Agency Information Collection Activity Under OMB Review: (Supportive Services for Veteran Families (SSVF) Program Application for Supportive Services Grant), 8972-8973 [2017-02078]

Download as PDF sradovich on DSK3GMQ082PROD with NOTICES 8972 Federal Register / Vol. 82, No. 20 / Wednesday, February 1, 2017 / Notices 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: 1. Enrollment Application for VA Health Care—VA Form 10–10EZ. 2. Application for Renewal of Health Care Benefits—VA Form 10–10EZR. 3. Request for Hardship Determination—VA Form 10–10HS. OMB Control Number: 2900–0091. Type of Review: Revision of a currently approved collection. Abstracts: a. VA Form 10–10EZ collects information only from new applicants for VA medical care, nursing home, domiciliary, dental benefits, and new enrollees in the VA health care system. b. VA Form 10–10EZR, Health Benefits Renewal Form, is used to collect data from those veterans who wish to update their application data. c. VA Form 10–10HS collects information only from veterans who are in a copay required status for hospital care and medical services, but due to a loss of income project their income for the current year will be substantially below the VA means test limits. Affected Public: Individuals or households. Estimated Annual Burden: a. Enrollment Application for VA Health Care—VA Form 10–10EZ— 270,000 hours. b. Application for Renewal of Health Care Benefits—VA Form 10–10EZR— 343,600 hours. c. Request for Hardship Determination—VA Form 10–10HS— 1,750 hours. Estimated Average Burden per Respondent: a. Enrollment Application for VA Health Care—VA Form 10–10EZ—30 minutes. b. Application for Renewal of Health Care Benefits—VA Form 10–10EZR—24 minutes. c. Request for Hardship Determination—VA Form 10–10HS—15 minutes. Frequency of Response: Annually. VerDate Sep<11>2014 16:23 Jan 31, 2017 Jkt 241001 Estimated Annual Responses: a. Enrollment Application for VA Health Care—VA Form 10–10EZ— 540,000. b. Application for Renewal of Health Care Benefits—VA Form 10–10EZR— 859,000. c. Request for Hardship Determination—VA Form 10–10HS— 7,000. By direction of the Secretary. Cynthia Harvey-Pryor, Agency Clearance Officer, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2017–02138 Filed 1–31–17; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0757] Agency Information Collection Activity Under OMB Review: (Supportive Services for Veteran Families (SSVF) Program Application for Supportive Services Grant) 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. SUMMARY: Comments must be submitted on or before March 3, 2017. 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. 2900–0757’’ in any correspondence. DATES: FOR FURTHER INFORMATION CONTACT: Brian McCarthy, Office of Regulatory and Administrative Affairs (10B4) Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461–6345 or email PO 00000 Frm 00064 Fmt 4703 Sfmt 4703 brian.mccarthy4@va.gov. Please refer to ‘‘OMB Control No. 2900–0757, Proposed Information Collection (Supportive Services for Veteran Families (SSVF) Program) Application For Supportive Services Grant). 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. The 60-day Federal Register Notice published on Monday, November 28, 2016, Vol. 81, Pages 85693–85694. Title: Supportive Services for Veteran Families (SSVF) Program. a. Application for Supportive Services Grants VA Form 10–10072. b. Participant Satisfaction Survey, VA Form 10–10072a. c. Quarterly Grantee Performance Report, VA Form 10–10072b. d. Renewal Application. VA Form 10– 10072c. e. Applicant Budget Template Excel Worksheet. f. FY16 Financial Report. g. Grantee Certification. OMB Control Number: 2900–0757 (Supportive Services for Veteran Families (SSVF) Program). Type of Review: Revision. Abstract: The purpose of the Supportive Services for Veteran Families (SSVF) Program is to provide supportive services grants to private non-profit organizations and consumer cooperatives who will coordinate or provide supportive services to very lowincome veteran families who are residing in permanent housing, are homeless and scheduled to become residents of permanent housing within a specified time period, or after exiting permanent housing, are seeking other housing that is responsive to such very low-income veteran family’s needs and preferences. E:\FR\FM\01FEN1.SGM 01FEN1 Federal Register / Vol. 82, No. 20 / Wednesday, February 1, 2017 / Notices sradovich on DSK3GMQ082PROD with NOTICES 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. Affected Public: Individuals or households. VerDate Sep<11>2014 16:23 Jan 31, 2017 Jkt 241001 Estimated Annual Burden: 25,505 hours. Estimated Average Burden per Respondent: 62.5 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 12,270. PO 00000 Frm 00065 Fmt 4703 Sfmt 9990 8973 By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2017–02078 Filed 1–31–17; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\01FEN1.SGM 01FEN1

Agencies

[Federal Register Volume 82, Number 20 (Wednesday, February 1, 2017)]
[Notices]
[Pages 8972-8973]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-02078]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0757]


Agency Information Collection Activity Under OMB Review: 
(Supportive Services for Veteran Families (SSVF) Program Application 
for Supportive Services Grant)

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: Comments must be submitted on or before March 3, 2017.

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-
0757'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Brian McCarthy, Office of Regulatory 
and Administrative Affairs (10B4) Department of Veterans Affairs, 810 
Vermont Avenue NW., Washington, DC 20420, (202) 461-6345 or email 
brian.mccarthy4@va.gov. Please refer to ``OMB Control No. 2900-0757, 
Proposed Information Collection (Supportive Services for Veteran 
Families (SSVF) Program) Application For Supportive Services Grant).

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. The 60-day Federal Register Notice published on 
Monday, November 28, 2016, Vol. 81, Pages 85693-85694.
    Title: Supportive Services for Veteran Families (SSVF) Program.
    a. Application for Supportive Services Grants VA Form 10-10072.
    b. Participant Satisfaction Survey, VA Form 10-10072a.
    c. Quarterly Grantee Performance Report, VA Form 10-10072b.
    d. Renewal Application. VA Form 10-10072c.
    e. Applicant Budget Template Excel Worksheet.
    f. FY16 Financial Report.
    g. Grantee Certification.
    OMB Control Number: 2900-0757 (Supportive Services for Veteran 
Families (SSVF) Program).
    Type of Review: Revision.
    Abstract: The purpose of the Supportive Services for Veteran 
Families (SSVF) Program is to provide supportive services grants to 
private non-profit organizations and consumer cooperatives who will 
coordinate or provide supportive services to very low-income veteran 
families who are residing in permanent housing, are homeless and 
scheduled to become residents of permanent housing within a specified 
time period, or after exiting permanent housing, are seeking other 
housing that is responsive to such very low-income veteran family's 
needs and preferences.

[[Page 8973]]

    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.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 25,505 hours.
    Estimated Average Burden per Respondent: 62.5 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 12,270.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-02078 Filed 1-31-17; 8:45 am]
 BILLING CODE 8320-01-P