60-Day FRN - 2900-NEW (VA Form 29-0975) 2017

60-Day FRN - 2900-NEW (VA Form 29-0975) 2017.pdf

Authorization to Disclose Information to a Third Party (Insurance) (VA Form 29-0975)

60-Day FRN - 2900-NEW (VA Form 29-0975) 2017

OMB: 2900-0856

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Federal Register / Vol. 82, No. 12 / Thursday, January 19, 2017 / Notices
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.
Title: Record Keeping at Flight
Schools.
OMB Control Number: 2900–0613.
Type of Review: Extension of a
currently approved collection.
Abstract: 2900–0613 is for
information reports provided by
educational institutions. VA will use
data collected to determine if courses
offered by flights schools should be
approved and to verify the accuracy of
VA educational payments made to
students training at flight schools.
Affected Public: Businesses or other
for-profits, not-for-profit institutions.
Estimated Annual Burden: 572 hours.
Estimated Average Burden per
Respondent: 20 minutes.
Frequency of Response: Annual.
Estimated Number of Respondents:
1717.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Agency Clearance Officer, Office of Privacy
and Records Management, Department of
Veterans Affairs.
[FR Doc. 2017–01146 Filed 1–18–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0065]

Agency Information Collection
Activity: (Employment Information in
Connection With Claim for Disability
Benefits (VA Form 21–4192))
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

The Veterans Benefits
Administration (VBA), 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.
VA Form 21–4192 is used to gather
necessary employment information from

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SUMMARY:

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veterans’ employers so VA can
determine eligibility to increased
disability benefits based on
unemployability.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before March 20, 2017.
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. 2900–0065’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
FOR FURTHER INFORMATION CONTACT:
Nancy J. Kessinger at (202) 632–8924 or
FAX (202) 632–8925.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–21), 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.
Title: Request for Employment
Information in Connection with Claim
for Disability Benefits (VA Form 21–
4192).
OMB Control Number: 2900–0065.
Type of Review: Revision of an
approved collection.
Abstract: VA Form 21–4192 is used to
gather necessary employment
information from veterans’ employers so
VA can determine eligibility to
increased disability benefits based on
unemployability.
Affected Public: Individuals or
households.
Estimated Annual Burden: 15,000
hours.

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6729

Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
60,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Agency Clearance Officer, Office of Privacy
and Records Management, Department of
Veterans Affairs.
[FR Doc. 2017–01145 Filed 1–18–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900—NEW]

Proposed Information Collection
Activity: (Authorization To Disclose
Personal Information to a Third Party
(VA Form 29–0975))
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

The Veterans Benefits
Administration (VBA), 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. This
notice solicits comments on information
needed to enable a third party to act on
behalf of the insured Veteran/
beneficiary.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before March 20, 2017.
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
Administrations (20M33), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420 or
email to [email protected]. Please
refer to ‘‘OMB Control No. 2900—NEW’’
in any correspondence. During the
comment period, comments may be
viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Nancy J. Kessinger at (202) 632–8924 or
FAX (202) 632–8925.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
SUMMARY:

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6730

Federal Register / Vol. 82, No. 12 / Thursday, January 19, 2017 / Notices

mstockstill on DSK3G9T082PROD with NOTICES

3501–21), 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)

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21:20 Jan 18, 2017

Jkt 241001

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.
Title: Authorization to Disclose
Personal Information to a Third Party
(VA Form 29–0975.
OMB Control Number: 2900–NEW.
Type of Review: New Collection.
Abstract: This form will be used by
the Department of Veterans Affairs
Insurance Center (VAIC) to enable a
third party to act on behalf of the
insured Veteran/beneficiary. Many of
our customers are of advanced age or
suffer from limiting disabilities and
need assistance from a third party to
conduct their affairs. The information

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collected provides an optional service
and is not required to receive insurance
benefits.
Affected Public: Individuals or
households.
Estimated Annual Burden: 100 hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
1200.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and
Records Management, Department of
Veterans Affairs.
[FR Doc. 2017–01147 Filed 1–18–17; 8:45 am]
BILLING CODE 8320–01–P

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