Agency Information Collection (Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death) Activity under OMB Review, 54004 [2011-22016]

Download as PDF 54004 Federal Register / Vol. 76, No. 168 / Tuesday, August 30, 2011 / Notices Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: One time. Estimated Number of Respondents: 90,000 Dated: August 24, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–22019 Filed 8–29–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0545] Agency Information Collection (Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death) 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 September 29, 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– 0545’’ 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) 273–0443 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0545.’’ SUPPLEMENTARY INFORMATION: Title: Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death, VA Form 21–8416b. OMB Control Number: 2900–0545. Type of Review: Extension of a currently approved collection. Abstract: Claimants complete VA Form 21–8416b to report compensation mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 20:31 Aug 29, 2011 Jkt 223001 awarded by another entity or government agency for personal injury or death. Such award is considered as countable income; however, medical, legal or other expenses incident to the injury or death, or incident to the collection or recovery of the compensation may be deducted from the amount awarded or settled. The information collected is use to determine the claimant’s eligibility for income based benefits and the rate payable. 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 June 14, 2011, at page 34812. Affected Public: Individuals or households. Estimated Annual Burden: 1,125 hours. Estimated Average Burden per Respondent: 45 minutes. Frequency of Response: One time. Estimated Number of Respondents: 1,500. Dated: August 24, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–22016 Filed 8–29–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0768] Agency Information Collection (Joint Application for Comprehensive Assistance and Support Services for Family Caregivers) 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: PO 00000 Frm 00130 Fmt 4703 Sfmt 9990 Comments must be submitted on or before September 29, 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– 0768’’ 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. 2900–0768.’’ SUPPLEMENTARY INFORMATION: Title: Joint Application for Comprehensive Assistance and Support Services for Family Caregivers, VA Form 10–10CG. OMB Control Number: OMB Control No. 2900–0768. Type of Review: Extension of a previously approved collection. Abstracts: VA Form 10–10CG is completed by Veterans who served in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn or active duty service member undergoing medical discharge to determine their eligibility to receive certain medical, travel, training, and financial benefits under the Caregiver Program. Individuals designated as primary or secondary family caregiver also complete VA Form 10–10CG to determine whether they meet the criteria to serve as caregiver and their eligibility receive stipend and certain benefits under the Caregiver Program. 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 June 14, 2011, at pages 34812–34813. Affected Public: Individuals or households. Estimated Total Annual Burden: 1,250 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 5,000. DATES: Dated: August 24, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–22020 Filed 8–29–11; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\30AUN1.SGM 30AUN1

Agencies

[Federal Register Volume 76, Number 168 (Tuesday, August 30, 2011)]
[Notices]
[Page 54004]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-22016]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0545]


Agency Information Collection (Report of Medical, Legal, and 
Other Expenses Incident to Recovery for Injury or Death) 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 September 29, 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. 2900-0545'' 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) 273-0443 or e-mail 
denise.mclamb@va.gov. Please refer to ``OMB Control No. 2900-0545.''

SUPPLEMENTARY INFORMATION: 
    Title: Report of Medical, Legal, and Other Expenses Incident to 
Recovery for Injury or Death, VA Form 21-8416b.
    OMB Control Number: 2900-0545.
    Type of Review: Extension of a currently approved collection.
    Abstract: Claimants complete VA Form 21-8416b to report 
compensation awarded by another entity or government agency for 
personal injury or death. Such award is considered as countable income; 
however, medical, legal or other expenses incident to the injury or 
death, or incident to the collection or recovery of the compensation 
may be deducted from the amount awarded or settled. The information 
collected is use to determine the claimant's eligibility for income 
based benefits and the rate payable.
    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 June 14, 2011, at page 34812.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,125 hours.
    Estimated Average Burden per Respondent: 45 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 1,500.

    Dated: August 24, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-22016 Filed 8-29-11; 8:45 am]
BILLING CODE 8320-01-P