Agency Information Collection Activity Under OMB Review: Alternate Signer Certification, 53572 [2019-21703]

Download as PDF 53572 Federal Register / Vol. 84, No. 194 / Monday, October 7, 2019 / Notices [OMB Control No. 2900–0849] Agency Information Collection Activity Under OMB Review: Alternate Signer Certification 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 Veterans Benefits Administration, 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 November 6, 2019. SUMMARY: VerDate Sep<11>2014 18:29 Oct 04, 2019 Jkt 250001 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. 2900–0849’’ in any correspondence. ADDRESSES: DEPARTMENT OF VETERANS AFFAIRS FOR FURTHER INFORMATION CONTACT: Danny S. Green, (202) 421–1354 or email Danny.Green2@va.gov. Please refer to ‘‘OMB Control No. 2900–0849’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–21. Title: Alternate Signer Certification (VA Form 21–0972). OMB Control Number: 2900–0849. Type of Review: Extension of a currently approved collection. Abstract: The VA Form 21–0972 is used to collect the alternate signer information necessary for VA to accept benefit application forms signed by the individuals on behalf of veterans and PO 00000 Frm 00175 Fmt 4703 Sfmt 9990 claimants. The information collected will be used to contact the alternate signer for verification purposes. 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 84 FR 118, on June 19, 2019, page 28627. Affected Public: Individuals and 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. Danny S. Green, VA Interim Clearance Officer, Office of Quality, Performance and Risk Department of Veterans Affairs. [FR Doc. 2019–21703 Filed 10–4–19; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\07OCN1.SGM 07OCN1

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[Federal Register Volume 84, Number 194 (Monday, October 7, 2019)]
[Notices]
[Page 53572]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-21703]



[[Page 53572]]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0849]


Agency Information Collection Activity Under OMB Review: 
Alternate Signer Certification

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, 
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 November 6, 2019.

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 
[email protected]. Please refer to ``OMB Control No. 2900-
0849'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Danny S. Green, (202) 421-1354 or 
email [email protected]. Please refer to ``OMB Control No. 2900-
0849'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-21.
    Title: Alternate Signer Certification (VA Form 21-0972).
    OMB Control Number: 2900-0849.
    Type of Review: Extension of a currently approved collection.
    Abstract: The VA Form 21-0972 is used to collect the alternate 
signer information necessary for VA to accept benefit application forms 
signed by the individuals on behalf of veterans and claimants. The 
information collected will be used to contact the alternate signer for 
verification purposes.
    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 84 FR 118, 
on June 19, 2019, page 28627.
    Affected Public: Individuals and 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.
Danny S. Green,
VA Interim Clearance Officer, Office of Quality, Performance and Risk 
Department of Veterans Affairs.
[FR Doc. 2019-21703 Filed 10-4-19; 8:45 am]
BILLING CODE 8320-01-P