Agency Information Collection Activity Under OMB Review: VA Advance Directive: Durable Power of Attorney for Health Care and Living Will, 9424-9425 [2021-02853]

Download as PDF 9424 Federal Register / Vol. 86, No. 28 / Friday, February 12, 2021 / Notices personal information provided. Please see the Privacy Act heading below. Docket: For access to the docket to read background documents or comments received, go to https:// www.regulations.gov, and follow the online instructions for accessing the dockets, or go to the street address listed above. Privacy Act: In accordance with 5 U.S.C. 553(c), DOT solicits comments from the public to better inform its rulemaking process. DOT posts these comments, without edit, including any personal information the commenter provides, to www.regulations.gov, as described in the system of records notice (DOT/ALL–14 FDMS), which can be reviewed at www.dot.gov/privacy. Public Participation: The Federal eRulemaking Portal is available 24 hours each day, 365 days each year. You can obtain electronic submission and retrieval help and guidelines under the ‘‘help’’ section of the Federal eRulemaking Portal website. If you want us to notify you that we received your comments, please include a selfaddressed, stamped envelope or postcard, or print the acknowledgement page that appears after submitting comments online. Comments received after the comment closing date will be included in the docket and will be considered to the extent practicable. FOR FURTHER INFORMATION CONTACT: Ms. Dora Tambo-Gonzales, Office of Registration, Licensing and Insurance Division, Department of Transportation, Federal Motor Carrier Safety Administration, West Building 6th Floor, 1200 New Jersey Avenue SE, Washington, DC 20590. Telephone: 202–366–2577; email: dora.tambo.gonzales@dot.gov. SUPPLEMENTARY INFORMATION: Background: Title 49 U.S.C. 13902(c) contains basic licensing procedures for registering foreign (Mexico-based) motor carriers to operate across the U.S.Mexico international border into the United States. 49 CFR pt. 368 contains the regulations that require foreign (Mexico-based) motor carriers to apply to the FMCSA for a Certificate of Registration to provide interstate transportation in municipalities in the United States on the U.S.-Mexico international border or within the commercial zones of such municipalities as defined in 49 U.S.C. 13902(c)(4)(A). The FMCSA carries out this registration program under authority delegated by the Secretary of Transportation. Foreign (Mexico-based) motor carriers use Form OP–2 to apply for Certificate of Registration authority with the VerDate Sep<11>2014 17:27 Feb 11, 2021 Jkt 253001 FMCSA. The form requests information on the foreign motor carrier’s name, address, U.S. DOT Number, form of business (e.g., corporation, sole proprietorship, partnership), locations where the applicant plans to operate, types of registration requested (e.g., forhire motor carrier, household goods carrier, motor private carrier), insurance, safety certifications, household goods arbitration certifications, and compliance certifications. Title: Application for Certificate of Registration for Foreign Motor Carriers and Foreign Motor Private Carriers. OMB Control Number: 2126–0019. Type of Request: Renewal of a currently-approved information collection. Respondents: Foreign motor carriers. Estimated Number of Respondents: 31. Estimated Time per Response: 1.5 hours to complete or update Form OP– 2. Expiration Date: October 31, 2021. Frequency of Response: Occasionally. Estimated Total Annual Burden: 47 hours [31 responses × 11⁄2 hours to complete Form OP–2 = 47 hours]. Public Comments Invited: You are asked to comment on any aspect of this information collection, including: (1) Whether the proposed collection is necessary for the performance of FMCSA’s functions; (2) the accuracy of the estimated burden; (3) ways for FMCSA to enhance the quality, usefulness, and clarity of the collected information; and (4) ways that the burden could be minimized without reducing the quality of the collected information. The agency will summarize or include your comments in the request for OMB’s clearance of this information collection. Issued under the authority of 49 CFR 1.87. Thomas P. Keane, Associate Administrator, Office of Research and Registration. [FR Doc. 2021–02851 Filed 2–11–21; 8:45 am] BILLING CODE 4910–EX–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0556] Agency Information Collection Activity Under OMB Review: VA Advance Directive: Durable Power of Attorney for Health Care and Living Will Veterans Health Administration, Department of Veterans Affairs. AGENCY: PO 00000 Frm 00108 Fmt 4703 Sfmt 4703 ACTION: Notice. In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Health 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: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open for Public Comments’’ or by using the search function. Refer to ‘‘OMB Control No. 2900–0556.’’ FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise and Integration, Data Governance Analytics (008), 1717 H Street NW, Washington, DC 20006, (202) 266–4688 or email maribel.aponte@va.gov. Please refer to ‘‘OMB Control No. 2900–0556’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–21. Title: VA Advance Directive: Durable Power of Attorney for Health Care and Living Will, VA Form 10–0137. OMB Control Number: 2900–0556. Type of Review: Extension of a currently approved collection. Abstract: Section 7331 of title 38, United States Code (U.S.C.), requires, in relevant part, that the Secretary of Veterans Affairs, upon the recommendation of the Under Secretary for Health, prescribe regulations to ensure, to the maximum extent practicable, that all Department of Veterans Affairs (VA) patient care be carried out only with the full and informed consent of the patient, or in appropriate cases, a