Agency Information Collection (Financial Status Report) Activities Under OMB Review, 39343 [2012-16103]

Download as PDF 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]
[Page 39343]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-16103]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0165]


Agency Information Collection (Financial Status Report) 
Activities Under OMB Review

AGENCY: Office of Management, 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 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.

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.
    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
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