Agency Information Collection (Application for CHAMPVA Benefits) Activities Under OMB Review, 50143-50144 [2013-19914]

Download as PDF Federal Register / Vol. 78, No. 159 / Friday, August 16, 2013 / Notices information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information. Approved: July 18, 2013. Allan M. Hopkins, Tax Analyst. [FR Doc. 2013–19982 Filed 8–15–13; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Announcement 2004–38 Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. AGENCY: The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104–13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Announcement 2004–38 (as modified by Notice 2006–105), Election of Alternative Deficit Reduction Contribution. SUMMARY: Written comments should be received on or before October 15, 2013 to be assured of consideration. ADDRESSES: Direct all written comments to Yvette Lawrence, Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the announcement should be directed to Allan Hopkins, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224, or through the Internet at Allan.M.Hopkins@irs.gov. SUPPLEMENTARY INFORMATION: Title: Election of Alternative Deficit Reduction Contribution. OMB Number: 1545–1883. emcdonald on DSK67QTVN1PROD with NOTICES DATES: VerDate Mar<15>2010 19:06 Aug 15, 2013 Jkt 229001 Announcement Number: Announcement 2004–38. Abstract: Announcement 2004–38 describes the election that must be made in order for certain employers to take advantage of the alternative deficit reduction contribution described in section 102 of H.R. 3108. Announcement 2004–38 was modified by Notice 2006–105 (2006–50 I.R.B. 1093), on December 11, 2006. Current Actions: There are no changes being made to the announcement at this time. Type of Review: Extension of a currently approved collection. Affected Public: Business or other forprofit organizations, and Not-for-profit institutions. Estimated Number of Respondents: 200. Estimated Time per Respondent: 4 hours. Estimated Total Annual Burden Hours: 800. The following paragraph applies to all of the collections of information covered by this notice: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection of information displays a valid OMB control number. Books or records relating to a collection of information must be retained as long as their contents may become material in the administration of any internal revenue law. Generally, tax returns and tax return information are confidential, as required by 26 U.S.C. 6103. Request for Comments: Comments submitted in response to this notice will be summarized and/or included in the request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information. PO 00000 Frm 00122 Fmt 4703 Sfmt 4703 50143 Approved: August 13, 2013. Allan Hopkins, Tax Analyst. [FR Doc. 2013–19984 Filed 8–15–13; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0219] Agency Information Collection (Application for CHAMPVA Benefits) 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 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 September 16, 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– 0219’’ 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 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– 0219.’’ SUPPLEMENTARY INFORMATION: Titles: a. Application for CHAMPVA Benefits, VA Form 10–10d. b. CHAMPVA Claim Form, VA Form 10–7959a. c. CHAMPVA Other Health Insurance (OHI) Certification, VA Form 10–7959c. d. CHAMPVA Potential Liability Claim, VA Form 10–7959d. e. Claim for Miscellaneous Expenses, VA Form 10–7959e. OMB Control Number: 2900–0219. Type of Review: Revision of a currently approved collection. SUMMARY: E:\FR\FM\16AUN1.SGM 16AUN1 50144 Federal Register / Vol. 78, No. 159 / Friday, August 16, 2013 / Notices Abstracts: a. VA Form 10–10d is used to determine eligibility of persons applying for healthcare benefits under the CHAMPVA program. b. VA Form 10–7959a is used to adjudicate claims for CHAMPVA benefits in accordance with 30 U.S.C. 501 and 1781, and 10 U.S.C. 1079 and 1086. c. VA Form 10–7959c is used to systematically obtain other health insurance information and to correctly coordinate benefits among all liable parties. d. VA Form 10–7959d form provides basic information from which potential liability can be assessed. e. Beneficiaries complete VA Form 10–7959e to carry out health care programs for certain children of Korea and/or Vietnam Veterans authorized under 38, U.S.C., chapter 18, as amended by section 401, Public Law 106–419 and section 102, Public Law 108–183. Affected Public: Individuals or households. Estimated Annual Burden: a. VA Form 10–10d—5,294 hours. b. VA Form 10–7959a—22,402 hours. c. VA Form 10–7959c—6,728 hours. d. VA Form 10–7959d—467 hours. e. VA Form 10–7959e—1500 hours. Estimated Average Burden Per Respondent: a. VA Form 10–10d—12 minutes. b. VA Form 10–7959a—6 minutes. c. VA Form 10–7959c—5 minutes. d. VA Form 10–7959d—7 minutes. e. VA Form 10–7959e—30 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. VA Form 10–10d—26,468. b. VA Form 10–7959a—224,018. c. VA Form 10–7959c—80,733. d. VA Form 10–7959d—4,000. e. VA Form 10–7959e—3,000. Dated: August 13, 2013. Subcommittee emcdonald on DSK67QTVN1PROD with NOTICES The addresses of the meeting sites are: Department of Education, 400 Maryland Avenue SW., Washington, DC 20202. VA Central Office, 131 M Street NE., Washington, DC 20002. (* Teleconference) VHA National Conference Center, 2011 Crystal Drive, Arlington, VA 22202. The purpose of the Board is to review rehabilitation research and development applications and advise the Director, Rehabilitation Research and Development Service, and the Chief Research and Development Officer on the scientific and technical merit, the mission relevance, and the protection of human and animal subjects. The subcommittee meetings will be open to the public for approximately one-half hour at the start of each meeting to cover administrative matters and to discuss the general status of the program. The remaining portion of each subcommittee meeting will be closed to the public for the discussion, examination, reference to, and oral review of the research applications and critiques. During the closed potion of each subcommittee meeting, discussion 19:06 Aug 15, 2013 Jkt 229001 [FR Doc. 2013–19914 Filed 8–15–13; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meetings The Department of Veterans Affairs (VA) gives notice under the Federal Advisory Committee Act, 5 U.S.C. App. 2, that the subcommittees of the Rehabilitation Research and Development Service Scientific Merit Review Board will meet from 8 a.m. to 5 p.m. on the dates indicated below: Date(s) Career Development Award Program ....................... Musculoskeletal/Orthopedic Rehabilitation ................ Psychological Health and Social Reintegration ......... Regenerative Medicine .............................................. Sensory Systems/Communication ............................. Aging and Neurodegenerative Disease .................... Career Development Award Program ....................... Spinal Cord Injury ...................................................... Research Career Scientists ....................................... Rehabilitation Engineering and Prosthetics/Orthotics Brain Injury: TBI and Stroke ...................................... VerDate Mar<15>2010 By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. August August August August August August August August August August August Location 6, 2013 .......................................................... 6–7, 2013 ...................................................... 6–7, 2013 ...................................................... 7, 2013 .......................................................... 7, 2013 .......................................................... 8, 2013 .......................................................... 8, 2013 .......................................................... 8, 2013 .......................................................... 10, 2013 ........................................................ 13, 2013 ........................................................ 14–15, 2013 .................................................. and recommendations will include qualifications of the personnel conducting the studies (the disclosure of which would constitute a clearly unwarranted invasion of personal privacy), as well as research information (the premature disclosure of which would likely compromise significantly the implementation of proposed agency action regarding such research projects). As provided by subsection 10(d) of Public Law 92–463, as amended by Public Law 94–409, closing the meeting is in accordance with 5 U.S.C. 552b(c)(6) and (9)(B). No oral comments will be accepted from the public for either portion of the meetings. Those who plan to attend the open portion of a subcommittee meeting should contact Tiffany Asqueri, Designated Federal Officer, Rehabilitation Research and Development Service, at Department of Veterans Affairs (10P9R), 810 Vermont Avenue NW., Washington, DC 20420, or email tiffany.asqueri@va.gov. Written comments may be submitted to Ms. Benton-Grover at the same address and PO 00000 Frm 00123 Fmt 4703 Sfmt 4703 VHA National Conference VHA National Conference VHA National Conference Department of Education. VHA National Conference VHA National Conference VHA National Conference * VA Central Office. * VA Central Office. Department of Education. Department of Education. Center. Center. Center. Center. Center. Center. email. For further information, please call Mrs. Asqueri at (202) 443–5757. Dated: August 12, 2013. By Direction of the Secretary. Vivian Drake, Committee Management Officer. [FR Doc. 2013–19912 Filed 8–15–13; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS Health Services Research and Development Service, Scientific Merit Review Board; Notice of Meeting The Department of Veterans Affairs (VA) gives notice under the Federal Advisory Committee Act, 5 U.S.C. App. 2, that the Health Services Research and Development Service (HSR&D) Scientific Merit Review Board will conduct in-person and teleconference meetings of its seven Health Services Research (HSR) subcommittees from 8:00 a.m. to approximately 5:00 p.m. on the dates and at the locations indicated below: E:\FR\FM\16AUN1.SGM 16AUN1

