Agency Information Collection (Application for Fee or Personnel Designation) Activity Under OMB Review, 42554-42555 [2012-17508]

Download as PDF 42554 Federal Register / Vol. 77, No. 139 / Thursday, July 19, 2012 / Notices Services Division, Surety Bond Branch, 3700 East-West Highway, Room 6F01, Hyattsville, MD 20782. Dated: June 29, 2012. Laura Carrico, Director, Financial Accounting and Services Division, Financial Management Service. DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0740] [FR Doc. 2012–17359 Filed 7–18–12; 8:45 am] Proposed Information Collection (Authorization To Substitute a Claim of a Deceased Claimant) Activity: Comment Request BILLING CODE 4810–35–M AGENCY: Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. DEPARTMENT OF THE TREASURY Fiscal Service Surety Companies Acceptable on Federal Bonds—Termination: Peerless Insurance Company (NAIC #24198) Financial Management Service, Fiscal Service, Department of the Treasury. AGENCY: ACTION: Notice. This is Supplement No. 21 to the Treasury Department Circular 570, 2011 Revision, published July 1, 2011, at 76 FR 38892. SUMMARY: FOR FURTHER INFORMATION CONTACT: Surety Bond Branch at (202) 874–6850. Notice is hereby given that the Certificate of Authority issued by the Treasury to the above-named company under 31 U.S.C. 9305 to qualify as acceptable surety on Federal bonds is terminated effective June 30, 2012. Federal bond-approving officials should annotate their reference copies of the Treasury Department Circular 570 (‘‘Circular’’), 2011 Revision, to reflect this change. With respect to any bonds currently in force with this company, bondapproving officers may let such bonds run to expiration and need not secure new bonds. However, no new bonds should be accepted from this company, and bonds that are continuous in nature should not be renewed. The Circular may be viewed and downloaded through the Internet at www.fms.treas.gov/c570. Questions concerning this notice may be directed to the U.S. Department of the Treasury, Financial Management Service, Financial Accounting and Services Division, Surety Bond Branch, 3700 East-West Highway, Room 6F01, Hyattsville, MD 20782. emcdonald on DSK67QTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: Dated: June 20, 2012. Laura Carrico, Director, Financial Accounting and Services Division. [FR Doc. 2012–17360 Filed 7–18–12; 8:45 am] BILLING CODE 4810–35–M VerDate Mar<15>2010 15:07 Jul 18, 2012 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 allow claimants to request substitution for a claimant, who passed away, prior to VA processing a claim to completion. DATES: Written comments and recommendations on the proposed collection of information should be received on or before September 17, 2012. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0740’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632–8924 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 SUMMARY: Jkt 226001 PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 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: Authorization to Substitute a Claim of a Deceased Claimant, VA Form 21–0847. OMB Control Number: 2900–0740. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–0847 will be used to allow claimants to request substitutions for a claimant, who passed away, prior to VA processing a claim to completion. This is only allowed when a claimant dies while a claim or appeal for any benefit under a law administered by the VA is pending. The substitute claimant would be eligible to receive accrued benefits due to a deceased claimant under Section 5121(a). The substitute claim must be filed no later than one year after the date of the death of the claimant. By law, VA must have a claimant’s or beneficiary’s written permission (an ‘‘authorization’’) to be a substitute claimant. The claimant or beneficiary may revoke the authorization at any time, except if VA has already acted based on the permission. Affected Public: Individuals or households. Estimated Annual Burden: 1,667. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: One time. Estimated Number of Respondents: 20,000. Dated: July 13, 2012. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2012–17504 Filed 7–18–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0113] Agency Information Collection (Application for Fee or Personnel Designation) Activity Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. AGENCY: E:\FR\FM\19JYN1.SGM 19JYN1 Federal Register / Vol. 77, No. 139 / Thursday, July 19, 2012 / Notices ACTION: Notice. 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, 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 and includes the actual data collection instrument. SUMMARY: Comments must be submitted on or before August 20, 2012. DATES: Submit written comments on the collection of information through 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– 0113’’ in any correspondence. ADDRESSES: 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) 632–7583 or email denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0113.’’ emcdonald on DSK67QTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: Title: Application for Fee or Personnel Designation, VA Form 26–6681. OMB Control Number: 2900–0113. Type of Review: Extension of a currently approved collection. Abstract: Applicants complete VA Form 26–6681 to apply for a position as a designate fee appraiser or compliance inspector. VA will use the data collected to determine the applicant’s experience in the real estate valuation field. 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 10, 2012, at page 27543. Affected Public: Individuals or households. Estimated Annual Burden: 1,000 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 2,000. Dated: July 13, 2012. VerDate Mar<15>2010 15:07 Jul 18, 2012 Jkt 226001 By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2012–17508 Filed 7–18–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0260] Proposed Information Collection (Request for and Authorization To Release Medical Records or Health Information) Activity: Comment Request Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Veterans Health Administration (VHA) 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 information needed to obtain a patient written consent to disclose medical records or health information to individuals or third parties. DATES: Written comments and recommendations on the proposed collection of information should be received on or before September 17, 2012. ADDRESSES: Submit written comments on the collection of information through the 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 ‘‘2900–0260’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461–5870 or Fax (202) 273–9387. 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 SUMMARY: PO 00000 Frm 00074 Fmt 4703 Sfmt 4703 42555 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. Request for and Authorization to Release Medical Records or Health Information, VA Form 10–5345. b. Individual’s Request for a Copy of their Own Health Information, VA Form 10–5345a. c. My HealtheVet (MHV)— Individuals’ Request for a Copy of Their Own Health Information, VA Form 10– 5345a–MHV. d. Restriction of the Release of Individually-Identifiable Health Information through Nationwide Health Information Network (NwHIN), VA Form 10–0525a. e. Request for and Authorization to Release Protected Health Information to Nationwide Health Information Network, VA Form 10–0485. OMB Control Number: 2900–0260. Type of Review: Revision of a currently approved collection. Abstracts: a. VA Form 10–5345 is used to obtain a written consent from patients before information concerning his or her treatment for alcoholism or alcohol abuse, drug abuse, sickle cell anemia, or infection with the human immunodeficiency virus (HIV) can be disclosed to private insurance companies, physicians and other third parties. b. Patients complete VA Form 10– 5345a to request a copy of their health information maintained at Department of Veterans Affairs. c. VA Form 10–5345a–MHV is completed by individuals requesting their health information electronically through My HealtheVet. d. VA Form 10–0525a is completed by individuals to restrict the sharing their electronic health information through the NWHIN. e. VA Form 10–0485 is used to electronically exchange protected health information between VA and approved E:\FR\FM\19JYN1.SGM 19JYN1

Agencies

[Federal Register Volume 77, Number 139 (Thursday, July 19, 2012)]
[Notices]
[Pages 42554-42555]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-17508]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0113]


Agency Information Collection (Application for Fee or Personnel 
Designation) Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

[[Page 42555]]


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, 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 and includes the actual data collection instrument.

DATES: Comments must be submitted on or before August 20, 2012.

ADDRESSES: Submit written comments on the collection of information 
through 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. 2900-0113'' 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) 632-7583 or email 
denise.mclamb@mail.va.gov. Please refer to ``OMB Control No. 2900-
0113.''

SUPPLEMENTARY INFORMATION: 
    Title: Application for Fee or Personnel Designation, VA Form 26-
6681.
    OMB Control Number: 2900-0113.
    Type of Review: Extension of a currently approved collection.
    Abstract: Applicants complete VA Form 26-6681 to apply for a 
position as a designate fee appraiser or compliance inspector. VA will 
use the data collected to determine the applicant's experience in the 
real estate valuation field.
    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 10, 2012, at page 27543.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,000 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 2,000.

    Dated: July 13, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-17508 Filed 7-18-12; 8:45 am]
BILLING CODE 8320-01-P
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