Agency Information Collection (Fiduciary Agreement) Activities Under OMB Review, 56712 [2012-22496]

Download as PDF 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]
[Page 56712]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-22496]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0319]


Agency Information Collection (Fiduciary Agreement) Activities 
Under OMB Review

AGENCY: Veterans Benefits Administration, 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 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.
    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
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