Proposed Information Collection (VA MATIC Enrollment/Change); Comment Request, 56711-56712 [2012-22495]

Download as PDF mstockstill on DSK4VPTVN1PROD with NOTICES Federal Register / Vol. 77, No. 178 / Thursday, September 13, 2012 / Notices 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each extension 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 determine a veteran’s eligibility, dependency, and income, as applicable, for compensation and/or pension benefit sought. DATES: Written comments and recommendations on the proposed collection of information should be received on or before November 13, 2012. ADDRESSES: Submit written comments on the collection of information through 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: nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0001’’ in any correspondence. During the comment period, comments may be viewed online through the Federal Docket Management System (FDMS) at www.Regulations.gov. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632–8924 or fax (202) 632–8925. 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. Titles: a. Veteran’s Application for Compensation and/or Pension, VA Form 21–526. b. Veteran’s Supplemental Claim Application, VA Form 21–526b. c. Authorization and Consent Release Information to the Department of VerDate Mar<15>2010 19:13 Sep 12, 2012 Jkt 226001 Veterans Affairs (VA), VA Form 21– 4142. OMB Control Number: 2900–0001. Type of Review: Extension of a currently approved collection. Abstracts: a. Veterans complete VA Form 21–526 to initially apply for compensation and/ or pension benefits. b. Veterans who previously filed a claim using VA Form 21–526, and who wish to request an increase in a serviceconnected condition, reopen their claim for a previously denied claim, and/or file a claim for a new service-connected condition must complete VA Form 21– 526b. VA Form 21–526b will be used for supplemental disability or ancillary benefit claims. c. Veterans who need VA’s assistance in obtaining non-VA medical records must complete VA Form 21–4142. Affected Public: Individuals or households. Estimated Annual Burden: a. VA Form 21–526—391,708. b. VA Form 21–526b—50,000. c. VA Form 21–4142—823. Estimated Average Burden per Respondent: a. VA Form 21–526—1 hour. b. VA Form 21–526b—15 minutes. c. VA Form 21–4142—5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. VA Form 21–526—391,708. b. VA Form 21–526b—200,000. c. VA Form 21–4142—3,292. Dated: September 7, 2012. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2012–22490 Filed 9–12–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0525] Proposed Information Collection (VA MATIC Enrollment/Change); 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 SUMMARY: PO 00000 Frm 00106 Fmt 4703 Sfmt 4703 56711 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 for information needed to process the insurer’s request. DATES: Written comments and recommendations on the proposed collection of information should be received on or before November 13, 2012. 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 (20M33), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0525 in any correspondence. During the comment period, comments may be viewed online through FDMS at www.Regulations.gov. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632–8924 or Fax (202) 632–8925. 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: VA MATIC Enrollment/Change, VA Form 29–0165. OMB Control Number: 2900–0525. Type of Review: Extension of a currently approved collection. Abstract: Claimants complete VA Form 29–0165 to enroll in VA MATIC or change their financial institution from which VA currently deducts his/ her Government Life Insurance premium. ADDRESSES: E:\FR\FM\13SEN1.SGM 13SEN1 56712 Federal Register / Vol. 77, No. 178 / Thursday, September 13, 2012 / Notices Affected Public: Individuals or households. Estimated Annual Burden: 1,250 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 5,000. Dated: September 7, 2012. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2012–22495 Filed 9–12–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0319] Agency Information Collection (Fiduciary Agreement) Activities 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 October 15, 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– 0319’’ 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@va.gov. Please refer to ‘‘OMB Control No. 2900–0319.’’ SUPPLEMENTARY INFORMATION: Title: Fiduciary Agreement, VA Form 21–4703. OMB Control Number: 2900–0319. Type of Review: Extension of a currently approved collection. mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 19:13 Sep 12, 2012 Jkt 226001 Abstract: VA Form 21–4703 is a legal binding contract between VA and Federally appointed fiduciaries receiving VA funds on behalf beneficiaries who were determined to be incompetent or under legal disability by reason of minority or court action. The form outlines the fiduciary’s responsibility regarding the use of VA funds. 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 July 2, 2012, at pages 39345–39346. Affected Public: Individuals or households. Estimated Annual Burden: 1,467 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: One time. Estimated Number of Respondents: 17,600. By direction of the Secretary. Dated: September 7, 2012. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2012–22496 Filed 9–12–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0554] Agency Information Collection (Homeless Providers Grant and Per Diem Program) Activities 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. 3501–3521), 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. DATES: Comments must be submitted on or before October 15, 2012. ADDRESSES: Submit written comments on the collection of information through SUMMARY: PO 00000 Frm 00107 Fmt 4703 Sfmt 4703 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– 0554’’ 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@va.gov. Please refer to ‘‘OMB Control No. 2900–0554.’’ SUPPLEMENTARY INFORMATION: 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 the program for which grant and/or per diem award was made. 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 July 2, 2012, at pages 39342–39343. Affected Public: Not-for-profit institutions. Estimated Total Annual Burden: a. Homeless Providers Grant and Per Diem Program, Capital Grant E:\FR\FM\13SEN1.SGM 13SEN1

Agencies

[Federal Register Volume 77, Number 178 (Thursday, September 13, 2012)]
[Notices]
[Pages 56711-56712]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-22495]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0525]


Proposed Information Collection (VA MATIC Enrollment/Change); 
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 for 
information needed to process the insurer's request.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before November 13, 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 (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email nancy.kessinger@va.gov. Please refer to ``OMB Control 
No. 2900-0525 in any correspondence. During the comment period, 
comments may be viewed online through FDMS at www.Regulations.gov.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or Fax (202) 632-8925.

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: VA MATIC Enrollment/Change, VA Form 29-0165.
    OMB Control Number: 2900-0525.
    Type of Review: Extension of a currently approved collection.
    Abstract: Claimants complete VA Form 29-0165 to enroll in VA MATIC 
or change their financial institution from which VA currently deducts 
his/her Government Life Insurance premium.

[[Page 56712]]

    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,250 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 5,000.

    Dated: September 7, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-22495 Filed 9-12-12; 8:45 am]
BILLING CODE 8320-01-P
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