Proposed Information Collection (Report of Accidental Injury in Support of Claim for Compensation or Pension/Statement of Witness to Accident) Activity: Comment Request, 58566-58567 [2011-24197]

Download as PDF 58566 Federal Register / Vol. 76, No. 183 / Wednesday, September 21, 2011 / Notices 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: Exam for Housebound Status or Permanent Need for Regular Aid and Attendance, VA Form 21–2680. OMB Control Number: 2900–0721. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–2680 is used to gather medical information that is necessary to determine beneficiaries or claimants receiving treatment from private doctors or physicians, eligibility for aid and attendance or housebound benefit. Affected Public: Business or other forprofit. Estimated Annual Burden: 7,000 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One time. Estimated Number of Respondents: 14,000. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–24195 Filed 9–20–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0108] Proposed Information Collection (Report of Income From Property or Business) Activity; 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 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 wreier-aviles on DSK7SPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 15:20 Sep 20, 2011 Jkt 223001 extension of a currently approved collection and allow 60 days for public comment in response to this notice. This notice solicits comments on information needed to determine a claimant’s continued entitlement to income-based benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before November 21, 2011. Submit written comments on the collection of information through Federal Docket Management System (FDMS) at https://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 nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0108’’ 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: Report of Income from Property or Business, VA Form 21–4185. OMB Control Number: 2900–0108. Type of Review: Extension of a currently approved collection. Abstract: Claimants complete VA Form 21–4185 to report income and expenses that derived from rental property and/or operation of a business. VA uses the information to determine whether the claimant is eligible for VA ADDRESSES: PO 00000 Frm 00107 Fmt 4703 Sfmt 4703 benefits and, if eligibility exists, the proper rate of payment. Affected Public: Individuals or households. Estimated Annual Burden: 3,500 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 7,000. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–24196 Filed 9–20–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0104] Proposed Information Collection (Report of Accidental Injury in Support of Claim for Compensation or Pension/ Statement of Witness to Accident) Activity: 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 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 this notice. This notice solicits comments on the information needed to support a claim for disability benefits based on an accidental injury. DATES: Written comments and recommendations on the proposed collection of information should be received on or before November 21, 2011. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at https://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 nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0104’’ in any correspondence. During the comment SUMMARY: E:\FR\FM\21SEN1.SGM 21SEN1 Federal Register / Vol. 76, No. 183 / Wednesday, September 21, 2011 / Notices 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: Report of Accidental Injury in Support of Claim for Compensation or Pension/Statement of Witness to Accident, VA Form 21–4176. OMB Control Number: 2900–0104. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–4176 is used to support a claim for disability benefits based on an accidental injury that a veteran incurred while in the line of duty. VA will use the data collected to determine whether the injury was accidental or a result of willful misconduct by the veteran. Affected Public: Individuals or households. Estimated Annual Burden: 2,200 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 4,400. By direction of the Secretary: Denise McLamb, Program Analyst, Enterprise Records Service. wreier-aviles on DSK7SPTVN1PROD with NOTICES [FR Doc. 2011–24197 Filed 9–20–11; 8:45 am] BILLING CODE 8320–01–P VerDate Mar<15>2010 15:20 Sep 20, 2011 Jkt 223001 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0580] Proposed Information Collection (Request for Transportation Expense Reimbursement) Activity; 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 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 the information needed to determine children with spina bifida eligibility for reimbursement of transportation expenses. DATES: Written comments and recommendations on the proposed collection of information should be received on or before November 21, 2011. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at https://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 nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0580’’ 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 SUMMARY: PO 00000 Frm 00108 Fmt 4703 Sfmt 9990 58567 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: Request for Transportation Expense Reimbursement (38 CFR 21.8370). OMB Control Number: 2900–0580. Type of Review: Extension of a currently approved collection. Abstract: Children of Vietnam veterans born with spina bifida and receiving vocational training or seeking employment may request reimbursement for transportation expenses. To be eligible, the child must provide supportive documentation of actual expenses incurred for the travel. VA uses the information collected to determine if the child is unable to pursue training or employment without travel assistance. Affected Public: Individuals or households. Estimated Annual Burden: 63 hours. Estimated Average Burden per Respondent: 6 minutes. Frequency of Response: Monthly. Estimated Number of Respondents: 50. Estimated Total Annual Responses: 600. By direction of the Secretary: Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–24198 Filed 9–20–11; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\21SEN1.SGM 21SEN1

Agencies

DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 76, Number 183 (Wednesday, September 21, 2011)]
[Notices]
[Pages 58566-58567]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-24197]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0104]

Proposed Information Collection (Report of Accidental Injury in
Support of Claim for Compensation or Pension/Statement of Witness to
Accident) Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.

ACTION: Notice.

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

SUMMARY: The Veterans Benefits Administration (VBA), Department of
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 extension
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 support a claim for disability benefits based on
an accidental injury.

DATES: Written comments and recommendations on the proposed collection
of information should be received on or before November 21, 2011.

ADDRESSES: Submit written comments on the collection of information
through Federal Docket Management System (FDMS) at https://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 nancy.kessinger@va.gov.
Please refer to ``OMB Control No. 2900-0104'' in any correspondence.
During the comment

[[Page 58567]]

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: Report of Accidental Injury in Support of Claim for
Compensation or Pension/Statement of Witness to Accident, VA Form 21-
4176.
OMB Control Number: 2900-0104.
Type of Review: Extension of a currently approved collection.
Abstract: VA Form 21-4176 is used to support a claim for disability
benefits based on an accidental injury that a veteran incurred while in
the line of duty. VA will use the data collected to determine whether
the injury was accidental or a result of willful misconduct by the
veteran.
Affected Public: Individuals or households.
Estimated Annual Burden: 2,200 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents: 4,400.

By direction of the Secretary:
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-24197 Filed 9-20-11; 8:45 am]
BILLING CODE 8320-01-P

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