Agency Information Collection Activity: Claim for One Sum Payment Government Life Insurance and Claim for Monthly Payments Government Life Insurance, 59006-59007 [2021-23234]

Download as PDF 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 Federal Register / Vol. 86, No. 203 / Monday, October 25, 2021 / Notices 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 December 27, 2021. Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420 or email to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0060’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. 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. 2900–0060’’ in any correspondence. SUPPLEMENTARY INFORMATION: Under the PRA of 1995, Federal agencies must obtain approval from the Office of jspears on DSK121TN23PROD with NOTICES1 ADDRESSES: VerDate Sep<11>2014 18:00 Oct 22, 2021 Jkt 256001 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. Authority: Public Law 104–13; 44 U.S.C. 3501–3521. Title: Claim for One Sum Payment Government Life Insurance (29–4125); Claim for One Sum Payment Government Life Insurance (29–4125e); Claim for Monthly Payments Government Life Insurance (29–4125a). OMB Control Number: 2900–0060. Type of Review: Extension of a currently approved collection. PO 00000 Frm 00149 Fmt 4703 Sfmt 9990 59007 Abstract: These forms are used by beneficiaries applying for proceeds of Government Life Insurance policies. The VA Form 29–4125e has been added to this collection. This is an electronic version of the 29–4125. This form was created so beneficiaries can apply for insurance proceeds electronically. This will not affect the number of respondents but will make it easier and reduce the time it takes for beneficiaries to receive their insurance proceeds. The information requested on the forms is required by law, 38 U.S.C. Sections 1917 and 1952. Affected Public: Individuals and households. Estimated Annual Burden: 12,010 hours. Estimated Average Burden per Respondent: 6 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 120,100. 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. 2021–23234 Filed 10–22–21; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\25OCN1.SGM 25OCN1

Agencies

[Federal Register Volume 86, Number 203 (Monday, October 25, 2021)]
[Notices]
[Pages 59006-59007]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-23234]


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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

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: 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

[[Page 59007]]

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 December 27, 2021.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 
20420 or email to [email protected]. Please refer to ``OMB Control 
No. 2900-0060'' in any correspondence. During the comment period, 
comments may be viewed online through FDMS.

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. 2900-0060'' in any correspondence.

SUPPLEMENTARY INFORMATION: 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.
    Authority: Public Law 104-13; 44 U.S.C. 3501-3521.
    Title: Claim for One Sum Payment Government Life Insurance (29-
4125); Claim for One Sum Payment Government Life Insurance (29-4125e); 
Claim for Monthly Payments Government Life Insurance (29-4125a).
    OMB Control Number: 2900-0060.
    Type of Review: Extension of a currently approved collection.
    Abstract: These forms are used by beneficiaries applying for 
proceeds of Government Life Insurance policies. The VA Form 29-4125e 
has been added to this collection. This is an electronic version of the 
29-4125. This form was created so beneficiaries can apply for insurance 
proceeds electronically. This will not affect the number of respondents 
but will make it easier and reduce the time it takes for beneficiaries 
to receive their insurance proceeds. The information requested on the 
forms is required by law, 38 U.S.C. Sections 1917 and 1952.
    Affected Public: Individuals and households.
    Estimated Annual Burden: 12,010 hours.
    Estimated Average Burden per Respondent: 6 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 120,100.

    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. 2021-23234 Filed 10-22-21; 8:45 am]
BILLING CODE 8320-01-P
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