Agency Information Collection Activity Under OMB Review: Supportive Services for Veteran Families (SSVF) Program-Grant Application & Report, 59005-59006 [2021-23133]

Download as PDF Federal Register / Vol. 86, No. 203 / Monday, October 25, 2021 / Notices DEPARTMENT OF THE TREASURY Agency Information Collection Activities; Submission for OMB Review; Comment Request; Multiple Fiscal Service Information Collection Requests Departmental Offices, Department of the Treasury. ACTION: Notice. AGENCY: The Department of the Treasury will submit the following information collection requests to the Office of Management and Budget (OMB) for review and clearance in accordance with the Paperwork Reduction Act of 1995, on or after the date of publication of this notice. The public is invited to submit comments on these requests. DATES: Comments should be received on or before November 24, 2021 to be assured of consideration. ADDRESSES: 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. FOR FURTHER INFORMATION CONTACT: Copies of the submissions may be obtained from Molly Stasko by emailing PRA@treasury.gov, calling (202) 622– 8922, or viewing the entire information collection request at www.reginfo.gov. SUPPLEMENTARY INFORMATION: jspears on DSK121TN23PROD with NOTICES1 SUMMARY: Fiscal Service (FS) 1. Title: Claim Against the United States for the Proceeds of a Government Check. OMB Control Number: 1530–0010. Type of Review: Extension without change of a currently approved collection. Description: The forms are used to collect information needed to process an individual’s claim for non-receipt of proceeds from a U.S. Treasury check. Once the information is analyzed, a determination is made and a recommendation is submitted to the program agency to either settle or deny the claim. Form: FS Form 1133 and FS Form 1133–A. Affected Public: Individuals or households. Estimated Number of Respondents: 51,640. Frequency of Response: On Occasion. Estimated Total Number of Annual Responses: 51,640. VerDate Sep<11>2014 18:00 Oct 22, 2021 Jkt 256001 Estimated Time per Response: 10 minutes. Estimated Total Annual Burden Hours: 8,609 hours. 2. Title: Special Form of Assignment for U.S. Registered Securities. OMB Control Number: 1530–0058. Type of Review: Extension without change of a currently approved collection. Description: FS Form 1832 is used by owners, or authorized representatives, to complete transactions involving the assignment of U.S. Registered and Bearer Securities. Form: FS Form 1832. Affected Public: Individuals or households. Estimated Number of Respondents: 10. Frequency of Response: On Occasion. Estimated Total Number of Annual Responses: 10. Estimated Time per Response: 15 minutes. Estimated Total Annual Burden Hours: 2.5 hours. 3. Title: Disclaimer and Consent With Respect To United States Savings Bonds/Notes. OMB Control Number: 1530–0059. Type of Review: Extension without change of a currently approved collection. Description: A disclaimer and consent may be necessary when, as the result of an error in registration or otherwise, the payment, refund of purchase price, or reissue of savings bonds/notes as requested by one person would appear to affect the right, title or interest of some other person. Form: FS Form 1849. Affected Public: Individuals or households. Estimated Number of Respondents: 450. Frequency of Response: On Occasion. Estimated Total Number of Annual Responses: 450. Estimated Time per Response: 6 minutes. Estimated Total Annual Burden Hours: 45 hours. 4. Title: Checklists of Filings for Certified Surety and/or Certified Reinsuring Companies and for Admitted Reinsurer Companies. OMB Control Number: 1530–0061. Type of Review: Extension without change of a currently approved collection. Description: This information is collected from insurance companies to assist the Treasury Department in determining acceptability of the companies applying for a Certificate of Authority to write or reinsure Federal surety bonds and/or gain recognition as an Admitted Reinsurer. PO 00000 Frm 00147 Fmt 4703 Sfmt 4703 59005 Form: Annual Filing Checklist Certified Companies; Annual Filing Checklist Admitted Reinsurers. Affected Public: Businesses or other for-profit. Estimated Number of Respondents: 30. Frequency of Response: On Occasion. Estimated Total Number of Annual Responses: 30. Estimated Time per Response: 5 hours. Estimated Total Annual Burden Hours: 150 hours. 5. Title: Subscription for Purchase and Issue of U.S. Treasury Securities—State and Local Government Series. OMB Control Number: 1530–0065. Type of Review: Extension without change of a currently approved collection. Description: The information is requested to establish and maintain accounts for the owners of securities of the State and Local Government Series. Form: FS Form 4144; FS Form 4144– 1; FS Form 4144–2; FS Form 4144–5; FS Form 4144–6; FS Form 4144–7; FS Form 5377; FS Form 5237; and FS Form 5238. Affected Public: State and Local Governments. Estimated Number of Respondents: 6,437. Frequency of Response: On Occasion. Estimated Total Number of Annual Responses: 6,437. Estimated Time per Response: 24 minutes. Estimated Total Annual Burden Hours: 2,578 hours. Authority: 44 U.S.C. 3501 et seq. Dated: October 19, 2021. Molly Stasko, Treasury PRA Clearance Officer. [FR Doc. 2021–23149 Filed 10–22–21; 8:45 am] BILLING CODE 4810–AS–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0757] Agency Information Collection Activity Under OMB Review: Supportive Services for Veteran Families (SSVF) Program—Grant Application & Report 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 SUMMARY: E:\FR\FM\25OCN1.SGM 25OCN1 jspears on DSK121TN23PROD with NOTICES1 59006 Federal Register / Vol. 86, No. 203 / Monday, October 25, 2021 / Notices 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. 2900–0757. 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. 2900–0757’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–21. Title: Supportive Services for Veteran Families (SSVF) Program—Grant Application & Report, VA Forms 10– 10072, 10–10072a, 10–10072b and 10– 10072c. OMB Control Number: 2900–0757. Type of Review: Reinstatement of a previously approved collection. Abstract: The purpose of the Supportive Services for Veteran Families (SSVF) Program is to provide supportive services grants to private non-profit organizations and consumer cooperatives who will coordinate or provide supportive services to very lowincome veteran families who are residing in permanent housing, are homeless and scheduled to become residents of permanent housing within a specified time period, or after exiting permanent housing, are seeking other housing that is responsive to such very low-income veteran family needs and preferences. The following VA forms are included in this collection, as well as templates and a certification that do not require PRA clearances. a. Application for Supportive Services Grants, VA Form 10–10072 b. Participant Satisfaction Survey, VA Form 10–10072a c. Quarterly Grantee Performance Report, VA Form 10–10072b d. Renewal Application, VA Form 10– 10072c e. Applicant Budget Template f. Financial Report Template g. Grantee Certification An agency may not conduct or sponsor, and a person is not required to VerDate Sep<11>2014 18:00 Oct 22, 2021 Jkt 256001 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 86 FR 133 on July 15, 2021, page 37406. Affected Public: Individuals or Households. Estimated Annual Burden: 25,505 hours. Estimated Average Burden per Respondent: 125 minutes. Frequency of Response: Average of twice annually. Estimated Number of Respondents: 12,270. 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. 2021–23133 Filed 10–22–21; 8:45 am] Signing Authority BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS Corporate Senior Executive Management Office; Notice of Performance Review Board Members Corporate Senior Executive Management Office, Department of Veterans Affairs. ACTION: Notice. AGENCY: Agencies are required to publish a notice in the Federal Register of the appointment of Performance Review Board (PRB) members. This notice announces the appointment of individuals to serve on the PRB of the Department of Veterans Affairs. DATES: This appointment is effective October 25, 2021. ADDRESSES: Corporate Senior Executive Management Office, Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420. FOR FURTHER INFORMATION CONTACT: Contact Carrie Johnson-Clark, Executive Director, Corporate Senior Executive Management Office (006D), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 632–5181. SUPPLEMENTARY INFORMATION: The membership of the Department of Veterans Affairs Performance Review Board is as follows: Bradsher, Tanya (Chair) Arnold, Kenneth Billups, Angela Bocchicchio, Alfred Boerstler, John Bonjorni, Jessica SUMMARY: PO 00000 Frm 00148 Fmt 4703 Christy, Phillip W. Czarnecki, Tammy Duke, Laura Eskenazi, Laura Flint, Sandra Galvin, Jack Hogan, Michael Lilly, Ryan MacDonald, Edna Marsh, Willie C. McInerney, Joan McDivitt, Robert Mitrano, Catherine Morton, Barbara Murray, Edward J. Pape, Lisa Pope, Derwin B. Rivera, Fernando O. Scavella, Erica Simpson, Todd Tapp, Charles Thomas, Lisa Tibbits, Paul Sfmt 4703 Denis McDonough, Secretary of Veterans Affairs, approved this document on October 19, 2021, and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. (Authority: 5 U.S.C. 4314(c)(4)) Jeffrey M. Martin, Assistant Director, Office of Regulation Policy & Management, Office of General Counsel, Department of Veterans Affairs. [FR Doc. 2021–23167 Filed 10–22–21; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0060] Agency Information Collection Activity: Claim for One Sum Payment Government Life Insurance and Claim for Monthly Payments Government Life Insurance Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: Veterans Benefits Administration, 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 SUMMARY: E:\FR\FM\25OCN1.SGM 25OCN1