representative thereof. Based on VA’s interpretation of this statute and our mandate in 38 U.S.C. 7301(b) to provide a complete medical and hospital service, we recognize that patients with decisionmaking capacity have the right to state their treatment preferences in a VA or other valid advance directive. VA Form 10–0137, VA Advance Directive: Durable Power of Attorney for Health Care and Living Will, is the VA recognized legal document that permits VA patients to designate a health care agent and/or specify preferences for SUMMARY: E:\FR\FM\12FEN1.SGM 12FEN1 Federal Register / Vol. 86, No. 28 / Friday, February 12, 2021 / Notices future health care. The VA Advance Directive is invoked if a patient becomes unable to make health care decisions for himself or herself. Use of the VA Advance Directive is specified in VHA Handbook 1004.02, Advance Care Planning and Management of Advance Directives. Veterans’ rights to designate a health care agent and specify health care preferences in advance are codified in 38 CFR 17.32. This regulation also obligates VA to recognize advance directives and to use the information contained therein when health care decisions must be made for a patient that has lost decision making capacity. VA Form 10–0137 (both English and Spanish-English language versions) has a current OMB Paperwork Reduction Act (PRA) clearance under OMB Control Number 2900–0556. In addition, 2900– 0556 now includes the collection of a ‘‘Close Personal Friend Statement’’ for incapacitated Veterans who have not completed an Advance Directive and are in need of health care. When a Veteran is incapacitated and does not have an Advance Directive, the VA regulations allow a statement to be submitted from a ‘‘Close Personal Friend’’ who will be responsible for making health care decisions on behalf of the Veteran. It is estimated that 300 such statements will be collected annually. VA seeks to renew the PRA clearance for the information collection under OMB Control Number 2900–0556. 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 85 FR 196 on October 8, 2020, pages 63661. VA Form 10–0137 Affected Public: Individuals and households. Estimated Annual Burden: 171,811 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 343,622. Close Personal Friend Statement Affected Public: Individuals and households. Estimated Annual Burden: 50 hours. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 300. VerDate Sep<11>2014 17:27 Feb 11, 2021 Jkt 253001 By direction of the Secretary. Maribel Aponte, VA PRA Clearance Officer, Office of Enterprise and Integration, Data Governance Analytics, Department of Veterans Affairs. [FR Doc. 2021–02853 Filed 2–11–21; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0091] Agency Information Collection Activity Under OMB Review: VA Health Benefits: Application, Update, and Hardship Determination Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Health 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: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open for Public Comments’’ or by using the search function. Refer to ‘‘OMB Control No. 2900–0091. FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise and Integration, Data Governance Analytics (008), 1717 H Street NW, Washington, DC 20006, (202) 266–4688 or email maribel.aponte@va.gov. Please refer to ‘‘OMB Control No. 2900–0091’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–21. Title: VA Health Benefits: Application, Update, and Hardship Determination, VA Forms 10–10EZ, 10– 10EZR and 10–10HS. OMB Control Number: 2900–0091. Type of Review: Extension of a currently approved collection. Abstract: Title 38 U.S.C. Chapter 17 authorizes VA to provide hospital care, medical services, domiciliary care, and nursing home care to eligible Veterans. SUMMARY: PO 00000 Frm 00109 Fmt 4703 Sfmt 4703 9425 Title 38 U.S.C. 1705 requires VA to design, establish, and operate a system of annual patient enrollment in accordance with a series of stipulated priorities. Title 38 U.S.C. 1722 establishes eligibility assessment procedures for cost-free VA medical care, based on income levels, which determines whether nonserviceconnected and 0% service-connected non-compensable Veterans are able to defray the necessary expenses of care for nonservice-connected conditions. Further, when the Veteran projects that his or her attributable income for the current calendar year would be substantially below the applicable income thresholds, the Veteran would be considered unable to defray the expenses of care and VA may exempt the Veteran from the requirement to pay copayments for hospital or outpatient care. This collection of information is required to properly administer health benefits to eligible Veterans. a. VA Form 10–10EZ, Application for Health Benefits, is used to collect Veteran information during the initial application process for VA medical care, nursing home, domiciliary, dental benefits, etc. b. VA Form 10–10EZR, Health Benefits Update Form, is used to update a Veteran’s personal information, such as marital status, address, health insurance and financial information, for renewal of health benefits. c. VA Form 10–10HS, Request for Hardship Determination, is used to collect information from Veterans who are in a copay required status for hospital care and medical services, but due to a loss of income project their income for the current year will be substantially below the VA means test limits. These forms collect information to enroll a Veteran for health benefits, establish basic eligibility, identify 3rd party health insurance coverage, identify prescription copayment, provide for income verification, and serve as a mechanism to make changes upon admission for benefits or yearly financial updates. 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 85 FR 209 on October 28, 2020, pages 68418 and 68419. E:\FR\FM\12FEN1.SGM 12FEN1

