Agency Information Collection Activity Under OMB Review: Authorization To Disclose Personal Information to a Third Party (Insurance), 20688 [2017-08931]

Download as PDF 20688 Federal Register / Vol. 82, No. 84 / Wednesday, May 3, 2017 / Notices 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. 2900–0500’’ in any correspondence. Authority: 44 U.S.C. 3501–21. Title: Mandatory Status of Dependents (VA Form 21–0538). OMB Control Number: 2900–0500. Type of Review: Revision of a currently approved collection. Abstract: VA Form 21–0538 is used to request certification of the status of dependents for whom additional compensation is being paid to veterans. Without this information, continued entitlement to the benefits for dependents could not be determined. 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 Volume 82 FR 13 on January 23, 2017, pages 7917 and 7918. Affected Public: Individuals or Households. Estimated Annual Burden: 14,083. Estimated Average Burden Per Respondent: 10 minutes. Frequency of Response: One time. Estimated Number of Respondents: 84,500. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Enterprise Records Service, Office of Quality and Compliance, Department of Veterans Affairs. nlaroche on DSK30NT082PROD with NOTICES BILLING CODE 8320–01–P VerDate Sep<11>2014 14:29 May 02, 2017 Jkt 241001 [OMB Control No. 2900–NEW] Agency Information Collection Activity Under OMB Review: Authorization To Disclose Personal Information to a Third Party (Insurance) Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: SUPPLEMENTARY INFORMATION: [FR Doc. 2017–08930 Filed 5–2–17; 8:45 am] DEPARTMENT OF VETERANS AFFAIRS In compliance with the Paperwork Reduction Act (PRA) of 1995, 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 June 2, 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–NEW’’ 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–NEW.’’ SUMMARY: PO 00000 Frm 00130 Fmt 4703 Sfmt 9990 SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–3521. Title: Authorization to Disclose Personal Information to a Third Party (Insurance). OMB Control Number: 2900–NEW. Type of Review: New collection. Abstract: VA Form 29–0975 will be used by the Department of Veterans Affairs Insurance Center (VAIC) to enable a third party to act on behalf of the insured Veteran/beneficiary. Many of our customers are of advanced age or suffer from limiting disabilities and need assistance from a third party to conduct their affairs. The information collected provides an optional service and is not required to receive insurance benefits. 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 Volume 82 FR on page 6729, January 19, 2017. Affected Public: Individuals or households. Estimated Annual Burden: 100 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 1200. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Enterprise Records Service, Office of Quality and Compliance, Department of Veterans Affairs. [FR Doc. 2017–08931 Filed 5–2–17; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\03MYN1.SGM 03MYN1

Agencies

[Federal Register Volume 82, Number 84 (Wednesday, May 3, 2017)]
[Notices]
[Page 20688]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-08931]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Agency Information Collection Activity Under OMB Review: 
Authorization To Disclose Personal Information to a Third Party 
(Insurance)

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 
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 June 2, 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-
NEW'' 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-
NEW.''

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-3521.
    Title: Authorization to Disclose Personal Information to a Third 
Party (Insurance).
    OMB Control Number: 2900-NEW.
    Type of Review: New collection.
    Abstract: VA Form 29-0975 will be used by the Department of 
Veterans Affairs Insurance Center (VAIC) to enable a third party to act 
on behalf of the insured Veteran/beneficiary. Many of our customers are 
of advanced age or suffer from limiting disabilities and need 
assistance from a third party to conduct their affairs. The information 
collected provides an optional service and is not required to receive 
insurance benefits.
    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 Volume 82 FR on page 6729, January 19, 
2017.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 100 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 1200.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise Records Service, Office of 
Quality and Compliance, Department of Veterans Affairs.
[FR Doc. 2017-08931 Filed 5-2-17; 8:45 am]
 BILLING CODE 8320-01-P
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