Agency Information Collection (Application for Extended Care Services); Activity Under OMB Review, 44090 [2011-18549]

Download as PDF 44090 Federal Register / Vol. 76, No. 141 / Friday, July 22, 2011 / Notices Estimated Annual Burden a. VA Form 26–6705—10,000 hours. b. VA Form 26–6705b—7,333 hours. c. VA Form 26–6705d—125 hours. Estimated Average Burden per Respondent a. VA Form 26–6705—20 minutes. b. VA Form 26–6705b—20 minutes. c. VA Form 26–6705d—5 minutes. Frequency of Response: On occasion. Estimated Number of Total Respondents a. VA Form 26–6705—30,000. b. VA Form 26–6705b—22,000. c. VA Form 26–6705d—1,500. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18548 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0629] Agency Information Collection (Application for Extended Care Services); 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; 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– 0629’’ 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– mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 17:59 Jul 21, 2011 Jkt 223001 7485, fax (202) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0629.’’ SUPPLEMENTARY INFORMATION: 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. 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 18, 2011, at pages 28851–28852. 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. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18549 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0171] Proposed Information Collection (Application for Individualized Tutorial Assistance) Activity; Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Veterans Benefits Administration (VBA), Department of SUMMARY: PO 00000 Frm 00110 Fmt 4703 Sfmt 4703 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 revision of a currently approved collection and allow 60 days for public comment in response to this notice. This notice solicits comments on the information needed to determine an applicant’s eligibility for tutorial assistance. Written comments and recommendations on the proposed collection of information should be received on or before September 20, 2011. DATES: 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. 2900–0171’’ 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. Title: Application for Individualized Tutorial Assistance, VA Form 22–1990t. ADDRESSES: E:\FR\FM\22JYN1.SGM 22JYN1

Agencies

[Federal Register Volume 76, Number 141 (Friday, July 22, 2011)]
[Notices]
[Page 44090]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-18549]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0629]


Agency Information Collection (Application for Extended Care 
Services); Activity Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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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; 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. 2900-0629'' 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. 2900-0629.''

SUPPLEMENTARY INFORMATION: 
    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.
    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 18, 2011, at pages 28851-28852.
    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.

    Dated: July 19, 2011.

    By direction of the Secretary.
Denise McLamb,
 Program Analyst, Enterprise Records Service.
[FR Doc. 2011-18549 Filed 7-21-11; 8:45 am]
BILLING CODE 8320-01-P