Proposed Information Collection (Homeless Providers Grant and Per Diem Program) Activity; Comment Request, 39342-39343 [2012-16102]

Download as PDF mstockstill on DSK4VPTVN1PROD with NOTICES 39342 Federal Register / Vol. 77, No. 127 / Monday, July 2, 2012 / Notices institution against a fiduciary’s accounting. The following forms will be used to ensure claimants’ benefits payments are administered properly. a. VA Forms 21–4706, 4706b and 4706c are used by estate to determine proper usage of benefits paid to fiduciaries. The 21–4706 and 21–4706b are both necessary to conform to requirement of various state courts. b. VA Form 21–4718 is provided to VA fiduciaries to submit accountings to either State courts or the VA. It is not a reporting form per se, but a vehicle to assist the fiduciary in accurately maintaining records of monies received and spent. c. VA Form 21–4718a—Fiduciaries are required to obtain certifications that the balances remaining on deposit in financial institutions as shown on accountings are correct. Certifying official at a financial institution completing the form must affix the institution’s official seal or stamp. The data collected is used to appoint an appropriate fiduciary for a VA beneficiary and to prevent fiduciaries from supplying false certification, embezzling funds, and possibly prevent and/or identify fraud, waste and abuse of government funds paid to fiduciaries on behalf of VA beneficiaries. Affected Public: Individuals or households. Estimated Annual Burden: a. Annual-Final Report and Account, VA Form 21–4706—1,100. b. Federal Fiduciary’s Account, VA Form 21–4706b—6,300. c. Court Appointed Fiduciary’s Account, VA Form 21–4706c—2,000. d. Account Book, VA Form 21–4718— 20,000. e. Certificate of Balance on Deposit and Authorization to Disclose Financial Records, VA Form 21–4718a—166. Estimated Average Burden per Respondent: a. Annual-Final Report and Account, VA Form 21–4706—30 minutes. b. Federal Fiduciary’s Accounts, VA Form 21–4706b—27 minutes. c. Court Appointed Fiduciary’s Account, VA Form 21–4706c—30 minutes. d. Account Book, VA Form 21–4718— 21⁄2 hours. e. Certificate of Balance on Deposit and Authorization to Disclose Financial Records, VA Form 21–4718a—3 minutes. Frequency of Response: Annually. Estimated Number of Respondents: a. Annual-Final Report and Account, VA Form 21–4706—2,200. b. Federal Fiduciary’s Accounts, VA Form 21–4706b—14,000. c. Court Appointed Fiduciary’s Account, VA Form 21–4706c—4,000. VerDate Mar<15>2010 17:22 Jun 29, 2012 Jkt 226001 d. Account Book, VA Form 21–4718— 8,000. e. Certificate of Balance on Deposit and Authorization to Disclose Financial Records, VA Form 21–4718a—3,312. Dated: June 27, 2012. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2012–16101 Filed 6–29–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0554] Proposed Information Collection (Homeless Providers Grant and Per Diem Program) Activity; Comment Request Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Veterans Health Administration (VHA), 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 revision 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 an applicant’s eligibility to receive a grant and/or per diem for programs to assist homeless veterans’ transition to independent living and to determine if the grantee is meeting the objectives outlined in the original grant application. SUMMARY: Written comments and recommendations on the proposed collection of information should be received on or before August 31, 2012. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov; or to Cynthia Harvey-Pryor, Veterans Health Administration (10P7BFP), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420; or email: cynthia.harvey-pryor@va.gov. Please refer to ‘‘OMB Control No. 2900– 0554’’ in any correspondence. During the comment period, comments may be viewed online through the FDMS. DATES: PO 00000 Frm 00135 Fmt 4703 Sfmt 4703 FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461–5870 or Fax (202) 273–9381. 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, VHA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VHA’s functions, including whether the information will have practical utility; (2) the accuracy of VHA’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. Titles a. Homeless Providers Grant and Per Diem Program, Capital Grant. Application, VA Form 10–0361–CG. b. Homeless Providers Grant and Per Diem Program, Life Safety Code Application, VA Form 10–0361–LSC. c. Homeless Providers Grant and Per Diem Program, Per Diem Only Application, VA Form 10–0361–PDO. d. Homeless Providers Grant and Per Diem Program, Special Needs Application, VA Form 10–0361–SN. e. Compliance Reports for Per Diem and Special Needs Grants. No form needed. May be reported to VA in standard business narrative. f. Homeless Providers Grant and Per Diem Program, Technical Assistance Application, VA Form 10–0361–TA. g. Compliance Reports for Technical Assistance Grants. No form needed. May be reported to VA in standard business