Proposed Information Collection (Financial Status Report) Activity: Comment Request, 7529-7530 [2015-02673]

Download as PDF Federal Register / Vol. 80, No. 27 / Tuesday, February 10, 2015 / Notices 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. Dated: February 3, 2015. Jennifer Shasky Calvery, Director, Financial Crimes Enforcement Network. [FR Doc. 2015–02731 Filed 2–9–15; 8:45 am] BILLING CODE 4810–2P–P DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Information Collection; Comment Request 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)). SUMMARY: Written comments should be received on or before April 13, 2015 to be assured of consideration. ADDRESSES: Direct all written comments to Christie A. Preston, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. Please send separate comments for each specific information collection listed below. You must reference the information collection’s title, form number, reporting or record-keeping requirement number, and OMB number (if any) in your comment. FOR FURTHER INFORMATION CONTACT: To obtain additional information, or copies of the information collection and instructions, or copies of any comments received, contact Elaine Christophe, at Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224, or through the internet, at Elaine.H.Christophe@irs.gov. SUPPLEMENTARY INFORMATION: rljohnson on DSK3VPTVN1PROD with NOTICES DATES: Request for Comments The Department of the Treasury and the Internal Revenue Service, as part of their continuing effort to reduce paperwork and respondent burden, invite the general public and other VerDate Sep<11>2014 15:20 Feb 09, 2015 Jkt 235001 Federal agencies to take this opportunity to comment on the proposed or continuing information collections listed below in this notice, as required by the Paperwork Reduction Act of 1995, (44 U.S.C. 3501 et seq.). Request for Comments: Comments submitted in response to this notice will be summarized and/or included in our request for Office of Management and Budget (OMB) approval of the relevant information collection. All comments will become a matter of public record. Please do not include any confidential or inappropriate material in your comments. We invite comments on: (a) Whether the collection of information is necessary for the proper performance of the agency’s functions, including whether the information has 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 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 the requested information. Currently, the IRS is seeking comments concerning the following forms, and reporting and record-keeping requirements: Title: Distributions From an HSA, Archer MSA or Medical Advantage MSA. OMB Number: 1545–1517. Form Number: 1099–SA. Abstract: This form is used to report distributions from a medical savings account as required by Internal Revenue Code section 220(h). Current Actions: There are no changes being made to the form at this time. Type of Review: Extension of a currently approved collection. Affected Public: Business or other forprofit organizations. Estimated Number of Responses: 25,839. Estimated Time per Response: 8 min. Estimated Total Annual Burden Hours: 3,618. Title: Payment of Gift/GST Tax and/ or Application for Extension to File Form 709. OMB Number: 1545–1913. Form Number: Form 8892 Abstract: Form 8892 was created to serve a dual purpose. First, the form enables the taxpayers to request an extension of time to file Form 709 when they are not filing an individual income tax extension. Second, it serves as a PO 00000 Frm 00128 Fmt 4703 Sfmt 4703 7529 payment voucher for taxpayers who are filing an individual income tax extension (by Form 4868) and will have a gift tax balance due on Form 709. Current Actions: There are no changes being made to the form at this time. Type of Review: Extension of a currently approved collection. Affected Public: Individuals or households. Estimated Number of Respondents: 10,000. Estimated Time per Respondent: 43 mins. Estimated Total Annual Burden Hours: 7,200. 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. Approved: February 3, 2015. Christie A. Preston, IRS Reports Clearance Officer. [FR Doc. 2015–02639 Filed 2–9–15; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0165] Proposed Information Collection (Financial Status Report) Activity: Comment Request Office of Management, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Office of Management (OM), 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 revision of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to determine a claimant’s financial status. SUMMARY: E:\FR\FM\10FEN1.SGM 10FEN1 7530 Federal Register / Vol. 80, No. 27 / Tuesday, February 10, 2015 / Notices Written comments and recommendations on the proposed collection of information should be received on or before April 13, 2015. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Dawn M. Eggers, VA Debt Management Center, Bishop Henry Whipple Federal Building, P.O. Box 11930, St. Paul, MN 55111–0930 or email to: dawn.eggers@ va.gov. Please refer to ‘‘OMB Control No. 2900–0165’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Dawn M. Eggers at (612) 713–6361 or FAX (612) 970–5687. 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, OM invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of OM’s functions, including whether the information will have practical utility; (2) the accuracy of OM’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: Financial Status Report, VA Form 5655. OMB Control Number: 2900–0165. Type of Review: Revision of a currently approved collection. Abstract: Claimants complete VA Form 5655 to report their financial status. VA uses the data collected to determine the claimant’s eligibility for a waiver of collection, setup a payment plan or for the acceptance of a compromise offer on their VA benefit debt. Affected Public: Individuals or households. Estimated Annual Burden: 95,570 hours. Estimated Average Burden per Respondent: 1 hour. Frequency of Response: Annually. Estimated Number of Respondents: 95,570. rljohnson on DSK3VPTVN1PROD with NOTICES DATES: VerDate Sep<11>2014 15:20 Feb 09, 2015 Jkt 235001 Dated: February 5, 2015. By direction of the Secretary. Crystal Rennie, Department Clearance Officer, Department of Veterans Affairs. [FR Doc. 2015–02673 Filed 2–9–15; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0826] Proposed Information Collection (Intent To File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC) Activity: 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 revision of a currently approved collection, and allow 60 days for public comment in response to the notice. VA Form 21–0966 will be used by claimants and/or their authorized representatives to indicate an intent to file a claim for compensation and/or pension, or survivors pension and/or DIC, to establish an effective date for an award granted in association with a complete claim filed within 1 year of such form. DATES: Written comments and recommendations on the proposed collection of information should be received on or before April 13, 2015. 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. 2900–0826’’ in any correspondence. During the comment period, comments may be viewed online through the 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. SUMMARY: PO 00000 Frm 00129 Fmt 4703 Sfmt 9990 3501–21), 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: Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21–0966). OMB Control Number: 2900–0826. Type of Review: Revision of a currently approved collection. Abstract: VA Form 21–0966 will be used by claimants and/or their authorized representatives to indicate intent to file a claim for compensation and/or disability benefits to establish an effective date for an award granted in association with a complete claim filed within 1 year of such form. VA will use this form to identify claimants in its internal business operational systems to record the date of receipt of this document for the purposes of establishing a date of claim for a complete claim that is filed within 1 year. VA also uses the information to furnish the claimant with the appropriate VA form or application for VA benefits. Affected Public: Individuals or households. Estimated Annual Burden: 181,140. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One time. Estimated Number of Respondents: 724,561. Dated: February 5, 2015. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, Department of Veterans Affairs. [FR Doc. 2015–02677 Filed 2–9–15; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\10FEN1.SGM 10FEN1