Agencies

[Federal Register Volume 86, Number 28 (Friday, February 12, 2021)]
[Notices]
[Pages 9424-9425]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-02853]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0556]


Agency Information Collection Activity Under OMB Review: VA 
Advance Directive: Durable Power of Attorney for Health Care and Living 
Will

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 
this notice announces that the Veterans Health 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: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Refer to 
``OMB Control No. 2900-0556.''

FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise 
and Integration, Data Governance Analytics (008), 1717 H Street NW, 
Washington, DC 20006, (202) 266-4688 or email [email protected]. 
Please refer to ``OMB Control No. 2900-0556'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-21.
    Title: VA Advance Directive: Durable Power of Attorney for Health 
Care and Living Will, VA Form 10-0137.
    OMB Control Number: 2900-0556.
    Type of Review: Extension of a currently approved collection.
    Abstract: Section 7331 of title 38, United States Code (U.S.C.), 
requires, in relevant part, that the Secretary of Veterans Affairs, 
upon the recommendation of the Under Secretary for Health, prescribe 
regulations to ensure, to the maximum extent practicable, that all 
Department of Veterans Affairs (VA) patient care be carried out only 
with the full and informed consent of the patient, or in appropriate 
cases, a representative thereof. Based on VA's interpretation of this 
statute and our mandate in 38 U.S.C. 7301(b) to provide a complete 
medical and hospital service, we recognize that patients with decision-
making capacity have the right to state their treatment preferences in 
a VA or other valid advance directive.
    VA Form 10-0137, VA Advance Directive: Durable Power of Attorney 
for Health Care and Living Will, is the VA recognized legal document 
that permits VA patients to designate a health care agent and/or 
specify preferences for

[[Page 9425]]

future health care. The VA Advance Directive is invoked if a patient 
becomes unable to make health care decisions for himself or herself. 
Use of the VA Advance Directive is specified in VHA Handbook 1004.02, 
Advance Care Planning and Management of Advance Directives. Veterans' 
rights to designate a health care agent and specify health care 
preferences in advance are codified in 38 CFR 17.32. This regulation 
also obligates VA to recognize advance directives and to use the 
information contained therein when health care decisions must be made 
for a patient that has lost decision making capacity.
    VA Form 10-0137 (both English and Spanish-English language 
versions) has a current OMB Paperwork Reduction Act (PRA) clearance 
under OMB Control Number 2900-0556. In addition, 2900-0556 now includes 
the collection of a ``Close Personal Friend Statement'' for 
incapacitated Veterans who have not completed an Advance Directive and 
are in need of health care. When a Veteran is incapacitated and does 
not have an Advance Directive, the VA regulations allow a statement to 
be submitted from a ``Close Personal Friend'' who will be responsible 
for making health care decisions on behalf of the Veteran. It is 
estimated that 300 such statements will be collected annually. VA seeks 
to renew the PRA clearance for the information collection under OMB 
Control Number 2900-0556.
    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 85 FR 196 on October 8, 2020, pages 63661.

VA Form 10-0137

    Affected Public: Individuals and households.
    Estimated Annual Burden: 171,811 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 343,622.

Close Personal Friend Statement

    Affected Public: Individuals and households.
    Estimated Annual Burden: 50 hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 300.

    By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data 
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2021-02853 Filed 2-11-21; 8:45 am]
BILLING CODE 8320-01-P
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