narrative. OMB Control Number: 2900–0554. Type of Review: Revision of a currently approved collection. Abstract: VA Form 10–0361 series, Homeless Providers Grant and Per Diem Program, will be used to evaluate applicants eligibility to receive a grant and/or per diem payments, apply the specific criteria to rate and rank each application; and to obtain information necessary to ensure that Federal funds are awarded to applicants who are financially stable and who will conduct E:\FR\FM\02JYN1.SGM 02JYN1 mstockstill on DSK4VPTVN1PROD with NOTICES Federal Register / Vol. 77, No. 127 / Monday, July 2, 2012 / Notices the program for which grant and/or per diem award was made. Affected Public: Not-for-profit institutions. Estimated Annual Burden: a. Homeless Providers Grant and Per Diem Program, Capital Grant. Application, VA Form 10–0361–CG— 3,500 hours. b. Homeless Providers Grant and Per Diem Program, Life Safety Code Application, VA Form 10–0361–LSC— 2,000 hours. c. Homeless Providers Grant and Per Diem Program, Per Diem Only Application, VA Form 10–0361–PDO— 3,000 hours. d. Homeless Providers Grant and Per Diem Program, Special Needs Application, VA Form 10–0361–SN— 4,000 hours. e. Compliance Reports for Per Diem and Special Needs Grants—1,500 hours. f. Homeless Providers Grant and Per Diem Program, Technical Assistance Application, VA Form 10–0361–TA— 250 hours. g. Compliance Reports for Technical Assistance Grants—90 hours. Estimated Average Burden per Respondent: a. Homeless Providers Grant and Per Diem Program, Capital Grant Application, VA Form 10–0361–CG—35 hours. b. Homeless Providers Grant and Per Diem Program, Life Safety Code Application, VA Form 10–0361–LSC— 10 hours. c. Homeless Providers Grant and Per Diem Program, Per Diem Only Application, VA Form 10–0361–PDO— 20 hours. d. Homeless Providers Grant and Per Diem Program, Special Needs Application, VA Form 10–0361–SN—20 hours. e. Compliance Reports for Per Diem and Special Needs Grants—5 hours. f. Homeless Providers Grant and Per Diem Program, Technical Assistance Application, VA Form 10–0361–TA—10 hours. g. Compliance Reports for Technical Assistance Grants—2.25 hours. Frequency of Response: On occasion. Estimated Number of Respondents: a. Homeless Providers Grant and Per Diem Program, Capital Grant Application, VA Form 10–0361–CG— 100. b. Homeless Providers Grant and Per Diem Program, Life Safety Code Application, VA Form 10–0361–LSC— 200. c. Homeless Providers Grant and Per Diem Program, Per Diem Only Application, VA Form 10–0361–PDO— 150. VerDate Mar<15>2010 17:22 Jun 29, 2012 Jkt 226001 d. Homeless Providers Grant and Per Diem Program, Special Needs Application, VA Form 10–0361–SN— 200. e. Compliance Reports for Per Diem and Special Needs Grants—300. f. Homeless Providers Grant and Per Diem Program, Technical Assistance Application, VA Form 10–0361–TA— 25. g. Compliance Reports for Technical Assistance Grants—10. Dated: June 27, 2012. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2012–16102 Filed 6–29–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0165] Agency Information Collection (Financial Status Report) Activities Under OMB Review Office of Management, 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 Office of Management, Department of Veterans Affairs, has submitted 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 1, 2012. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov or to VA’s OMB Desk Officer, Office of Information and Regulatory Affairs, New Executive Office Building, Room 10235, Washington, DC 20503 (202) 395–7316. Please refer to ‘‘OMB Control No. 2900– 0165’’ 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) 632– 7479, FAX (202) 632–7634 or email denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0165.’’ SUPPLEMENTARY INFORMATION: Title: Financial Status Report, VA Form 5655. OMB Control Number: 2900–0165. PO 00000 Frm 00136 Fmt 4703 Sfmt 4703 39343 Type of Review: Extension of a currently approved collection. Abstract: Claimants complete VA Form 5655 to report their financial status. VA uses the data collected to determine the claimant’s eligibility for a waiver of collection, setup a payment plan or for the acceptance of a compromise offer on their VA benefit debt. 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 12, 2012, at page 22068. Affected Public: Individuals or households. Estimated Annual Burden: 57,155 hours. Estimated Average Burden Per Respondent: 1 hour. Frequency of Response: On occasion. Estimated Number of Respondents: 57,155. Dated: June 27, 2012. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2012–16103 Filed 6–29–12; 8:45 am] BILLING CODE A320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0002] Agency Information Collection (Income-Net Worth and Employment Statement) 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, 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 1, 2012. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov or to VA’s OMB Desk Officer, OMB Human Resources SUMMARY: E:\FR\FM\02JYN1.SGM 02JYN1

