30-Day FRN - 2900-NEW (VA Form 20-0968) 2015

30-Day FRN - 2900-New (VA Form 20-0968) 2015.pdf

Claim for Reimbursement of Travel Expenses (20-0968)

30-Day FRN - 2900-NEW (VA Form 20-0968) 2015

OMB: 2900-0830

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Federal Register / Vol. 80, No. 9 / Wednesday, January 14, 2015 / Notices
b. VA Form 22–8692 is used to
request an advance payment of workstudy allowance.
c. VA Form 22–8692a is used by a
claimant to extend his or her workstudy contract.
d. VA Form 22–8692b is used by
claimants who do not want a workstudy advanced allowance payment.
The data collected is used to
determine an applicant’s eligibility for
work-study allowance and the amount
payable.
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 79 FR
62712, October 20, 2014.
Affected Public: Individuals or
households.
Estimated Annual Burden
a. VA Form 22–8691—5,008 hours.
b. VA Form 22–8692 & VA Form 22–
8692b—1,296 hours.
c. VA Form 22–8692a—153 hours.
Estimated Average Burden per
Respondent
a. VA Form 22–8691—15 minutes.
b. VA Form 22–8692—5 minutes.
c. VA Form 22–8692a—3 minutes.
d. VA Form 22–8692b—5 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents
a. VA Form 22–8691—20,032.
b. VA Form 22–8692 & VA Form 22–
8692a—15,549.
c. VA Form 22–8692b—3,054.
Dated: January 9, 2015.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2015–00391 Filed 1–13–15; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0073]

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Agency Information Collection (VA
Enrollment Certification): Activity
Under OMB Review
Veterans Benefits
Administration, VA.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits

SUMMARY:

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13:56 Jan 13, 2015

Jkt 235001

Administration (VBA), 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; it includes
the actual data collection instrument.
Comments must be submitted on
or before February 13, 2015.

DATES:

Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0073 in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.

ADDRESSES:

1993

By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2015–00438 Filed 1–13–15; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–NEW (VA Form 20–
0968]

Agency Information Collection (Claim
for Reimbursement of Travel
Expenses) Activity Under OMB Review
Veterans Benefits
Administration, VA.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), Department of
FOR FURTHER INFORMATION CONTACT:
Veterans Affairs, will submit the
Crystal Rennie, Enterprise Records
collection of information abstracted
Service (005R1B), Department of
below to the Office of Management and
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632– Budget (OMB) for review and comment.
The PRA submission describes the
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900– nature of the information collection and
its expected cost and burden; it includes
0073’’ in any correspondence.
the actual data collection instrument.
SUPPLEMENTARY INFORMATION:
DATES: Comments must be submitted on
Title: VA Enrollment Certification, VA or before February 13, 2015.
Form 22–1999.
ADDRESSES: Submit written comments
OMB Control Number: 2900–0073.
on the collection of information through
Type of Review: Revision of a
www.Regulations.gov, or to Office of
currently approved collection.
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
Abstract: School officials and
VA Desk Officer; 725 17th St. NW.,
employers complete VA Form 22–1999
Washington, DC 20503 or sent through
to report and certify a claimant’s
electronic mail to oira_submission@
enrollment in an educational program.
omb.eop.gov. Please refer to ‘‘OMB
The data is used to determine the
amount of benefits payable and whether Control No. 2900—NEW (Claim for
Reimbursement of Travel Expenses)’’ in
the claimant requested an advanced or
any correspondence. During the
accelerated payment.
comment period, comments may be
An agency may not conduct or
sponsor, and a person is not required to viewed online through the FDMS.
FOR FURTHER INFORMATION CONTACT:
respond to a collection of information
unless it displays a currently valid OMB Crystal Rennie, Enterprise Records
Service (005R1B), Department of
control number. The Federal Register
Veterans Affairs, 810 Vermont Avenue
Notice with a 60-day comment period
NW., Washington, DC 20420, (202) 632–
soliciting comments on this collection
7492 or email [email protected].
of information was published at 79 FR
Please refer to ‘‘OMB Control No. 2900–
60584, October 7, 2014.
NEW (Claim for Reimbursement of
Affected Public: Not-for-profit
Travel Expenses)’’ in any
institutions.
correspondence.
Estimated Annual Burden: 747,814
SUPPLEMENTARY INFORMATION:
hours.
Title: Claim for Reimbursement of
Estimated Average Burden per
Travel Expenses, VA Form 20–0968.
Respondent: 10 minutes.
OMB Control Number: 2900—NEW.
Frequency of Response: 2 annually.
Type of Review: New collection.
Estimated Number of Respondents:
Abstract: The purpose of the
1,424,443.
information collection is for claimants
to apply for the mileage reimbursement
Dated: January 9, 2015.

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SUMMARY:

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Federal Register / Vol. 80, No. 9 / Wednesday, January 14, 2015 / Notices

benefit in an efficient, convenient and
accurate manner. VBA must determine
the identity of the claimant; the dates
and length of the trip being claimed,
based on the claimant’s residence and
the place of evaluation and counseling,
or other place in connection with
vocational rehabilitation; and whether
expenses other than mileage are being
claimed.
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 79 FR
60234, October 6, 2014.
Affected Public: Federal Government.
Estimated Annual Burden: 21,667
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
130,000.
Dated: January 9, 2015.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2015–00430 Filed 1–13–15; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0630]

Agency Information Collection
(Regulation on Application for Fisher
Houses and Other Temporary Lodging,
VA Forms 10–0408 and 10–0408a)
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Under OMB Review.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Health
Administration (VHA), 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
includes the actual data collection
instrument.

mstockstill on DSK4VPTVN1PROD with NOTICES

SUMMARY:

Written comments and
recommendations on the proposed
collection of information should be
received on or before February 13, 2015.

DATES:

VerDate Sep<11>2014

13:56 Jan 13, 2015

Jkt 235001

Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0630’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0630’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Titles: Regulation on Application for
Fisher Houses and Other Temporary
Lodging.
OMB Control Number: 2900–0630.
Type of Review: Revision of a
currently approved collection.
Abstract: VA is mandated to establish
a program for providing temporary
lodging under section 221(a) of the
Veterans Benefits and Health Care Act
of 2000 (Pub. L. 106–419). These
statutory provisions have been codified
at 38 U.S.C. 1708 and are administered
by the Veterans Health Administration
(VHA) of VA. This program provides
temporary lodging by veterans receiving
VA medical care or C&P examinations
and by family members or other persons
accompanying veterans to provide the
equivalent of familial support. If the
veteran is undergoing extensive
treatment or procedures, such as an
organ transplant or chemotherapy,
eligible persons may be furnished
temporary lodging for the duration of
the episode of care. Data is collected
during the application process to
determine eligibility for temporary
lodging.
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 79 FR
60587, October 7, 2014.
Affected Public: Individuals or
households.
Estimated Total Annual Burden:
83,333.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: Yearly.
Estimated Number of Respondents:
250,000.
ADDRESSES:

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Frm 00110

Fmt 4703

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Dated: January 9, 2015.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2015–00440 Filed 1–13–15; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0216]

Agency Information Collection
(Application for Accrued Amounts Due
a Deceased Beneficiary) Activity Under
OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), 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; it includes
the actual data collection instrument.
DATES: Comments must be submitted on
or before February 13, 2015.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0216’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0216’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Application for Accrued
Amounts Due a Deceased Beneficiary,
VA Form 21P–601.
OMB Control Number: 2900–0216.
Type of Review: Revision of a
currently approved collection.
Abstract: The information collected
on VA Form 21–601 is use to determine
SUMMARY:

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