Proposed Information Collection (VA Forms 21P-4706b, 21-4706c, 21-4718a) Activity: Comment Request, 46107-46108 [2015-18923]

Download as PDF Federal Register / Vol. 80, No. 148 / Monday, August 3, 2015 / Notices Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 50,000. By direction of the Secretary. Kathleen M. Manwell, Program Analyst, VA Privacy Service, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2015–18927 Filed 7–31–15; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–NEW] Proposed Information Collection: From War to Home: Improving PatientCentered Care and Promoting Empathy for ‘‘Operation Enduring Freedom’’ and ‘‘Operation Iraqi Freedom’’ (OEF/OIF) Veterans in the Veterans Health Administration Patient Aligned Care Team Demo Lab VISN 4 Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: Under OMB Review. The Veterans Health Administration (VHA), 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 new collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on the information needed to evaluate the project aims to enhance PACT implementation by evaluating the effects of the VA PACT initiative and by test new, innovative strategies for patient care that can be spread if proven effective. DATES: Written comments and recommendations on the proposed collection of information should be received on or before September 2, 2015. ACTIVITY: mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: 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@ ADDRESSES: VerDate Sep<11>2014 18:35 Jul 31, 2015 Jkt 235001 omb.eop.gov. Please refer to ‘‘OMB Control No. 2900—NEW (Audience Feedback Questionnaire—PACT Demo Lab VISN 4)’’ 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– NEW (Audience Feedback Questionnaire—PACT Demo Lab VISN 4)’’ 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 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. Titles: From War to Home: Improving Patient-Centered Care and Promoting Empathy for OEF/OIF Veterans in the VHA—PACT Demo Lab VISN 4, VA Form 10–10130. OMB Control Number: 2900—NEW. Type of Review: New data collection. Abstract: This project is being conducted under the auspices of the VISN 4 Demonstration Lab, which was funded by Patient Care Services to assess the Patient Aligned Care Team (PACT) model of care for Veterans. There is considerable interest in and urgency to implement the PACT model—reflecting both a desire to improve health care for Veterans and to sustain the VA’s leadership in health care quality. CEPACT aims to contribute to these goals by evaluating the effects of the VA PACT initiative and by testing new, innovative strategies for patient care that can be spread if proven effective. PO 00000 Frm 00176 Fmt 4703 Sfmt 4703 46107 Affected Public: Individuals or households. Estimated Annual Burden: 83 burden hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 1000. 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 at 80 FR 4336, January 27, 2015. By direction of the Secretary. Kathleen M. Manwell, Program Analyst, VA Privacy Service, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2015–18921 Filed 7–31–15; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0017] Proposed Information Collection (VA Forms 21P–4706b, 21–4706c, 21– 4718a) 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 with extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information provided by VA federal fiduciaries management of beneficiary funds. SUMMARY: Written comments and recommendations on the proposed collection of information should be received on or before October 2, 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 DATES: E:\FR\FM\03AUN1.SGM 03AUN1 mstockstill on DSK4VPTVN1PROD with NOTICES 46108 Federal Register / Vol. 80, No. 148 / Monday, August 3, 2015 / Notices 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. 2900–0017’’ 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. 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: (a) VA Fiduciary’s Account (VA Form 21P–4706b), (b) Court Appointed Fiduciary’s Account (VA Form 21P–4706c), and (c) Certificate of Balance on Deposit and Authorization to Disclose Financial Records (VA Form 21–4718a). OMB Control Number: 2900–0017. Type of Review: Extension of a currently approved collection and minor changes. Abstract: VA maintains supervision of the distribution and use of VA benefits paid to fiduciaries on behalf of VA claimants who are incompetent, a minor, or under legal disability. The forms are used to verify beneficiaries’ deposit remaining at a financial institution against a fiduciary’s accounting. The following forms will be used to ensure claimants’ benefits payments are administered properly. (a) VA Forms 21P–4706b and 4706c are used by estate to determine proper usage of benefits paid to fiduciaries. The 21P–4706b are both necessary to conform to requirement of various State courts. (b) VA Form 21–4718a—Fiduciaries are required to obtain certifications that VerDate Sep<11>2014 18:35 Jul 31, 2015 Jkt 235001 the balances remaining on deposit in financial institutions as shown on accountings are correct. Certifying official at a financial institution completing the form must affix the institution’s official seal or stamp. The data collected is used to appoint an appropriate fiduciary for a VA beneficiary and to prevent fiduciaries from supplying false certification, embezzling funds, and possibly prevent and/or identify fraud, waste and abuse of government funds paid to fiduciaries on behalf of VA beneficiaries. Affected Public: Individuals or households. Estimated Annual Burden: 17,850. (a) 21P–4706b: 12,600. (b) 21P–4706c: 3,500. (c) 21–4718a: 1,750. Estimated Average Burden per Respondent: (a) 21P–4706b: 27 minutes. (b) 21P–4706c: 30 minutes. (c) 21–4718: 3 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 35,000. By direction of the Secretary. Kathleen M. Manwell, Program Analyst, VA Privacy Service, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2015–18923 Filed 7–31–15; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0386] Agency Information Collection (Interest Rate Reduction Refinancing Loan Worksheet) 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 September 2, 2015. ADDRESSES: Submit written comments on the collection of information through SUMMARY: PO 00000 Frm 00177 Fmt 4703 Sfmt 9990 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. 2900–0386’’ 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– 0386.’’ SUPPLEMENTARY INFORMATION: Title: Interest Rate Reduction Refinancing Loan Worksheet, VA Form 26–8923. OMB Control Number: 2900–0386. Type of Review: Revision of a currently approved collection. Abstract: Lenders are required to complete VA Form 26–8923, Interest Rate Reduction Refinancing Loan Worksheet, on all interest rate reduction refinancing loans and submit the form in the loan file when selected by VA for quality review. The subject form ensures that lenders correctly compute the funding fee and the maximum permissible loan amount for interest rate reduction refinancing loans. 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 at 80 FR 2482 on January 16, 2015. Affected Public: Private Sector. Estimated Annual Burden: 23,333 hours. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: Once per year. Estimated Number of Respondents: 140,000. By direction of the Secretary. Kathleen M. Manwell VA Privacy Service, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2015–18931 Filed 7–31–15; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\03AUN1.SGM 03AUN1

