Agency Information Collection (Dental Record Authorization and Invoice for Outpatient Services) Activity Under OMB Review, 6851-6852 [2013-02028]
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Federal Register / Vol. 78, No. 21 / Thursday, January 31, 2013 / Notices
Type of Review: Extension of a
currently approved collection.
Abstract: The data collected on VA
Form 26–8261a will be used to
determine Veteran applicants’ eligibility
to receive a reduced down payment on
a Federal Housing Administration
(FHA) backed loan.
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
October 19, 2012, at page 64386.
Affected Public: Individuals or
households.
Estimated Annual Burden: 4 hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
25.
Dated: January 25, 2012.
By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy
and Management, Office of General Counsel,
Department of Veterans Affairs.
[FR Doc. 2013–02024 Filed 1–30–13; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0775]
Proposed Information Collection
(Patient Satisfaction Survey Michael E.
DeBakey Home Care Program)
Activity: Comment Request
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, 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 March 4, 2013.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov; or to VA’s OMB
Desk Officer, OMB Human Resources
srobinson on DSK4SPTVN1PROD with
SUMMARY:
VerDate Mar<15>2010
17:38 Jan 30, 2013
Jkt 229001
and Housing Branch, New Executive
Office Building, Room 10235,
Washington, DC 20503 (202) 395–7316.
Please refer to ‘‘OMB Control No. 2900–
0775’’ 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. 2900–0775.’’
SUPPLEMENTARY INFORMATION:
Title: Patient Satisfaction Survey
Michael E. DeBakey Home Care
Program, VA Form 10–0476.
OMB Control Number: 2900–0775.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 10–0476 will be
used to gather feedback from patients
regarding their satisfaction with the
quality of services/care provided by
home care program staff.
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
November 19, 2012, at page 69550.
Estimated Annual Burden: 17 hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
50.
Estimated Number of Responses: 100.
Dated: January 25, 2013.
By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy
and Management, Office of General Counsel,
Department of Veterans Affairs.
[FR Doc. 2013–02034 Filed 1–30–13; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0335]
Agency Information Collection (Dental
Record Authorization and Invoice for
Outpatient Services) Activity 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
SUMMARY:
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
6851
announces that the Veterans Health
Administration (VHA), 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 March 4, 2013.
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–
0335’’ 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. 2900–0335.’’
SUPPLEMENTARY INFORMATION:
Title: Dental Record Authorization
and Invoice for Outpatient Services, VA
Form 10–2570d.
OMB Control Number: 2900–0335.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 10–2570d is
essential to the proper administration of
VA outpatient fee dental program. The
associated instructions make it possible
to communicate with clarity the
required procedures, peculiarities, and
precautions associated with VA
authorizations for contracting with
private dentists for the provision of
dental treatment for eligible veteran
beneficiaries. Since most of the veterans
who are authorized fee dental care are
geographically inaccessible to VA dental
clinics, it is necessary to request
information as to the veteran’s oral
condition, treatment needs and the
usual customary fees for these services
from the private fee dentist whom the
veteran has selected. The form lists the
dental treatment needs of the veteran
patient, the cost to VA to provide such
services, and serves as an invoice for
payment. VA uses the data collected to
verify the veteran’s eligibility to receive
dental benefits.
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
E:\FR\FM\31JAN1.SGM
31JAN1
6852
Federal Register / Vol. 78, No. 21 / Thursday, January 31, 2013 / Notices
soliciting comments on this collection
of information was published on
November 19, 2012, on pages 69550–
69551.
Affected Public: Business and other
for profit.
Estimated Total Annual Burden:
3,666 hours.
Estimated Average Burden per
Respondent: 20 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
11,000.
Dated: January 25, 2013.
By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy
and Management, Office of General Counsel,
Department of Veterans Affairs.
[FR Doc. 2013–02028 Filed 1–30–13; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0518]
Agency Information Collection (Income
Verification) Activity 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 March 4, 2013.
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–
0518’’ 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. 2900–0518.’’
srobinson on DSK4SPTVN1PROD with
SUMMARY:
VerDate Mar<15>2010
17:38 Jan 30, 2013
Jkt 229001
SUPPLEMENTARY INFORMATION:
Dated: January 25, 2013.