Agencies

[Federal Register Volume 80, Number 27 (Tuesday, February 10, 2015)]
[Notices]
[Pages 7529-7530]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-02673]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0165]


Proposed Information Collection (Financial Status Report) 
Activity: Comment Request

AGENCY: Office of Management, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: The Office of Management (OM), 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 revision of a currently approved 
collection, and allow 60 days for public comment in response to the 
notice. This notice solicits comments on information needed to 
determine a claimant's financial status.

[[Page 7530]]


DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before April 13, 2015.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Dawn M. Eggers, VA Debt Management Center, Bishop Henry Whipple 
Federal Building, P.O. Box 11930, St. Paul, MN 55111-0930 or email to: 
dawn.eggers@va.gov. Please refer to ``OMB Control No. 2900-0165'' in 
any correspondence. During the comment period, comments may be viewed 
online through FDMS.

FOR FURTHER INFORMATION CONTACT: Dawn M. Eggers at (612) 713-6361 or 
FAX (612) 970-5687.

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, OM invites 
comments on: (1) Whether the proposed collection of information is 
necessary for the proper performance of OM's functions, including 
whether the information will have practical utility; (2) the accuracy 
of OM'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: Financial Status Report, VA Form 5655.
    OMB Control Number: 2900-0165.
    Type of Review: Revision of a currently approved collection.
    Abstract: Claimants complete VA Form 5655 to report their financial 
status. VA uses the data collected to determine the claimant's 
eligibility for a waiver of collection, setup a payment plan or for the 
acceptance of a compromise offer on their VA benefit debt.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 95,570 hours.
    Estimated Average Burden per Respondent: 1 hour.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 95,570.

    Dated: February 5, 2015.

    By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2015-02673 Filed 2-9-15; 8:45 am]
BILLING CODE 8320-01-P
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.