Agencies

[Federal Register Volume 80, Number 148 (Monday, August 3, 2015)]
[Notices]
[Pages 46107-46108]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-18923]


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

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0017]


Proposed Information Collection (VA Forms 21P-4706b, 21-4706c, 
21-4718a) Activity: 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 revision 
with extension of a currently approved collection, and allow 60 days 
for public comment in response to the notice. This notice solicits 
comments on information provided by VA federal fiduciaries management 
of beneficiary funds.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before October 2, 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

[[Page 46108]]

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. 2900-0017'' 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. 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: (a) VA Fiduciary's Account (VA Form 21P-4706b),
    (b) Court Appointed Fiduciary's Account (VA Form 21P-4706c), and
    (c) Certificate of Balance on Deposit and Authorization to Disclose 
Financial Records (VA Form 21-4718a).
    OMB Control Number: 2900-0017.
    Type of Review: Extension of a currently approved collection and 
minor changes.
    Abstract: VA maintains supervision of the distribution and use of 
VA benefits paid to fiduciaries on behalf of VA claimants who are 
incompetent, a minor, or under legal disability. The forms are used to 
verify beneficiaries' deposit remaining at a financial institution 
against a fiduciary's accounting. The following forms will be used to 
ensure claimants' benefits payments are administered properly.
    (a) VA Forms 21P-4706b and 4706c are used by estate to determine 
proper usage of benefits paid to fiduciaries. The 21P-4706b are both 
necessary to conform to requirement of various State courts.
    (b) VA Form 21-4718a--Fiduciaries are required to obtain 
certifications that the balances remaining on deposit in financial 
institutions as shown on accountings are correct. Certifying official 
at a financial institution completing the form must affix the 
institution's official seal or stamp. The data collected is used to 
appoint an appropriate fiduciary for a VA beneficiary and to prevent 
fiduciaries from supplying false certification, embezzling funds, and 
possibly prevent and/or identify fraud, waste and abuse of government 
funds paid to fiduciaries on behalf of VA beneficiaries.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 17,850.
    (a) 21P-4706b: 12,600.
    (b) 21P-4706c: 3,500.
    (c) 21-4718a: 1,750.
    Estimated Average Burden per Respondent:
    (a) 21P-4706b: 27 minutes.
    (b) 21P-4706c: 30 minutes.
    (c) 21-4718: 3 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 35,000.

    By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records 
Management, Department of Veterans Affairs.
[FR Doc. 2015-18923 Filed 7-31-15; 8:45 am]
BILLING CODE 8320-01-P
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