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 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]


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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