Agency Information Collection Activity Under OMB Review: Authorization and Consent To Release Information to the Department of Veterans Affairs (VA), General Release for Medical Provider Information to the Department of Veterans Affairs (VA), 35308 [2024-09336]

Download as PDF ddrumheller on DSK120RN23PROD with NOTICES1 35308 Federal Register / Vol. 89, No. 85 / Wednesday, May 1, 2024 / Notices 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: 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 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. 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 89 FR 14154 on Monday, February 26, 2024, pages 14154 and 14155. Affected Public: Individuals or 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. VerDate Sep<11>2014 16:59 Apr 30, 2024 Jkt 262001 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. 2024–09392 Filed 4–30–24; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0858] Agency Information Collection Activity Under OMB Review: Authorization and Consent To Release Information to the Department of Veterans Affairs (VA), General Release for Medical Provider Information to the Department of Veterans Affairs (VA) 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 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 July 1, 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. 2900–0858’’ 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 20006, (202) 266–4688 or email maribel.aponte@va.gov. Please refer to ‘‘OMB Control No. 2900–0858’’ in any correspondence. SUPPLEMENTARY INFORMATION: Under the PRA of 1995, Federal agencies must obtain approval from the Office of SUMMARY: PO 00000 Frm 00276 Fmt 4703 Sfmt 9990 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 104–191 (‘‘HIPAA’’), 42 U.S.C. 290dd–242, 38 CFR part 2, 45 CFR parts 160 and 164. Title: Authorization and Consent to Release Information to the Department of Veterans Affairs (VA) (VA Form 21– 4142), General Release for Medical Provider Information to the Department of Veterans Affairs (VA) (VA Form 21– 4142a). OMB Control Number: 2900–0858. Type of Review: Revision of a currently approved collection. Abstract: VA Form 21–4142 is used to authorize the disclosure of information to the VA and VA Form 21–4142a is used to gather the necessary information to request medical provider information to the VA. Without the information solicited by these forms, VA would be unable to determine eligibility, and benefits would not be properly paid. No changes have been made to these forms. The respondent burden has increased due to the estimated number of receivables averaged over the past year. Affected Public: Individuals and households. Estimated Annual Burden: 36,687 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: One time. Estimated Number of Respondents: 440,246 per year. 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. 2024–09336 Filed 4–30–24; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\01MYN1.SGM 01MYN1

Agencies

[Federal Register Volume 89, Number 85 (Wednesday, May 1, 2024)]
[Notices]
[Page 35308]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-09336]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0858]


Agency Information Collection Activity Under OMB Review: 
Authorization and Consent To Release Information to the Department of 
Veterans Affairs (VA), General Release for Medical Provider Information 
to the Department of Veterans Affairs (VA)

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 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 July 1, 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 [email protected]. Please refer to ``OMB Control 
No. 2900-0858'' 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 20006, (202) 266-4688 or email [email protected]. 
Please refer to ``OMB Control No. 2900-0858'' 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 104-191 (``HIPAA''), 42 U.S.C. 290dd-242, 38 
CFR part 2, 45 CFR parts 160 and 164.
    Title: Authorization and Consent to Release Information to the 
Department of Veterans Affairs (VA) (VA Form 21-4142), General Release 
for Medical Provider Information to the Department of Veterans Affairs 
(VA) (VA Form 21-4142a).
    OMB Control Number: 2900-0858.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-4142 is used to authorize the disclosure of 
information to the VA and VA Form 21-4142a is used to gather the 
necessary information to request medical provider information to the 
VA. Without the information solicited by these forms, VA would be 
unable to determine eligibility, and benefits would not be properly 
paid. No changes have been made to these forms. The respondent burden 
has increased due to the estimated number of receivables averaged over 
the past year.
    Affected Public: Individuals and households.
    Estimated Annual Burden: 36,687 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 440,246 per year.

    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. 2024-09336 Filed 4-30-24; 8:45 am]
BILLING CODE 8320-01-P
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