Agencies

[Federal Register Volume 77, Number 127 (Monday, July 2, 2012)]
[Notices]
[Pages 39342-39343]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-16102]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0554]


Proposed Information Collection (Homeless Providers Grant and Per 
Diem Program) Activity; Comment Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: The Veterans Health Administration (VHA), 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 revision 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 an applicant's eligibility to receive a 
grant and/or per diem for programs to assist homeless veterans' 
transition to independent living and to determine if the grantee is 
meeting the objectives outlined in the original grant application.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 31, 2012.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov; 
or to Cynthia Harvey-Pryor, Veterans Health Administration (10P7BFP), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420; or email: cynthia.harvey-pryor@va.gov. Please refer to ``OMB 
Control No. 2900-0554'' in any correspondence. During the comment 
period, comments may be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461-5870 or 
Fax (202) 273-9381.

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, VHA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VHA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VHA'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.

Titles

    a. Homeless Providers Grant and Per Diem Program, Capital Grant. 
Application, VA Form 10-0361-CG.
    b. Homeless Providers Grant and Per Diem Program, Life Safety Code 
Application, VA Form 10-0361-LSC.
    c. Homeless Providers Grant and Per Diem Program, Per Diem Only 
Application, VA Form 10-0361-PDO.
    d. Homeless Providers Grant and Per Diem Program, Special Needs 
Application, VA Form 10-0361-SN.
    e. Compliance Reports for Per Diem and Special Needs Grants. No 
form needed. May be reported to VA in standard business narrative.
    f. Homeless Providers Grant and Per Diem Program, Technical 
Assistance Application, VA Form 10-0361-TA.
    g. Compliance Reports for Technical Assistance Grants. No form 
needed. May be reported to VA in standard business narrative.
    OMB Control Number: 2900-0554.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 10-0361 series, Homeless Providers Grant and Per 
Diem Program, will be used to evaluate applicants eligibility to 
receive a grant and/or per diem payments, apply the specific criteria 
to rate and rank each application; and to obtain information necessary 
to ensure that Federal funds are awarded to applicants who are 
financially stable and who will conduct

[[Page 39343]]

the program for which grant and/or per diem award was made.
    Affected Public: Not-for-profit institutions.
    Estimated Annual Burden:
    a. Homeless Providers Grant and Per Diem Program, Capital Grant. 
Application, VA Form 10-0361-CG--3,500 hours.
    b. Homeless Providers Grant and Per Diem Program, Life Safety Code 
Application, VA Form 10-0361-LSC--2,000 hours.
    c. Homeless Providers Grant and Per Diem Program, Per Diem Only 
Application, VA Form 10-0361-PDO--3,000 hours.
    d. Homeless Providers Grant and Per Diem Program, Special Needs 
Application, VA Form 10-0361-SN--4,000 hours.
    e. Compliance Reports for Per Diem and Special Needs Grants--1,500 
hours.
    f. Homeless Providers Grant and Per Diem Program, Technical 
Assistance Application, VA Form 10-0361-TA--250 hours.
    g. Compliance Reports for Technical Assistance Grants--90 hours.
    Estimated Average Burden per Respondent:
    a. Homeless Providers Grant and Per Diem Program, Capital Grant 
Application, VA Form 10-0361-CG--35 hours.
    b. Homeless Providers Grant and Per Diem Program, Life Safety Code 
Application, VA Form 10-0361-LSC--10 hours.
    c. Homeless Providers Grant and Per Diem Program, Per Diem Only 
Application, VA Form 10-0361-PDO--20 hours.
    d. Homeless Providers Grant and Per Diem Program, Special Needs 
Application, VA Form 10-0361-SN--20 hours.
    e. Compliance Reports for Per Diem and Special Needs Grants--5 
hours.
    f. Homeless Providers Grant and Per Diem Program, Technical 
Assistance Application, VA Form 10-0361-TA--10 hours.
    g. Compliance Reports for Technical Assistance Grants--2.25 hours.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. Homeless Providers Grant and Per Diem Program, Capital Grant 
Application, VA Form 10-0361-CG--100.
    b. Homeless Providers Grant and Per Diem Program, Life Safety Code 
Application, VA Form 10-0361-LSC--200.
    c. Homeless Providers Grant and Per Diem Program, Per Diem Only 
Application, VA Form 10-0361-PDO--150.
    d. Homeless Providers Grant and Per Diem Program, Special Needs 
Application, VA Form 10-0361-SN--200.
    e. Compliance Reports for Per Diem and Special Needs Grants--300.
    f. Homeless Providers Grant and Per Diem Program, Technical 
Assistance Application, VA Form 10-0361-TA--25.
    g. Compliance Reports for Technical Assistance Grants--10.

    Dated: June 27, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-16102 Filed 6-29-12; 8:45 am]
BILLING CODE 8320-01-P
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