Agency Information Collection Activity Under OMB Review: Request for and Consent To Release of Information From Claimant's Records, 27330-27331 [2017-12274]
Download as PDF
<![CDATA[
27330
Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Notices
Veteran when the claimant is not the
Veteran’s natural mother or father or
adopted mother or father.
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 82 FR
8562 on January 26, 2017.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 800 hours.
Estimated Average Burden per
Respondent: 120 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
400.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Privacy and Records Management,
Department of Veterans Affairs.
Authority: 44 U.S.C. 3501–21.
[FR Doc. 2017–12277 Filed 6–13–17; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0028]
Agency Information Collection Activity
Under OMB Review: Request for and
Consent To Release of Information
From Claimant’s Records
Office of Information and
Technology, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
The Office of Information and
Technology (OIT), Department of
Veterans Affairs (VA), is announcing an
opportunity for public comment on the
proposed collection of certain
information used 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. This notice solicits
comments for information needed from
service organizations requesting to be
placed on VA’s mailing lists for specific
publications; to request additional
information from the correspondent to
identify a veteran; to request for and
consent to release of information from
claimant’s records to a third party; and
to determine an applicant’s eligibility to
receive a list of names and addresses of
Veterans and their dependents.
DATES: Written comments and
recommendations on the proposed
mstockstill on DSK30JT082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:36 Jun 13, 2017
Jkt 241001
collection of information should be
received on or before July 14, 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 ‘‘2900–
0028’’ 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 ‘‘2900–
0028’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Titles:
a. Application of Service
Representative for Placement on Mailing
List, VA Form 3215.
b. Request for and Consent to Release
of Information from Claimant’s Records,
VA Form 3288.
c. Request to Correspondent for
Identifying Information, VA Form Letter
70–2.
d. 38 CFR 1.519(A) Lists of Names
and Addresses.
OMB Control Number: 2900–0028.
Type of Review: Extension without
change of a currently approved
collection.
Abstract:
a. VA operates an outreach services
program to ensure Veterans and
beneficiaries have information about
benefits and services to which they may
be entitled. To support the program, VA
distributes copies of publications to
Veterans Service Organizations’
representatives to be used in rendering
services and representation of veterans,
their spouses and dependents. Service
organizations complete VA Form 3215
to request placement on a mailing list
for specific VA publications.
b. Veterans or beneficiaries complete
VA Form 3288 to provide VA with a
written consent to release his or her
records or information to third parties
such as insurance companies,
physicians and other individuals.
c. VA Form Letter 70–2 is used to
obtain additional information from a
correspondent when the incoming
correspondence does not provide
sufficient information to identify a
Veteran. VA personnel use the
information to identify the Veteran,
determine the location of a specific file,
and to accomplish the action requested
PO 00000
Frm 00107
Fmt 4703
Sfmt 4703
by the correspondent such as processing
a benefit claim or file material in the
individual’s claims folder.
d. Title 38 U.S.C. 5701(f)(1)
authorized the disclosure of names or
addresses, or both of present or former
members of the Armed Forces and/or
their beneficiaries to nonprofit
organizations (including members of
Congress) to notify Veterans of Title 38
benefits and to provide assistance to
Veterans in obtaining these benefits.
This release includes VA’s Outreach
Program for the purpose of advising
Veterans of non-VA Federal State and
local benefits and programs.
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 82 FR
61 on Friday, March 31, 2017, pages
16088–16089.
Affected Public: Individuals or
households, Not for profit institutions,
and State, local or tribal government.
Estimated Annual Burden:
a. Application of Service
Representative for Placement on Mailing
List, VA Form 3215—25 hours.
b. Request for and Consent to Release
of Information From Claimant’s
Records, VA Form 3288—18,875 hours.
c. Request to Correspondent for
Identifying Information, VA Form Letter
70–2—3,750 hours.
d. 38 CFR 1.519(A) Lists of Names
and Addresses—50 hours.
Estimated Average Burden per
Respondent:
a. Application of Service
Representative for Placement on Mailing
List, VA Form 3215—10 minutes.
b. Request for and Consent to Release
of Information From Claimant’s
Records, VA Form 3288—7.5 minutes.
c. Request to Correspondent for
Identifying Information, VA Form Letter
70–2—5 minutes.
d. 38 CFR 1.519(A) Lists of Names
and Addresses—60 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
a. Application of Service
Representative for Placement on Mailing
List, VA Form 3215—150.
b. Request for and Consent to Release
of Information From Claimant’s
Records, VA Form 3288—151,000.
c. Request to Correspondent for
Identifying Information, VA Form Letter
70–2—45,000.
d. 38 CFR 1.519(A) Lists of Names
and Addresses—50.
E:\FR\FM\14JNN1.SGM
14JNN1
Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Notices
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2017–12274 Filed 6–13–17; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0660]
Agency Information Collection Activity
Under OMB Review: Request for
Contact Information
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act (PRA) of
1995, this notice announces that the
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 and it
includes the actual data collection
instrument.
DATES: Comments must be submitted on
or before July 14, 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. 2900–0660’’ in any
correspondence.
SUMMARY:
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. 2900–0660’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:
mstockstill on DSK30JT082PROD with NOTICES
Authority: 44 U.S.C. 3501–21.
Title: Request for Contact Information
(VA Form Letter 21–30).
OMB Control Number: 2900–0660.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form Letter 21–30 is
used to locate a fiduciary, beneficiary,
claimant, or witness when a field
VerDate Sep<11>2014
17:36 Jun 13, 2017
Jkt 241001
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.
