21, 2011 Jkt 223001 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0101] Agency Information Collection (Eligibility Verification Reports) 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 August 22, 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– 0101’’ 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. 2900–0101.’’ SUPPLEMENTARY INFORMATION: 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. 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 SUMMARY: PO 00000 Frm 00108 Fmt 4703 Sfmt 4703 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. 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 May 11, 2011, at pages 27383–27384. 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 E:\FR\FM\22JYN1.SGM 22JYN1 Federal Register / Vol. 76, No. 141 / Friday, July 22, 2011 / Notices and 21,450 for VA Forms 21–0517, 21– 0517–1, 21–0519S, and 21–0519S–1. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18546 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0661] Agency Information Collection (Forms and Regulations for Grants to States for Construction and Acquisition of State Home Facilities) 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. 3501–21), 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. SUMMARY: Comments must be submitted on or before August 22, 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– 0661’’ 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. 2900–0661.’’ SUPPLEMENTARY INFORMATION: Title: Forms for Grants to States for Construction and Acquisition of State Home Facilities, VA Forms 10–0388–1, 10–0388–2, 10–0388–3, 10–0388–4, 10– 0388–5, 10–0388–6, 10–0388–7, 10– 0388–8, 10–0388–9, 10–0388–10, 10– 0388–12, 10–0388–13. OMB Control Number: 2900–0661. Type of Review: Revision of a currently approved collection. Abstract: State governments complete VA Forms 10–0388–1, 10–0388–2, 10– 0388–3, 10–0388–4, 10–0388–5, 10– 0388–6, 10–0388–7, 10–0388–8, 10– 0388–9, 10–0388–10, 10–0388–12, 10– 0388–13, to apply for State Home Construction Grant Program and to certify compliance with VA requirements. VA uses this information, along with other documents submitted by States to determine the feasibility of the projects for VA participation and to determine eligibility for a grant award. 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 May 11, 2011, at page 27385. Affected Public: State, Local or Tribal Government. Estimated Annual Burden: 1,200 hours. Estimated Average Burden per Respondent: 24 hours. Frequency of Response: On occasion. Estimated Number of Respondents: 50. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18547 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P mstockstill on DSK4VPTVN1PROD with NOTICES DATES: VerDate Mar<15>2010 17:59 Jul 21, 2011 Jkt 223001 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0029] Agency Information Collection (Offer To Purchase and Contract of Sale) 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 August 22, 2011. SUMMARY: PO 00000 Frm 00109 Fmt 4703 Sfmt 4703 44089 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– 0029’’ 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. 2900–0029.’’ SUPPLEMENTARY INFORMATION: ADDRESSES: Titles a. Offer to Purchase and Contract of Sale, VA Form 26–6705. b. Credit Statement of Prospective Purchaser, VA Form 26–6705b. c. Addendum to VA Form 26–6705 Offer to Purchase and Contract of Sale, VA Form 26–6705d. OMB Control Number: 2900–0029. Type of Review: Extension of a currently approved collection. Abstract a. VA Form 26–6705 is completed by private sector sales broker to submit an offer to purchase VA-acquired property on behalf of a prospective buyer. VA Form 26–6705 becomes a contract of sale if VA accepts the offer to purchase. It serves as a receipt for the prospective buyer for his/her earnest money deposit, describes the terms of sale, and eliminates the need for separate transmittal of a purchase offer. b. VA Form 26–6705b is used as a credit application to determine the prospective buyer’s creditworthiness in instances when the prospective buyer seeks VA vendee financing. In such sales, the offer to purchase will not be accepted until the buyer’s income and credit history have been verified and a loan analysis has been completed. c. VA Form 26–6705d is an addendum to VA Form 26–6705 for use in the state of Virginia. The form requires the buyer to be informed of the State’s law at or prior to closing the transaction. 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 May 11, 2011, at page 27380. Affected Public: Individuals or households. E:\FR\FM\22JYN1.SGM 22JYN1

Agencies

[Federal Register Volume 76, Number 141 (Friday, July 22, 2011)]
[Notices]
[Pages 44088-44089]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-18546]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0101]


Agency Information Collection (Eligibility Verification Reports) 
Activity 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 August 22, 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. 2900-0101'' 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. 2900-0101.''

SUPPLEMENTARY INFORMATION: 
    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.
    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.
    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 May 11, 2011, at pages 27383-27384.
    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

[[Page 44089]]

and 21,450 for VA Forms 21-0517, 21-0517-1, 21-0519S, and 21-0519S-1.

    Dated: July 19, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-18546 Filed 7-21-11; 8:45 am]
BILLING CODE 8320-01-P