Agency Information Collection Activity: Eligibility Verification Reports (EVRs), 14154-14155 [2024-03771]
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14154
Federal Register / Vol. 89, No. 38 / Monday, February 26, 2024 / Notices
(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: Title 38 U.S.C. 1506, 1521,
1541, and 1542.
Title: Supplemental Income
Questionnaire (For Philippine Claims
Only).
OMB Control Number: 2900–0668.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 21P–0784 is
primarily used to gather income
information that is necessary to
determine eligibility for Pension
benefits. Entitlement to pension cannot
be determined without complete
information about a claimant’s family
income and net worth. Claimants
residing in the Philippines have
different types of income than claimants
residing in the United States, and this
form better captures those types of
income than other VA Pension forms.
Affected Public: Individuals and
households.
Estimated Annual Burden: 30 hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
120.
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. 2024–03764 Filed 2–23–24; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0545]
Agency Information Collection
Activity: Report of Medical, Legal, and
Other Expenses Incident to Recovery
for Injury or Death
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
khammond on DSKJM1Z7X2PROD with NOTICES
AGENCY:
Veterans Benefits
Administration, Department of Veterans
Affairs (VA), is announcing an
opportunity for public comment on the
proposed collection of certain
SUMMARY:
VerDate Sep<11>2014
16:23 Feb 23, 2024
Jkt 262001
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
revision 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 April 26, 2024.
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
nancy.kessinger@va.gov. Please refer to
‘‘OMB Control No. 2900–0545’’ 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), 810 Vermont Ave. NW,
Washington, DC 20420, (202) 266–4688
or email maribel.aponte@va.gov. Please
refer to ‘‘OMB Control No. 2900–0545’’
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: 38 U.S.C. 1503, 28 CFR
3.262, 3.271, and 3.272.
Title: Report of Medical, Legal, and
Other Expenses Incident to Recovery for
Injury or Death.
OMB Control Number: 2900–0545.
Type of Review: Revision of a
currently approved collection.
PO 00000
Frm 00115
Fmt 4703
Sfmt 4703
Abstract: VA Form 21P–8416b is used
to gather information about certain
expenses related to securing
compensation based on personal injury
or death. The form is used by claimants
for VA income-based benefits to
determine the amount of countable
income. Without this information, the
VA would be unable to properly
determine entitlement to income-based
benefits and the rate payable. There
have been no changes from the
previously approved collection, This is
a revision of a currently approved
collection as the respondent burden has
decreased.
Affected Public: Individuals and
households.
Estimated Annual Burden: 75 hours.
Estimated Average Burden per
Respondent: 45 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
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. 2024–03770 Filed 2–23–24; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0101]
Agency Information Collection
Activity: Eligibility Verification Reports
(EVRs)
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
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 April 26, 2024.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
SUMMARY:
E:\FR\FM\26FEN1.SGM
26FEN1
khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 89, No. 38 / Monday, February 26, 2024 / Notices
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. 2900–0101’’ 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), 810 Vermont Ave. NW,
Washington, DC 20420, (202) 266–4688
or email maribel.aponte@va.gov. Please
refer to ‘‘OMB Control No. 2900–0101’’
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: Information is requested by
this form under the authority of 38
U.S.C. 1506, regulatory authority is
found in 38 CFR 3.277.
Title: Eligibility Verification Reports
(EVRs) VA Forms: 21P–0510, 21P–0510
(Spanish), 21P–0512S–1, 21P–0512S–1
(Spanish), VA Form 21P–0512V–1, 21P–
0513–1, 21P–0513–1 (Spanish), 21P–
0514–1, 21P–0514–1(Spanish), 21P–
0516–1, 21P–0516–1 (Spanish), 21P–
0517–1, 21P–0517 (Spanish), 21P–0518–
1, 21P–0518–1 (Spanish), 21P–0519C–1,
21P–0519C–1 (Spanish), 21P–0519S–1,
21P–0519S–1 (Spanish).
OMB Control Number: 2900–0101.
Type of Review: Extension of a
currently/previously approved
collection.
Abstract: A claimant’s eligibility for
Pension is determined, in part, by
countable family income and net worth.
Any individual who has applied for, or
receives, VA Pension or Parents’
Dependency and Indemnity
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16:23 Feb 23, 2024
Jkt 262001
Compensation (DIC) must promptly
notify the VA in writing of any change
in entitlement factors. VBA uses
Eligibility Verification Reports (EVRs) to
receive income and net worth
information from Pension and Parents
DIC claimants and beneficiaries to
evaluate eligibility for benefits. The
reported information can result in
increased or decreased benefits.
Typically, the claimants and
beneficiaries utilize the form to notify
the VA of changes in income and net
worth, though the forms could be used
to reopen a claim for benefits in limited
circumstances. This is a request for an
extension of the EVR collections with
no substantive changes.
Affected Public: Individuals and
households.
Estimated Annual Burden: 34,500
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
69,000.
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. 2024–03771 Filed 2–23–24; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0556]
Agency Information Collection Activity
Under OMB Review: Advance
Directive: Durable Power of Attorney
for Health Care and Living Will
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/
SUMMARY:
PO 00000
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14155
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), 810 Vermont Avenue
NW, Washington, DC 20420, (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. 3501–3521.
Title: 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
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
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]]>Agencies
[Federal Register Volume 89, Number 38 (Monday, February 26, 2024)]
[Notices]
[Pages 14154-14155]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-03771]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0101]
Agency Information Collection Activity: Eligibility Verification
Reports (EVRs)
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 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 April 26, 2024.
ADDRESSES: Submit written comments on the collection of information
through Federal Docket Management System (FDMS) at www.Regulations.gov
or to
[[Page 14155]]
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. 2900-0101'' 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), 810 Vermont Ave. NW,
Washington, DC 20420, (202) 266-4688 or email [email protected].
Please refer to ``OMB Control No. 2900-0101'' 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: Information is requested by this form under the
authority of 38 U.S.C. 1506, regulatory authority is found in 38 CFR
3.277.
Title: Eligibility Verification Reports (EVRs) VA Forms: 21P-0510,
21P-0510 (Spanish), 21P-0512S-1, 21P-0512S-1 (Spanish), VA Form 21P-
0512V-1, 21P-0513-1, 21P-0513-1 (Spanish), 21P-0514-1, 21P-0514-
1(Spanish), 21P-0516-1, 21P-0516-1 (Spanish), 21P-0517-1, 21P-0517
(Spanish), 21P-0518-1, 21P-0518-1 (Spanish), 21P-0519C-1, 21P-0519C-1
(Spanish), 21P-0519S-1, 21P-0519S-1 (Spanish).
OMB Control Number: 2900-0101.
Type of Review: Extension of a currently/previously approved
collection.
Abstract: A claimant's eligibility for Pension is determined, in
part, by countable family income and net worth. Any individual who has
applied for, or receives, VA Pension or Parents' Dependency and
Indemnity Compensation (DIC) must promptly notify the VA in writing of
any change in entitlement factors. VBA uses Eligibility Verification
Reports (EVRs) to receive income and net worth information from Pension
and Parents DIC claimants and beneficiaries to evaluate eligibility for
benefits. The reported information can result in increased or decreased
benefits. Typically, the claimants and beneficiaries utilize the form
to notify the VA of changes in income and net worth, though the forms
could be used to reopen a claim for benefits in limited circumstances.
This is a request for an extension of the EVR collections with no
substantive changes.
Affected Public: Individuals and households.
Estimated Annual Burden: 34,500 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 69,000.
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. 2024-03771 Filed 2-23-24; 8:45 am]
BILLING CODE 8320-01-P
