30-Day FRN, 2900-0652 (21-0779)

2016-20364, 30-Day FRN, 2900-0652 (21-0779).pdf

Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21-0779)

30-Day FRN, 2900-0652 (21-0779)

OMB: 2900-0652

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Federal Register / Vol. 81, No. 165 / Thursday, August 25, 2016 / Notices

By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and
Records Management, Department of
Veterans Affairs.
[FR Doc. 2016–20342 Filed 8–24–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0588]

Proposed Information Collection
(Acquisition Regulation (VAAR)
Provision 852.211–71, Special Notice);
Activity: Comment Request
Office of Acquisition and
Logistics, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), the Office of
Acquisition and Logistics (OAL),
Department of Veterans Affairs (VA),
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 September 26, 2016.
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. 2900–0588’’ in any
correspondence.
SUMMARY:

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FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, Enterprise
Records Service (005R1B), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420,
(202) 461–5870 or email [email protected] . Please refer to ‘‘OMB
Control No. 2900–0588.’’
SUPPLEMENTARY INFORMATION:
Title: Veterans Affairs Acquisition
Regulation (VAAR) Provision 852.211–
71, Special Notice.
OMB Control Number: 2900–0588.
Type of Review: Extension without
change of a previously approved
collection.
Abstract: VAAR provision 852.211–71
is used only in VA’s telephone system
acquisition solicitations and requires

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the contractor, after award of the
contract, to submit descriptive literature
on the equipment the contractor intends
to furnish to show how that equipment
meets the specification requirements of
the solicitation. The information is
needed to ensure that the equipment
proposed by the contractor meets the
specification requirements. Failure to
require the information could result in
the installation of equipment that does
not meet contract requirements, with
significant loss to the contractor if the
contractor subsequently had to remove
the equipment and furnish equipment
that did meet the specification
requirements. The contracting officer
will use the information to evaluate
whether or not the item offered meets
the specification requirements.
Affected Public: Private Sector—
Business or other for-profit and not-forprofit institutions.
Estimated Annual Burden: 875 hours.
Estimated Average Burden per
Respondent: 300 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
175.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and
Records Management, Department of
Veterans Affairs.
[FR Doc. 2016–20343 Filed 8–24–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0652]

Agency Information Collection
(Request for Nursing Home
Information in Connection With Claim
for Aid and Attendance (VA Form 21–
0779))
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–21), this notice
announces that the Veterans Benefits
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: Comments must be submitted on
or before September 26, 2016.
SUMMARY:

PO 00000

Frm 00091

Fmt 4703

Sfmt 4703

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. 2900–0652’’ in any
correspondence.

ADDRESSES:

FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, Enterprise
Records Service (005R1B), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420,
(202) 461–5870 or email [email protected]. Please refer to ‘‘OMB
Control No. 2900–0652’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

Title: Request for Nursing Home
Information in connection with Claim
for Aid and Attendance (VA Form 21–
0779).
OMB Control Number: 2900–0652.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21–0779 is used to
gather the necessary information to
determine eligibility for pension and aid
and attendance benefits based on
nursing home status. The form also
requests information regarding
Medicaid status and nursing home care
charges, so VA can determine the proper
rate of payment.
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 81 FR
109, on June 7, 2016, pages 36659 and
36660.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 10,188.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
61,125.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Analyst, Office of Privacy and
Records Management, Department of
Veterans Affairs.
[FR Doc. 2016–20364 Filed 8–24–16; 8:45 am]
BILLING CODE 8320–01–P

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