Agency Information Collection (Application for Voluntary Service) Activities Under OMB Review, 64383-64384 [2012-25755]

Download as PDF Federal Register / Vol. 77, No. 203 / Friday, October 19, 2012 / Notices Notice with a 60-day comment period soliciting comments on this collection of information was published on January 17, 2012, at page 2349. Affected Public: Individuals or households. Estimated Annual Burden: a. Inpatient Short Form, VA Form 10– 1465–2—18,750 hours. b. Ambulatory Care Long Form, VA Form 10–1465–3—9,802 hours. c. Ambulatory Care Short Form, VA Form 10–1465–4—42,233 hours. d. Clinician and Group Survey Patient Centered Medical Home, Short Form, VA Form 10–1465–5—20,000 hours. e. Clinician and Group Survey Patient Centered Medical Home, Long Form, VA Form 10–1465–6—3,333 hours. Estimated Average Burden per Respondent: a. Inpatient Short Form, VA Form 10– 1465–2—15 minutes. b. Ambulatory Care Long Form, VA Form 10–1465–3—25 minutes. c. Ambulatory Care Short Form, VA Form 10–1465–4—20 minutes. d. Clinician and Group Survey Patient Centered Medical Home, Short Form, VA Form 10–1465–5—15 minutes. e. Clinician and Group Survey Patient Centered Medical Home, Long Form, VA Form 10–1465–6—25 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. Inpatient Short Form, VA Form 10– 1465–2—75,000. b. Ambulatory Care Long Form, VA Form 10–1465–3—23,524. c. Ambulatory Care Short Form, VA Form 10–1465–4—126,700. d. Clinician and Group Survey Patient Centered Medical Home, Short Form, VA Form 10–1465–5—20,000. e. Clinician and Group Survey Patient Centered Medical Home, Long Form, VA Form 10–1465–6—3,333. Dated: October 15, 2012. By direction of the Secretary. William F. Russo, Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs. [FR Doc. 2012–25748 Filed 10–18–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS tkelley on DSK3SPTVN1PROD with NOTICES [OMB Control No. 2900–0406] Proposed Information Collection (Verification of VA Benefits) Activity: Comment Request Veterans Benefits Administration, Department of Veterans Affairs. AGENCY: VerDate Mar<15>2010 16:06 Oct 18, 2012 Jkt 229001 ACTION: Notice. 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 information needed by lenders to determine whether any benefits related debts exist in the veteran-borrower’s name prior to the closing of any VA-guaranteed loans on an automatic basis. DATES: Written comments and recommendations on the proposed collection of information should be received on or before December 18, 2012. ADDRESSES: Submit written comments on the collection of information through the 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. 2900–0406’’ in any correspondence. During the comment period, comments may be viewed online through at FDMS. 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 SUMMARY: PO 00000 Frm 00075 Fmt 4703 Sfmt 4703 64383 the use of other forms of information technology. Title: Verification of VA Benefits, VA Form 26–8937. OMB Control Number: 2900–0406. Type of Review: Extension of a currently approved collection. Abstract: Lenders authorized to make VA-guaranteed home or manufactured loans on an automatic basis are required to determine through VA whether any benefits related debts exist in the veteran-borrower’s name prior to the closing of any automatic loan. Lenders cannot close any proposed automatic loan until evidence is received from VA stating that there is no debt, or if a debt exists, or the veteran has agreed on an acceptable repayment plan, or payments under a plan already in effect are current. VA Form 26–8937 is used to assist lenders and VA in the completion of debt checks in a uniform manner. The form restricts information requested to only that is needed for the debt check and to eliminate unlimited versions of lender-designed forms. The form also informs the lender whether or not the veteran is exempt from paying the funding fee, which must be collected on all VA home loans unless the veteran is receiving service-connected disability compensation. Affected Public: Individuals of households. Estimated Annual Burden: 10,000 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 120,000. Dated: October 15, 2012. By direction of the Secretary. William F. Russo, Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs. [FR Doc. 2012–25750 Filed 10–18–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0090] Agency Information Collection (Application for Voluntary Service) 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. 3501–21), this notice SUMMARY: E:\FR\FM\19OCN1.SGM 19OCN1 64384 Federal Register / Vol. 77, No. 203 / Friday, October 19, 2012 / Notices 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. By direction of the Secretary. William F. Russo, Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs. Comments must be submitted on or before November 19, 2012. [OMB Control No. 2900–0648] 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– 0090’’ in any correspondence. ADDRESSES: FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492, fax (202) 632–7583 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900–0090.’’ tkelley on DSK3SPTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: Title: Application for Voluntary Service, VA Form 10–7055. OMB Control Number: 2900–0090. Type of Review: Extension of a currently approved collection. Abstract: Individuals expressing interest in volunteering at a VA medical center complete VA Form 10–7055 to request placement in the nationwide VA Voluntary Service Program. VA will use the data collected to place applicants in assignments most suitable to their special skills and abilities. 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 August 1, 2012 at page 45718. Affected Public: Individuals or Households. Estimated Total Annual Burden: 8,000 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One time. Estimated Number of Respondents: 32,000. Dated: October 15, 2012. VerDate Mar<15>2010 16:06 Oct 18, 2012 Jkt 229001 [FR Doc. 2012–25755 Filed 10–18–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection Activities (Foreign Medical Program) 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 November 19, 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– 0648’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492, fax (202) 632–7583 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900–0648.’’ SUPPLEMENTARY INFORMATION: Titles: a. Foreign Medical Program (FMP) Registration Form, VA Form 10–7959f– 1 b. Claim Cover Sheet—Foreign Medical Program (FMP), VA Form 10– 7959f–2. OMB Control Number: 2900–0648. Type of Review: Extension of a currently approve collection. Abstracts: a. Veterans with service connected disabilities living or traveling overseas SUMMARY: PO 00000 Frm 00076 Fmt 4703 Sfmt 4703 complete VA Form 10–7959f–1 to enroll in the Foreign Medical Program. b. Healthcare providers complete VA Form 10–7959f–2 to submit claims for payments or reimbursement of expenses relating to veterans living or traveling overseas (except for the Philippines) with service-connected disability. VA will accept provider’s generated billing statement, Uniform Billing—Forms (UB) 04, and Medicare Health Insurance Claims Form, CMS 1500 for payments or reimbursements. 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 August 1, 2012 at pages 45716–45717. Affected Public: Individuals or households. Estimated Total Annual Burden: a. Foreign Medical Program, VA Form 10–7959f–1—111 hours. b. Claim Cover Sheet, VA Form 10– 7959f–2—3,652 hours. Estimated Average Burden per Respondent: a. Foreign Medical Program, VA Form 10–7959f–1–4 minutes. b. Claim Cover Sheet, VA Form 10– 7959f–2–11 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. Foreign Medical Program, VA Form 10–7959f–1–1,660. b. Claim Cover Sheet, VA Form 10– 7959f–2–19,920. Dated: October 15, 2012. By direction of the Secretary. William F. Russo, Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs. [FR Doc. 2012–25754 Filed 10–18–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0358] Proposed Information Collection (Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress) Activity: Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Veterans Benefits Administration (VBA), Department of SUMMARY: E:\FR\FM\19OCN1.SGM 19OCN1

Agencies

[Federal Register Volume 77, Number 203 (Friday, October 19, 2012)]
[Notices]
[Pages 64383-64384]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-25755]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0090]


Agency Information Collection (Application for Voluntary Service) 
Activities Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-21), this notice

[[Page 64384]]

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 November 19, 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. 2900-0090'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492, fax (202) 632-7583 or email 
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-0090.''

SUPPLEMENTARY INFORMATION: 
    Title: Application for Voluntary Service, VA Form 10-7055.
    OMB Control Number: 2900-0090.
    Type of Review: Extension of a currently approved collection.
    Abstract: Individuals expressing interest in volunteering at a VA 
medical center complete VA Form 10-7055 to request placement in the 
nationwide VA Voluntary Service Program. VA will use the data collected 
to place applicants in assignments most suitable to their special 
skills and abilities.
    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 August 1, 2012 at page 45718.
    Affected Public: Individuals or Households.
    Estimated Total Annual Burden: 8,000 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 32,000.

    Dated: October 15, 2012.

    By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy and Management, Office of 
the General Counsel, Department of Veterans Affairs.
[FR Doc. 2012-25755 Filed 10-18-12; 8:45 am]
BILLING CODE 8320-01-P
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