Agencies

[Federal Register Volume 78, Number 159 (Friday, August 16, 2013)]
[Notices]
[Pages 50143-50144]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-19914]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0219]


Agency Information Collection (Application for CHAMPVA Benefits) 
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 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 September 16, 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. 2900-0219'' 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 or email 
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-0219.''

SUPPLEMENTARY INFORMATION: 
    Titles:
    a. Application for CHAMPVA Benefits, VA Form 10-10d.
    b. CHAMPVA Claim Form, VA Form 10-7959a.
    c. CHAMPVA Other Health Insurance (OHI) Certification, VA Form 10-
7959c.
    d. CHAMPVA Potential Liability Claim, VA Form 10-7959d.
    e. Claim for Miscellaneous Expenses, VA Form 10-7959e.
    OMB Control Number: 2900-0219.
    Type of Review: Revision of a currently approved collection.

[[Page 50144]]

    Abstracts:
    a. VA Form 10-10d is used to determine eligibility of persons 
applying for healthcare benefits under the CHAMPVA program.
    b. VA Form 10-7959a is used to adjudicate claims for CHAMPVA 
benefits in accordance with 30 U.S.C. 501 and 1781, and 10 U.S.C. 1079 
and 1086.
    c. VA Form 10-7959c is used to systematically obtain other health 
insurance information and to correctly coordinate benefits among all 
liable parties.
    d. VA Form 10-7959d form provides basic information from which 
potential liability can be assessed.
    e. Beneficiaries complete VA Form 10-7959e to carry out health care 
programs for certain children of Korea and/or Vietnam Veterans 
authorized under 38, U.S.C., chapter 18, as amended by section 401, 
Public Law 106-419 and section 102, Public Law 108-183.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. VA Form 10-10d--5,294 hours.
    b. VA Form 10-7959a--22,402 hours.
    c. VA Form 10-7959c--6,728 hours.
    d. VA Form 10-7959d--467 hours.
    e. VA Form 10-7959e--1500 hours.
    Estimated Average Burden Per Respondent:
    a. VA Form 10-10d--12 minutes.
    b. VA Form 10-7959a--6 minutes.
    c. VA Form 10-7959c--5 minutes.
    d. VA Form 10-7959d--7 minutes.
    e. VA Form 10-7959e--30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. VA Form 10-10d--26,468.
    b. VA Form 10-7959a--224,018.
    c. VA Form 10-7959c--80,733.
    d. VA Form 10-7959d--4,000.
    e. VA Form 10-7959e--3,000.

    Dated: August 13, 2013.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2013-19914 Filed 8-15-13; 8:45 am]
BILLING CODE 8320-01-P