Agencies

[Federal Register Volume 86, Number 203 (Monday, October 25, 2021)]
[Notices]
[Pages 59005-59006]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-23133]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0757]


Agency Information Collection Activity Under OMB Review: 
Supportive Services for Veteran Families (SSVF) Program--Grant 
Application & Report

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

[[Page 59006]]

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. 2900-0757.

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. 2900-0757'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-21.

    Title: Supportive Services for Veteran Families (SSVF) Program--
Grant Application & Report, VA Forms 10-10072, 10-10072a, 10-10072b and 
10-10072c.
    OMB Control Number: 2900-0757.
    Type of Review: Reinstatement of a previously approved collection.
    Abstract: The purpose of the Supportive Services for Veteran 
Families (SSVF) Program is to provide supportive services grants to 
private non-profit organizations and consumer cooperatives who will 
coordinate or provide supportive services to very low-income veteran 
families who are residing in permanent housing, are homeless and 
scheduled to become residents of permanent housing within a specified 
time period, or after exiting permanent housing, are seeking other 
housing that is responsive to such very low-income veteran family needs 
and preferences. The following VA forms are included in this 
collection, as well as templates and a certification that do not 
require PRA clearances.

a. Application for Supportive Services Grants, VA Form 10-10072
b. Participant Satisfaction Survey, VA Form 10-10072a
c. Quarterly Grantee Performance Report, VA Form 10-10072b
d. Renewal Application, VA Form 10-10072c
e. Applicant Budget Template
f. Financial Report Template
g. Grantee Certification

    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 86 FR 133 on July 15, 2021, page 37406.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 25,505 hours.
    Estimated Average Burden per Respondent: 125 minutes.
    Frequency of Response: Average of twice annually.
    Estimated Number of Respondents: 12,270.

    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. 2021-23133 Filed 10-22-21; 8:45 am]
BILLING CODE 8320-01-P
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