Agency Information Collection Activity: (Application and Renewal for Health Benefits and Request for Hardship Determination), 8971-8972 [2017-02138]

Download as PDF Federal Register / Vol. 82, No. 20 / Wednesday, February 1, 2017 / Notices sradovich on DSK3GMQ082PROD with NOTICES the two-year period; and (4) the requirements at 49 CFR 1105.7(c) (environmental report), 49 CFR 1105.11 (transmittal letter), 49 CFR 1105.12 (newspaper publication), and 49 CFR 1152.50(d)(1) (notice to governmental agencies) have been met. As a condition to these exemptions, any employee adversely affected by the abandonment or discontinuance shall be protected under Oregon Short Line Railroad—Abandonment Portion Goshen Branch Between Firth & Ammon, in Bingham & Bonneville Counties, Idaho, 360 I.C.C. 91 (1979). To address whether this condition adequately protects affected employees, a petition for partial revocation under 49 U.S.C. 10502(d) must be filed. Provided no formal expression of intent to file an offer of financial assistance (OFA) has been received, these exemptions will be effective on March 3, 2017, unless stayed pending reconsideration. Petitions to stay that do not involve environmental issues,1 formal expressions of intent to file an OFA under 49 CFR 1152.27(c)(2),2 and trail use/rail banking requests under 49 CFR 1152.29 must be filed by February 13, 2017. Petitions to reopen or requests for public use conditions under 49 CFR 1152.28 must be filed by February 21, 2017, with the Surface Transportation Board, 395 E Street SW., Washington, DC 20423–0001. A copy of any petition filed with the Board should be sent to applicants’ representative: Robert B. Burns, Pan Am Railways, Iron Horse Park, North Billerica, MA 01862. If the verified notice contains false or misleading information, the exemptions are void ab initio. Applicants have filed a combined environmental and historic report that addresses the effects, if any, of the abandonment and discontinuance on the environment and historic resources. OEA will issue an environmental assessment (EA) by February 6, 2017. Interested persons may obtain a copy of the EA by writing to OEA (Room 1100, Surface Transportation Board, Washington, DC 20423–0001) or by calling OEA at (202) 245–0305. Assistance for the hearing impaired is 1 The Board will grant a stay if an informed decision on environmental issues (whether raised by a party or by the Board’s Office of Environmental Analysis (OEA) in its independent investigation) cannot be made before the exemption’s effective date. See Exemption of Out-of-Serv. Rail Lines, 5 I.C.C.2d 377 (1989). Any request for a stay should be filed as soon as possible so that the Board may take appropriate action before the exemption’s effective date. 2 Each OFA must be accompanied by the filing fee, which is currently set at $1,700. See 49 CFR 1002.2(f)(25). VerDate Sep<11>2014 16:23 Jan 31, 2017 Jkt 241001 available through the Federal Information Relay Service (FIRS) at 1– 800–877–8339. Comments on environmental and historic preservation matters must be filed within 15 days after the EA becomes available to the public. Environmental, historic preservation, public use, or trail use/rail banking conditions will be imposed, where appropriate, in a subsequent decision. Pursuant to the provisions of 49 CFR 1152.29(e)(2), B&M shall file a notice of consummation with the Board to signify that it has exercised the authority granted and fully abandoned the Line. If consummation has not been effected by B&M’s filing of a notice of consummation by February 1, 2018, and there are no legal or regulatory barriers to consummation, the authority to abandon will automatically expire. Board decisions and notices are available on our Web site at ‘‘WWW.STB.GOV.’’ Decided: January 27, 2017. By the Board, Rachel D. Campbell, Director, Office of Proceedings. Raina S. Contee, Clearance Clerk. [FR Doc. 2017–02115 Filed 1–31–17; 8:45 am] BILLING CODE 4915–01–P DEPARTMENT OF THE TREASURY United States Mint United States Mint, Department of the Treasury. AGENCY: ACTION: Notice. The United States Mint is announcing pricing changes for some 2017 United States Mint Numismatic Products, in accordance with the list below: SUMMARY: • United States Mint Proof Set®— $26.95 • United States Mint Silver Proof Set®—$47.95 • United States Mint Uncirculated Set®—$20.95 FOR FURTHER INFORMATION CONTACT: Katrina McDow, Marketing Specialist, Numismatic and Bullion Directorate; United States Mint; 801 9th Street NW.; Washington, DC 20220; or call 202–354– 8495. Authority: 31 U.S.C. 5111, 5112, 5132 & 9701. PO 00000 Frm 00063 Fmt 4703 Dated: January 25, 2017. David Motl, Acting Deputy Director, United States Mint. [FR Doc. 2017–02126 Filed 1–31–17; 8:45 am] BILLING CODE P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0091] Agency Information Collection Activity: (Application and Renewal for Health Benefits and Request for Hardship Determination) Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Veterans Health Administration (VHA) 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 identify areas for improvement in clinical training programs. SUMMARY: Written comments and recommendations on the proposed collection of information should be received on or before April 3, 2017. ADDRESSES: Submit written comments on the collection of information through the Federal Docket Management System (FDMS) at www.Regulations.gov; or to Brian McCarthy, Office of Regulatory and Administrative Affairs, Veterans Health Administration (10B4), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email: Brian.McCarthy4@va.gov. Please refer to ‘‘OMB Control No. 2900–0091’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 461–6345. SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 3501–3521), Federal agencies must obtain approval from 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. DATES: Pricing Changes for 2017 United States Mint Numismatic Products Sfmt 4703 8971 E:\FR\FM\01FEN1.SGM 01FEN1 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

Agencies

[Federal Register Volume 82, Number 20 (Wednesday, February 1, 2017)]
[Notices]
[Pages 8971-8972]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-02138]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0091]


Agency Information Collection Activity: (Application and Renewal 
for Health Benefits and Request for Hardship Determination)

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: The Veterans Health Administration (VHA) 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 identify areas for improvement in 
clinical training programs.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before April 3, 2017.

ADDRESSES: Submit written comments on the collection of information 
through the Federal Docket Management System (FDMS) at 
www.Regulations.gov; or to Brian McCarthy, Office of Regulatory and 
Administrative Affairs, Veterans Health Administration (10B4), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email: Brian.McCarthy4@va.gov. Please refer to ``OMB Control 
No. 2900-0091'' in any correspondence. During the comment period, 
comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 461-6345.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-3521), Federal agencies must obtain approval from 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.

[[Page 8972]]

    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.
    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