Agency Information Collection (Medical Expense Report, VA Form 21P-8416) Activity Under OMB Review, 60415-60416 [2016-21032]

Download as PDF Federal Register / Vol. 81, No. 170 / Thursday, September 1, 2016 / Notices claimant’s first step in the appeal process. The respondent may or may not continue with an appeal to the Board of Veterans Appeals (BVA). If the claimant opts to continue to BVA for an appeal, this form will be included in the claim folder as evidence. VA will provide VA Form 21P–0970 to the claimant with the notification letter of the decision in paper form or via hyperlink to VA’s Web site. The use of VA Form 21P–0970 will be mandatory when claimants initiate an appeal of a decision on a pension, DIC, burial, or accrued claims for benefits. Currently, VBA does not have a mandatory form which would enable the claimant to initiate an appeal of a decision made regarding entitlement to pension, DIC, burial, or accrued benefits. As a result, claimants may provide their notice of disagreement in any format. The variety of submissions hampers efforts to identify, and process timely, the claimant’s appeal. With the implementation of this collection, the submissions will be standardized, increasing efficiency. 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 81 FR 12033 on May 23, 2016. Affected Public: Individuals or households. Estimated Annual Burden: 6,000 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 12,000 respondents. By direction of the Secretary. Cynthia Harvey-Pryor, Program Specialist, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2016–21035 Filed 8–31–16; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS asabaliauskas on DSK3SPTVN1PROD with NOTICES [OMB Control No. 2900–0784] Proposed Information Collection (NCA Pre-Need Determination of Eligibility for Burial) Activity: Comment Request National Cemetery Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: VerDate Sep<11>2014 17:14 Aug 31, 2016 Jkt 238001 The National Cemetery Administration (NCA), 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 revised collection, and allow 30 days for public comment in response to the notice. PRA submission describes the nature of the information collection and its expected cost and burden; it includes the actual data collection instrument. This notice solicits comments on information needed to determine a claimant’s eligibility in advance of need for burial at a National Cemetery. DATES: Written comments and recommendations on the proposed collection of information should be received on or before October 3, 2016. 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. 2900–0784’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB Control No. 2900–0784.’’ 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, NCA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of NCA’s functions, including whether the information will have practical utility; (2) the accuracy of NCA’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 SUMMARY: PO 00000 Frm 00078 Fmt 4703 Sfmt 4703 60415 of automated collection techniques or the use of other forms of information technology. Title: Application for Pre-Need Determination of Eligibility for Burial in a VA National Cemetery, VA Form 40– 10007. OMB Control Number: 2900–0784. Type of Review: Revision of an approved collection. Abstract: VA Form 40–10007 will be used to collect information from Veterans and their family members seeking a determination of eligibility for burial in a VA National Cemetery in advance of need. Such decisions are consistent with VA’s plan to streamline access to VA benefits and to assist Veterans’ families in better planning for their end of life matters. The Federal Register Notice with a 60-day comment period soliciting comments on this collection of information was published at 81FR 29330 on May 11, 2016. Affected Public: Individuals or households. Estimated Annual Burden: 12,000 hours. Estimated Average Burden per Respondent: 20 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 36,000. By direction of the Secretary. Cynthia Harvey-Pryor, Program Specialist, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2016–21066 Filed 8–31–16; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0161] Agency Information Collection (Medical Expense Report, VA Form 21P–8416) 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. SUMMARY: E:\FR\FM\01SEN1.SGM 01SEN1 60416 Federal Register / Vol. 81, No. 170 / Thursday, September 1, 2016 / Notices Comments must be submitted on or before October 3, 2016. 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. 2900–0161’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB Control No. 2900–0161.’’ SUPPLEMENTARY INFORMATION: Title: Medical Expense Report. OMB Control Number: 2900–0161. Type of Review: Revision of a Currently Approved Collection. Abstract: The Department of Veterans Affairs (VA), through its Veterans Benefits Administration (VBA), administers an integrated program of benefits and services established by law for veterans, service personnel, and their dependents and/or beneficiaries. Information is requested on VA Form 21P–8416 under the authority of 38 U.S.C. 1503(a)(8) regarding exceptions to countable income for needs-based benefits, specifically an amount equal to amounts paid by a claimant or beneficiary for unreimbursed medical expenses. VA Form 21P–8416 is used by claimants and beneficiaries to report unreimbursed medical expenses for the purpose of reducing their countable income associated with needs-based benefit programs such as VA Pension and Parents’ Dependency and Indemnity Compensation (DIC). Unreimbursed medical expenses are deducted from otherwise countable income to determine eligibility for income-based benefits and the rate payable. 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 period soliciting asabaliauskas on DSK3SPTVN1PROD with NOTICES DATES: VerDate Sep<11>2014 17:14 Aug 31, 2016 Jkt 238001 comments on this collection of information was published at 81 FR 32387 on May 23, 2016. Affected Public: Individuals or households. Estimated Annual Burden: 48,200 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 96,400 respondents. By direction of the Secretary. Cynthia Harvey-Pryor, Program Specialist, Office of Privacy & Records Management, Department of Veterans Affairs. [FR Doc. 2016–21032 Filed 8–31–16; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0797] Agency Information Collection (Principles of Excellence Complaint System Intake) 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 October 3, 2016. 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 SUMMARY: PO 00000 Frm 00079 Fmt 4703 Sfmt 9990 Control No. 2900–0797’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632–7492 or email Cynthia.Harvey-Pryor@va.gov . Please refer to ‘‘OMB Control No. 2900–0797.’’ SUPPLEMENTARY INFORMATION: Title: Principles of Excellence Complaint System. OMB Control Number: 2900–0797. Type of Review: Extension of an approved collection. Abstract: Executive Order 13607, Establishing Principles of Excellence for Educational Institutions Serving Service Members, Veterans, Spouses, and Other Family Members, requires the establishment of a centralized complaint system for students receiving Federal military and veteran educational benefits. The purpose of the complaint system is to provide a standardized method to submit a complaint against an educational institution alleging fraudulent and unduly aggressive recruiting techniques, misrepresentation, payment of incentive compensation, failure to meet state authorization requirements, or failure to adhere to the Principles of Excellence as outlined in the Executive Order. 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 81 FR12031 on May 23, 2016. Affected Public: Individuals or households. Estimated Annual Burden: 375 hours. Estimated Average Burden Per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 1,500 respondents. By direction of the Secretary. Cynthia Harvey-Pryor, Program Specialist, Office of Privacy & Records Management, Department of Veterans Affairs. [FR Doc. 2016–21034 Filed 8–31–16; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\01SEN1.SGM 01SEN1