By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy
and Management, Office of General Counsel,
Department of Veterans Affairs.
[FR Doc. 2013–02035 Filed 1–30–13; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0465]
Agency Information Collection
(Student Verification of Enrollment)
Activity 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 March 4, 2013.
SUMMARY:
PO 00000
Frm 00050
Fmt 4703
Sfmt 9990
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–
0465’’ in any correspondence.
ADDRESSES:
Title: Income Verification, VA Form
21–0161a.
OMB Control Number: 2900–0518.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 21–0161a is
completed by employers of beneficiaries
who have been identified as having
inaccurately reported their income to
VA. The data collected is used to
determine the beneficiary’s entitlement
to income dependent benefits.
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
October 22, 2012, at pages 64596–64597.
Affected Public: Business or other forprofit.
Estimated Annual Burden: 15,000
hours.
Frequency of Response: One time.
Estimated Number of Respondents: 30
minutes.
Estimated Annual Responses: 30,000.
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. 2900–0465.’’
SUPPLEMENTARY INFORMATION:
Title: Student Verification of
Enrollment, VA Form 22–8979.
OMB Control Number: 2900–0465.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 22–8979 contains
a student’s certification of actual
attendance and verification of the
student’s continued enrollment in
courses leading to a standard college
degree or in non-college degree
programs. VA uses the data collected to
determine the student’s continued
entitlement to benefits. Students are
required to submit verification on a
monthly basis to allow for a frequent,
periodic release of payment.
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
November 13, 2012, at pages 67737–
67738.
Affected Public: Individuals or
households.
Estimated Annual Burden: 42,313
hours.
Estimated Average Burden per
Respondent: 1 minute.
Frequency of Response: On occasion.
Estimated Number of Respondents:
362,684.
Estimated Number of Responses:
2,538,788.
Dated: January 25, 2013.
By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy
and Management, Office of General Counsel,
Department of Veterans Affairs.
[FR Doc. 2013–02027 Filed 1–30–13; 8:45 am]
BILLING CODE 8320–01–P
E:\FR\FM\31JAN1.SGM
31JAN1
Agencies
[Federal Register Volume 78, Number 21 (Thursday, January 31, 2013)]
[Notices]
[Pages 6851-6852]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-02028]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0335]
Agency Information Collection (Dental Record Authorization and
Invoice for Outpatient Services) Activity 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. 3501-3521), this notice announces that the Veterans Health
Administration (VHA), 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 March 4, 2013.
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. 2900-0335'' 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. 2900-0335.''
SUPPLEMENTARY INFORMATION:
Title: Dental Record Authorization and Invoice for Outpatient
Services, VA Form 10-2570d.
OMB Control Number: 2900-0335.
Type of Review: Extension of a currently approved collection.
Abstract: VA Form 10-2570d is essential to the proper
administration of VA outpatient fee dental program. The associated
instructions make it possible to communicate with clarity the required
procedures, peculiarities, and precautions associated with VA
authorizations for contracting with private dentists for the provision
of dental treatment for eligible veteran beneficiaries. Since most of
the veterans who are authorized fee dental care are geographically
inaccessible to VA dental clinics, it is necessary to request
information as to the veteran's oral condition, treatment needs and the
usual customary fees for these services from the private fee dentist
whom the veteran has selected. The form lists the dental treatment
needs of the veteran patient, the cost to VA to provide such services,
and serves as an invoice for payment. VA uses the data collected to
verify the veteran's eligibility to receive dental benefits.
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
[[Page 6852]]
soliciting comments on this collection of information was published on
November 19, 2012, on pages 69550-69551.
Affected Public: Business and other for profit.
Estimated Total Annual Burden: 3,666 hours.
Estimated Average Burden per Respondent: 20 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 11,000.
Dated: January 25, 2013.
By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy and Management, Office of
General Counsel, Department of Veterans Affairs.
[FR Doc. 2013-02028 Filed 1-30-13; 8:45 am]
BILLING CODE 8320-01-P