2900-AO53, Fiduciary Responsibilities (Reporting Any Adverse Change in a Beneficiary's Circumstances)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
AO53 Information Collection Request.docx	Supplementary Document	Uploaded 2013-11-19	Available
Justification_Statement_Changes_in_beneficiary_circumstances (clean copy).docx	Supporting Statement A	Uploaded 2014-03-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209371	2900-AO53, Fiduciary Responsibilities (Reporting Any Adverse Change in a Beneficiary's Circumstances)		New

ICR Details

OMB Control No: 2900-0803	ICR Reference No: 201311-2900-008
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No: 2900-NEW VBA-F&P-DB
Title: 2900-AO53, Fiduciary Responsibilities (Reporting Any Adverse Change in a Beneficiary's Circumstances)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 04/07/2014
	Date Received in OIRA: 11/21/2013
Terms of Clearance: The information collection requirements associated with this proposed rule are not approved at this time. The agency will resubmit at the final rule stage after responding to public comments. The changes do not take effect until the final rule is effective.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: VA's proposed use of this information is for the purposes of coordinating a proper response to the beneficiary's benefit or other needs, to include referral to Veteran Health Administration or other public or private agencies for delivery of services. Respondents include fiduciaries appointed by VA to manage VA benefit payments on behalf of a beneficiary.

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Authorizing Statute(s): US Code: 38 USC Chapter 55 Name of Law: Minors, Incompetents, and Other Wards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AO53	Proposed rulemaking	79 FR 430	01/03/2014

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
2900-AO53, Fiduciary Responsibilities (Reporting Any Adverse Change in a Beneficiary's Circumstances)

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Do to proposed updates to the fiduciary program regulations.

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Annual Cost to Federal Government: $138,169

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/21/2013

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