Agencies

[Federal Register Volume 81, Number 170 (Thursday, September 1, 2016)]
[Notices]
[Pages 60415-60416]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-21032]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0161]


Agency Information Collection (Medical Expense Report, VA Form 
21P-8416) Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: 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.

[[Page 60416]]


DATES: Comments must be submitted on or before October 3, 2016.

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-
0161'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
cynthia.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900-
0161.''

SUPPLEMENTARY INFORMATION:
    Title: Medical Expense Report.
    OMB Control Number: 2900-0161.
    Type of Review: Revision of a Currently Approved Collection.
    Abstract: The Department of Veterans Affairs (VA), through its 
Veterans Benefits Administration (VBA), administers an integrated 
program of benefits and services established by law for veterans, 
service personnel, and their dependents and/or beneficiaries. 
Information is requested on VA Form 21P-8416 under the authority of 38 
U.S.C. 1503(a)(8) regarding exceptions to countable income for needs-
based benefits, specifically an amount equal to amounts paid by a 
claimant or beneficiary for unreimbursed medical expenses.
    VA Form 21P-8416 is used by claimants and beneficiaries to report 
unreimbursed medical expenses for the purpose of reducing their 
countable income associated with needs-based benefit programs such as 
VA Pension and Parents' Dependency and Indemnity Compensation (DIC). 
Unreimbursed medical expenses are deducted from otherwise countable 
income to determine eligibility for income-based benefits and the rate 
payable.
    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 period soliciting comments on this collection of information was 
published at 81 FR 32387 on May 23, 2016.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 48,200 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 96,400 respondents.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy & Records Management, Department 
of Veterans Affairs.
[FR Doc. 2016-21032 Filed 8-31-16; 8:45 am]
BILLING CODE 8320-01-P