Proposed Information Collection (Medical Expense Report); Comment Request, 2754-2755 [2014-00616]

Download as PDF 2754 Federal Register / Vol. 79, No. 10 / Wednesday, January 15, 2014 / Notices (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 the use of other forms of information technology. Title: Veterans Mortgage Life Insurance—Change of Address Statement, VA Form 29–0563. OMB Control Number: 2900–0503. Type of Review: Extension without change of a currently approved collection. Abstract: The data collected on VA Form 29–0563 will be used to inquire about a veteran’s continued ownership of property issued under Veterans Mortgage Life Insurance when an address change for the veteran is received. VA uses the data collected to determine whether continued Veterans Mortgage Life Insurance coverage is applicable since the law granting this insurance provides that coverage terminates if the veteran no longer owns the property. Affected Public: Individuals or households. Estimated Annual Burden: 20 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 240. Dated: January 10, 2014. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–00610 Filed 1–14–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0761] Agency Information Collection (Health Eligibility Center (HEC) Activities Under OMB Review Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. wreier-aviles on DSK5TPTVN1PROD with NOTICES 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 SUMMARY: VerDate Mar<15>2010 14:04 Jan 14, 2014 Jkt 232001 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. Comments must be submitted on or before February 14, 2014. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0761’’ in any correspondence. DATES: 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– 0761.’’ SUPPLEMENTARY INFORMATION: Titles: a. Health Eligibility Center (HEC) Correspondence Satisfaction Letter, FL 10–491. b. Customer Modality Satisfaction Survey, VA Form 10–0151. OMB Control Number: 2900–0761. Type of Review: Revision of a currently approved collection Abstract: The HEC goal is to respond to Veterans correspondence, addressing their concerns in a concise and understandable manner. The correspondence letter will allow Veterans an opportunity to provide anonymous feedback on how well the HEC addressed their concerns. HEC will use Veterans feedback to improve the correspondence process. The Customer Modality Survey will be used to focus on how VA employees assess the needs of Veterans and outline internal processes to improve services prior to Veterans receiving care such as preregistration support and claim processing. 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 September 16, 2013, at pages 57001– 57002. Affected Public: Individuals and households. PO 00000 Frm 00123 Fmt 4703 Sfmt 4703 Estimated Annual Burden: a. VA FL 10–0151—11,551 hours. b. VA Form 10–491—83,677 hours. Estimated Average Burden per Respondent: a. VA FL 10–0151—4.2 minutes. b. VA Form 10–491—23 minutes. Frequency of Response: a. VA FL 10–0151—1.53 annual. b. VA Form 10–491—1.9 annual. Estimated Number of Respondents: a. VA FL 10–0151—107,851. b. VA Form 10–491—114,889. Total Annual Responses: a. VA FL 10–0151–165,012. b. VA Form 10–491—218,289. Dated: January 10, 2014. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–00587 Filed 1–14–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0161] Proposed Information Collection (Medical Expense Report); Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 without change of a currently approved collection and allow 60 days for public comment in response to the notice. This notice solicits comments on the information needed to report medical expenses paid in connection with claims for pension and other income-based benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before March 17, 2014. ADDRESSES: Submit written comments on the collection of information through 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 SUMMARY: E:\FR\FM\15JAN1.SGM 15JAN1 wreier-aviles on DSK5TPTVN1PROD with NOTICES Federal Register / Vol. 79, No. 10 / Wednesday, January 15, 2014 / Notices NW., Washington, DC 20420 or email to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0161’’ in any correspondence. During the comment period, comments may be viewed online through 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 the use of other forms of information technology. Title: Medical Expense Report, VA Form 21–8416. OMB Control Number: 2900–0161. Type of Review: Extension without change of a currently approved collection. Abstract: VA Form 21–8416 is completed by claimants in receipt of or claiming income-based benefits to report medical expenses paid. Unreimbursed medical expenses may be excluded as countable income in determining a claimant’s entitlement to income-based benefits and the rate payable. Affected Public: Individuals or households. Estimated Annual Burden: 96,400 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: On ocassion. Estimated Number of Respondents: 48,200. Dated: January 10, 2014. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–00616 Filed 1–14–14; 8:45 am] BILLING CODE 8320–01–P VerDate Mar<15>2010 14:04 Jan 14, 2014 Jkt 232001 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0115] Proposed Information Collection (Supporting Statement Regarding Marriage); Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 for information needed to determine eligibility for benefits based on a common law marriage. DATES: Written comments and recommendations on the proposed collection of information should be received on or before March 17, 2014. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0115’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632–8924 or FAX (202) 632–8925. SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Public Law 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 SUMMARY: PO 00000 Frm 00124 Fmt 4703 Sfmt 4703 2755 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 the use of other forms of information technology. Title: Supporting Statement Regarding Marriage, VA Form 21–4171. OMB Control Number: 2900–0115. Type of Review: Extension of a currently approved collection. Abstract: The data collected on VA Form 21–4171 is used to determine a claimant’s eligibility for benefits based on a common law marital relationship. Benefits cannot be pay unless the marital relationship between the claimant and the veteran is established. Affected Public: Individuals or households. Estimated Annual Burden: 800 hours. Estimated Average Burden per Respondent: 20 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 2,400. Dated: January 10, 2014. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–00604 Filed 1–14–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0501] Proposed Information Collection (Veterans Mortgage Life Insurance Inquiry); Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 without change of a currently approved collection, and allow 60 days for public comment in response to this notice. This notice solicits comments for information needed to maintain SUMMARY: E:\FR\FM\15JAN1.SGM 15JAN1

Agencies

[Federal Register Volume 79, Number 10 (Wednesday, January 15, 2014)]
[Notices]
[Pages 2754-2755]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-00616]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0161]


Proposed Information Collection (Medical Expense Report); Comment 
Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: 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 
without change of a currently approved collection and allow 60 days for 
public comment in response to the notice. This notice solicits comments 
on the information needed to report medical expenses paid in connection 
with claims for pension and other income-based benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before March 17, 2014.

ADDRESSES: Submit written comments on the collection of information 
through 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

[[Page 2755]]

NW., Washington, DC 20420 or email to nancy.kessinger@va.gov. Please 
refer to ``OMB Control No. 2900-0161'' in any correspondence. During 
the comment period, comments may be viewed online through 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 the use of other forms of 
information technology.
    Title: Medical Expense Report, VA Form 21-8416.
    OMB Control Number: 2900-0161.
    Type of Review: Extension without change of a currently approved 
collection.
    Abstract: VA Form 21-8416 is completed by claimants in receipt of 
or claiming income-based benefits to report medical expenses paid. 
Unreimbursed medical expenses may be excluded as countable income in 
determining a claimant's entitlement to income-based benefits and the 
rate payable.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 96,400 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: On ocassion.
    Estimated Number of Respondents: 48,200.

    Dated: January 10, 2014.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-00616 Filed 1-14-14; 8:45 am]
BILLING CODE 8320-01-P