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