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 82 FR
35 on February 23, 2017, pages 11498
and 11499.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 1,250.
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. 2017–12278 Filed 6–13–17; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0670]
Agency Information Collection
Activity: Fiduciary Statement in
Support of Appointment
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
extension of a currently approved
collection, and allow 60 days for public
comment in response to the notice.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before August 14, 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:
SUMMARY:
PO 00000
Frm 00108
Fmt 4703
Sfmt 4703
27331
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. 2900–0670’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor at (202) 461–
5870.
Under the
PRA of 1995, 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.
SUPPLEMENTARY INFORMATION:
Authority: Public Law 104–13; 44 U.S.C.
3501–3521.
Title: Fiduciary Statement in Support
of Appointment (VA Form 21P–0792)
OMB Control Number: 2900–0670.
Type of Review: Revision of an
already approved collection.
Abstract: VA Form 21P–0792 will be
completed by individuals who are
seeking to be appointed as fiduciaries of
VA beneficiaries. The information will
be used by VA field examiners to
determine whether an individual is an
appropriate fiduciary for a VA
beneficiary and make an inquiry into his
or her credit and criminal background.
Affected Public: Individuals or
households.
Estimated Annual Burden: 10,750
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
43,000.
E:\FR\FM\14JNN1.SGM
14JNN1
]]>Agencies
[Federal Register Volume 82, Number 113 (Wednesday, June 14, 2017)]
[Notices]
[Pages 27330-27331]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-12274]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0028]
Agency Information Collection Activity Under OMB Review: Request
for and Consent To Release of Information From Claimant's Records
AGENCY: Office of Information and Technology, Department of Veterans
Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Office of Information and Technology (OIT), Department of
Veterans Affairs (VA), is announcing an opportunity for public comment
on the proposed collection of certain information used 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. This notice solicits comments for
information needed from service organizations requesting to be placed
on VA's mailing lists for specific publications; to request additional
information from the correspondent to identify a veteran; to request
for and consent to release of information from claimant's records to a
third party; and to determine an applicant's eligibility to receive a
list of names and addresses of Veterans and their dependents.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before July 14, 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 ``2900-0028'' 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 ``2900-0028'' in any
correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501-21.
Titles:
a. Application of Service Representative for Placement on Mailing
List, VA Form 3215.
b. Request for and Consent to Release of Information from
Claimant's Records, VA Form 3288.
c. Request to Correspondent for Identifying Information, VA Form
Letter 70-2.
d. 38 CFR 1.519(A) Lists of Names and Addresses.
OMB Control Number: 2900-0028.
Type of Review: Extension without change of a currently approved
collection.
Abstract:
a. VA operates an outreach services program to ensure Veterans and
beneficiaries have information about benefits and services to which
they may be entitled. To support the program, VA distributes copies of
publications to Veterans Service Organizations' representatives to be
used in rendering services and representation of veterans, their
spouses and dependents. Service organizations complete VA Form 3215 to
request placement on a mailing list for specific VA publications.
b. Veterans or beneficiaries complete VA Form 3288 to provide VA
with a written consent to release his or her records or information to
third parties such as insurance companies, physicians and other
individuals.
c. VA Form Letter 70-2 is used to obtain additional information
from a correspondent when the incoming correspondence does not provide
sufficient information to identify a Veteran. VA personnel use the
information to identify the Veteran, determine the location of a
specific file, and to accomplish the action requested by the
correspondent such as processing a benefit claim or file material in
the individual's claims folder.
d. Title 38 U.S.C. 5701(f)(1) authorized the disclosure of names or
addresses, or both of present or former members of the Armed Forces
and/or their beneficiaries to nonprofit organizations (including
members of Congress) to notify Veterans of Title 38 benefits and to
provide assistance to Veterans in obtaining these benefits. This
release includes VA's Outreach Program for the purpose of advising
Veterans of non-VA Federal State and local benefits and programs.
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 82 FR 61 on Friday, March 31, 2017, pages
16088-16089.
Affected Public: Individuals or households, Not for profit
institutions, and State, local or tribal government.
Estimated Annual Burden:
a. Application of Service Representative for Placement on Mailing
List, VA Form 3215--25 hours.
b. Request for and Consent to Release of Information From
Claimant's Records, VA Form 3288--18,875 hours.
c. Request to Correspondent for Identifying Information, VA Form
Letter 70-2--3,750 hours.
d. 38 CFR 1.519(A) Lists of Names and Addresses--50 hours.
Estimated Average Burden per Respondent:
a. Application of Service Representative for Placement on Mailing
List, VA Form 3215--10 minutes.
b. Request for and Consent to Release of Information From
Claimant's Records, VA Form 3288--7.5 minutes.
c. Request to Correspondent for Identifying Information, VA Form
Letter 70-2--5 minutes.
d. 38 CFR 1.519(A) Lists of Names and Addresses--60 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
a. Application of Service Representative for Placement on Mailing
List, VA Form 3215--150.
b. Request for and Consent to Release of Information From
Claimant's Records, VA Form 3288--151,000.
c. Request to Correspondent for Identifying Information, VA Form
Letter 70-2--45,000.
d. 38 CFR 1.519(A) Lists of Names and Addresses--50.
[[Page 27331]]
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2017-12274 Filed 6-13-17; 8:45 am]
BILLING CODE 8320-01-P
