Agency Information Collection (Living Will and Durable Power of Attorney for Health Care) Activities Under OMB Review, 32609-32610 [2014-13075]

Download as PDF Federal Register / Vol. 79, No. 108 / Thursday, June 5, 2014 / Notices 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– 0038.’’ SUPPLEMENTARY INFORMATION: Title: Information from Remarried Widow(er), VA Form 21–4103. OMB Control Number: 2900–0038. Type of Review: Revision of a currently approved collection. Abstract: VA Form 21–4103 is used to collect data necessary to determine whether a child or children of a deceased Veteran who served during a wartime period are eligible to receive death pension benefits when the surviving spouse’s entitlement to death pension is permanently discontinued when he or she remarries. 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 December 17, 2013, at page 76412. Affected Public: Individuals or households. Estimated Annual Burden: 334 hours. Estimated Average Burden per Respondent: 20 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 1,000. Dated: June 2, 2014. By direction of the Secretary. Crystal Rennie, Department Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–13067 Filed 6–4–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0771 (Insurance Surveys)] Agency Information Collection (Insurance Surveys) Activities 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 rmajette on DSK2TPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 14:59 Jun 04, 2014 Jkt 232001 nature of the information collection and its expected cost and burden and it includes the actual data collection instrument. Comments must be submitted on or before July 7, 2014. DATES: 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. 2900–0771’’ 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 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– 0771.’’ SUPPLEMENTARY INFORMATION: Titles: Insurance Surveys. OMB Control Number: 2900–0771. Type of Review: Revision of a Currently Approved Collection. Abstract: VBA administers integrated programs of benefits and services, established by law for veterans and their survivors, and service personnel. Executive Order 12862, Setting Customer Service Standards, requires Federal agencies and departments to identify and survey its customers to determine the kind and quality of services they want and their level of satisfaction with existing service. Customer satisfaction surveys are used to gauge customer perceptions of VA services as well as customer expectations and desires. 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 29, 2013, at page 71726. Affected Public: Individuals or Households. Estimated Annual Burden: 550 Hours. Estimated Average Burden Per Respondent: 6 minutes. Frequency of Response: Once. Estimated Number of Respondents: 5,499. Dated: June 2, 2014. PO 00000 Frm 00082 Fmt 4703 Sfmt 4703 32609 By direction of the Secretary. Crystal Rennie, Department Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–13072 Filed 6–4–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0556] Agency Information Collection (Living Will and Durable Power of Attorney for Health Care) 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. 3501–3521), 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: Written comments and recommendations on the proposed collection of information should be received on or before July 7, 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. 2900–0556 (Living Will and Durable Power of Attorney for Health Care)’’ in any correspondence. During the comment period, comments may be viewed online through the FDMS. 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– 0556 (Living Will and Durable Power of Attorney for Health Care)’’ in any correspondence. 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 SUMMARY: E:\FR\FM\05JNN1.SGM 05JNN1 32610 Federal Register / Vol. 79, No. 108 / Thursday, June 5, 2014 / Notices rmajette on DSK2TPTVN1PROD with NOTICES 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, VHA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VHA’s functions, including whether the information will have practical utility; (2) the accuracy of VHA’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 VerDate Mar<15>2010 14:59 Jun 04, 2014 Jkt 232001 the use of other forms of information technology. Title: VA Advance Directive: Living Will and Durable Power of Attorney for Health Care, VA Form 10–0137 OMB Control Number: 2900–0556. Type of Review: Revision of a currently approved collection. Abstract: A claimant admitted to a VA medical facility completes VA Form 10– 0137 to appoint a health care agent to make decisions about the claimant’s medical treatment, and to record specific instructions about the claimant’s treatment preferences in the event the claimant no longer can express their preferred treatment. VA’s health care professionals use the data collected to carry out the claimant’s wish. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information PO 00000 Frm 00083 Fmt 4703 Sfmt 9990 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 January 17, 2014, at page 3272. Affected Public: Individuals or households. Estimated Annual Burden: 171,811 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One time. Estimated Number of Respondents: 343,622. Dated: June 2, 2014. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. [FR Doc. 2014–13075 Filed 6–4–14; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\05JNN1.SGM 05JNN1

Agencies

[Federal Register Volume 79, Number 108 (Thursday, June 5, 2014)]
[Notices]
[Pages 32609-32610]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-13075]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0556]


Agency Information Collection (Living Will and Durable Power of 
Attorney for Health Care) 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. 3501-3521), 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: Written comments and recommendations on the proposed collection 
of information should be received on or before July 7, 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-
0556 (Living Will and Durable Power of Attorney for Health Care)'' in 
any correspondence. During the comment period, comments may be viewed 
online through the FDMS.

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. 2900-0556 
(Living Will and Durable Power of Attorney for Health Care)'' in any 
correspondence.

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

[[Page 32610]]

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, VHA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VHA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VHA'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: VA Advance Directive: Living Will and Durable Power of 
Attorney for Health Care, VA Form 10-0137
    OMB Control Number: 2900-0556.
    Type of Review: Revision of a currently approved collection.
    Abstract: A claimant admitted to a VA medical facility completes VA 
Form 10-0137 to appoint a health care agent to make decisions about the 
claimant's medical treatment, and to record specific instructions about 
the claimant's treatment preferences in the event the claimant no 
longer can express their preferred treatment. VA's health care 
professionals use the data collected to carry out the claimant's wish.
    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 January 17, 2014, at page 3272.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 171,811 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 343,622.

    Dated: June 2, 2014.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2014-13075 Filed 6-4-14; 8:45 am]
BILLING CODE 8320-01-P
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