Agency Information Collection Activity Under OMB Review: Request for Nursing Home Information in Connection With Claim for Aid and Attendance, 6021 [2020-01941]

Download as PDF Federal Register / Vol. 85, No. 22 / Monday, February 3, 2020 / Notices of automated collection techniques or the use of other forms of information technology. Authority: Public Law 104–13; 44 U.S.C. 3501–3521. Title: Financial Status Report. OMB Control Number: 2900–0165. Type of Review: Reinstatement of a previously OMB approved collection. Abstract: Claimants complete VA Form 5655 to report their financial status. VA uses the data collected to determine the claimant’s eligibility for a waiver of collection, setup a payment plan or for the acceptance of a compromise offer on their VA benefit debt. Affected Public: Individuals and households. Estimated Annual Burden: 116,151 hours. Estimated Average Burden per Respondent: 1 hour. Frequency of Response: Annual. Estimated Number of Respondents: 116,151. By direction of the Secretary. Danny S. Green, Department Clearance Officer, Office of Quality, Performance and Risk, Department of Veterans Affairs. [FR Doc. 2020–01913 Filed 1–31–20; 8:45 am] lotter on DSKBCFDHB2PROD with NOTICES BILLING CODE 8320–01–P VerDate Sep<11>2014 16:47 Jan 31, 2020 Jkt 250001 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0652] Agency Information Collection Activity Under OMB Review: Request for Nursing Home Information in Connection With Claim for Aid and Attendance 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 March 4, 2020. 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. 2900–0652’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Danny S. Green, Enterprise Records Service (005R1B), Department of Veterans Affairs, 811 Vermont Avenue NW, Washington, DC 20420, (202) 421– 1354 or email danny.green2@va.gov. SUMMARY: PO 00000 Frm 00095 Fmt 4703 Sfmt 9990 6021 Please refer to ‘‘OMB Control No. 2900– 0652’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–21. Title: Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21– 0779). OMB Control Number: 2900–0652. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–0779 is used to gather the necessary information to determine eligibility for pension and aid and attendance benefits based on nursing home status. The form also requests information regarding Medicaid status and nursing home care charges, so VA can determine the proper rate of payment. 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 234 on December 5, 2019 pages 66707 and 66708. Affected Public: Individuals or Households. Estimated Annual Burden: 10,188 hours. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: One time. Estimated Number of Respondents: 61,125. By direction of the Secretary. Danny S. Green, VA Clearance Officer, Office of Quality, Performance and Risk (OQPR), Department of Veterans Affairs. [FR Doc. 2020–01941 Filed 1–31–20; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\03FEN1.SGM 03FEN1

Agencies

[Federal Register Volume 85, Number 22 (Monday, February 3, 2020)]
[Notices]
[Page 6021]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-01941]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0652]


Agency Information Collection Activity Under OMB Review: Request 
for Nursing Home Information in Connection With Claim for Aid and 
Attendance

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 March 4, 2020.

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-
0652'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Danny S. Green, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 811 Vermont Avenue 
NW, Washington, DC 20420, (202) 421-1354 or email [email protected]. 
Please refer to ``OMB Control No. 2900-0652'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-21.
    Title: Request for Nursing Home Information in Connection with 
Claim for Aid and Attendance (VA Form 21-0779).
    OMB Control Number: 2900-0652.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-0779 is used to gather the necessary 
information to determine eligibility for pension and aid and attendance 
benefits based on nursing home status. The form also requests 
information regarding Medicaid status and nursing home care charges, so 
VA can determine the proper rate of payment.
    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 234 on December 5, 2019 pages 66707 
and 66708.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 10,188 hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 61,125.

    By direction of the Secretary.
Danny S. Green,
VA Clearance Officer, Office of Quality, Performance and Risk (OQPR), 
Department of Veterans Affairs.
[FR Doc. 2020-01941 Filed 1-31-20; 8:45 am]
 BILLING CODE 8320-01-P