Agency Information Collection Activity: Request for Contact Information (VA Form Letter 21-30), 11498-11499 [2017-03471]

Download as PDF 11498 Federal Register / Vol. 82, No. 35 / Thursday, February 23, 2017 / Notices be summarized and/or included in the request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have 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 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. Approved: February 14, 2017. R. Joseph Durbala, IRS, Tax Analyst. [FR Doc. 2017–03550 Filed 2–22–17; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0079] Agency Information Collection Activity (Employment Questionnaire (VA Form 21–4140 and VA Form 21–4140–1)) 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 Forms 21–4140 and 21–4140–1 are to be used to gather the necessary information to determine continued entitlement to individual unemployability for veterans who are unable to secure or follow a substantially gainful occupation as a result of his or her service-connected disabilities. Additionally, per 38 CFR 3.901, veterans must knowingly submit false information in order for it to be considered fraud. Therefore, VA rmajette on DSK2TPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 14:10 Feb 22, 2017 Jkt 241001 requires veterans who are receiving individual unemployability benefits to certify that they are still unemployed or are marginally employed. The form will be completed annually by all recipients of individual unemployability who are under age 60. DATES: Written comments and recommendations on the proposed collection of information should be received on or before April 24, 2017. 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. 2900–0079’’ 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: (Employment Questionnaire (VA Form 21–4140 and VA Form 21– 4140–1)). OMB Control Number: 2900–0079. Type of Review: Revision of an approved collection. Abstract: VA Forms 21–4140 and 21– 4140–1 are to be used to gather the necessary information to determine continued entitlement to individual unemployability for veterans who are unable to secure or follow a substantially gainful occupation as a result of his or her service-connected PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 disabilities. Additionally, per 38 CFR 3.901, veterans must knowingly submit false information in order for it to be considered fraud. Therefore, VA requires veterans who are receiving individual unemployability benefits to certify that they are still unemployed or are marginally employed. The form will be completed annually by all recipients of individual unemployability who are under age 60. Affected Public: Individuals or households. Estimated Annual Burden: 10,833. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: One time. Estimated Number of Respondents: 130,000. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2017–03470 Filed 2–22–17; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0660] Agency Information Collection Activity: Request for Contact Information (VA Form Letter 21–30) 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 Letter 21–30 is used to locate a fiduciary, beneficiary, claimant, or witness when a field examination is necessary in order to gather information that is needed to maintain program integrity. SUMMARY: Written comments and recommendations on the proposed collection of information should be received on or before April 24, 2017. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System DATES: E:\FR\FM\23FEN1.SGM 23FEN1 Federal Register / Vol. 82, No. 35 / Thursday, February 23, 2017 / Notices rmajette on DSK2TPTVN1PROD with NOTICES (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. 2900–0660’’ 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 VerDate Sep<11>2014 14:10 Feb 22, 2017 Jkt 241001 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: Request for Contact Information (VA Form Letter 21–30). OMB Control Number: 2900–0660. Type of Review: Revision of an approved collection. Abstract: VA Form Letter 21–30 is used to locate a fiduciary, beneficiary, claimant, or witness when a field PO 00000 Frm 00074 Fmt 4703 Sfmt 9990 11499 examination is necessary in order to gather information that is needed to maintain program integrity. Without this information, continued entitlement to the benefits could not be determined. Affected Public: Individuals or households. Estimated Annual Burden: 1,250 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One time. Estimated Number of Respondents: 5,000. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2017–03471 Filed 2–22–17; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\23FEN1.SGM 23FEN1

Agencies

[Federal Register Volume 82, Number 35 (Thursday, February 23, 2017)]
[Notices]
[Pages 11498-11499]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-03471]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0660]


Agency Information Collection Activity: Request for Contact 
Information (VA Form Letter 21-30)

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 of 
a currently approved collection, and allow 60 days for public comment 
in response to the notice.
    VA Form Letter 21-30 is used to locate a fiduciary, beneficiary, 
claimant, or witness when a field examination is necessary in order to 
gather information that is needed to maintain program integrity.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before April 24, 2017.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System

[[Page 11499]]

(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. 2900-0660'' 
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: Request for Contact Information (VA Form Letter 21-30).
    OMB Control Number: 2900-0660.
    Type of Review: Revision of an approved collection.
    Abstract: VA Form Letter 21-30 is used to locate a fiduciary, 
beneficiary, claimant, or witness when a field examination is necessary 
in order to gather information that is needed to maintain program 
integrity. Without this information, continued entitlement to the 
benefits could not be determined.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,250 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 5,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-03471 Filed 2-22-17; 8:45 am]
BILLING CODE 8320-01-P
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