2900-0161 30-Day FRN

2900-0161 30-Day FRN.pdf

Medical Expense Report (VA Form 21P-8416)

2900-0161 30-Day FRN

OMB: 2900-0161

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Federal Register / Vol. 81, No. 170 / Thursday, September 1, 2016 / Notices
claimant’s first step in the appeal
process. The respondent may or may not
continue with an appeal to the Board of
Veterans Appeals (BVA). If the claimant
opts to continue to BVA for an appeal,
this form will be included in the claim
folder as evidence.
VA will provide VA Form 21P–0970
to the claimant with the notification
letter of the decision in paper form or
via hyperlink to VA’s Web site. The use
of VA Form 21P–0970 will be
mandatory when claimants initiate an
appeal of a decision on a pension, DIC,
burial, or accrued claims for benefits.
Currently, VBA does not have a
mandatory form which would enable
the claimant to initiate an appeal of a
decision made regarding entitlement to
pension, DIC, burial, or accrued
benefits. As a result, claimants may
provide their notice of disagreement in
any format. The variety of submissions
hampers efforts to identify, and process
timely, the claimant’s appeal. With the
implementation of this collection, the
submissions will be standardized,
increasing efficiency.
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
12033 on May 23, 2016.
Affected Public: Individuals or
households.
Estimated Annual Burden: 6,000
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents:
12,000 respondents.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and
Records Management, Department of
Veterans Affairs.
[FR Doc. 2016–21035 Filed 8–31–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
asabaliauskas on DSK3SPTVN1PROD with NOTICES

[OMB Control No. 2900–0784]

Proposed Information Collection (NCA
Pre-Need Determination of Eligibility
for Burial) Activity: Comment Request
National Cemetery
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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The National Cemetery
Administration (NCA), 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 revised
collection, and allow 30 days for public
comment in response to the notice.
PRA submission describes the nature
of the information collection and its
expected cost and burden; it includes
the actual data collection instrument.
This notice solicits comments on
information needed to determine a
claimant’s eligibility in advance of need
for burial at a National Cemetery.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before October 3, 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. 2900–0784’’ in any
correspondence.
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. 2900–0784.’’
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, NCA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of NCA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of NCA’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
SUMMARY:

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60415

of automated collection techniques or
the use of other forms of information
technology.
Title: Application for Pre-Need
Determination of Eligibility for Burial in
a VA National Cemetery, VA Form 40–
10007.
OMB Control Number: 2900–0784.
Type of Review: Revision of an
approved collection.
Abstract: VA Form 40–10007 will be
used to collect information from
Veterans and their family members
seeking a determination of eligibility for
burial in a VA National Cemetery in
advance of need. Such decisions are
consistent with VA’s plan to streamline
access to VA benefits and to assist
Veterans’ families in better planning for
their end of life matters. The Federal
Register Notice with a 60-day comment
period soliciting comments on this
collection of information was published
at 81FR 29330 on May 11, 2016.
Affected Public: Individuals or
households.
Estimated Annual Burden: 12,000
hours.
Estimated Average Burden per
Respondent: 20 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents:
36,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and
Records Management, Department of
Veterans Affairs.
[FR Doc. 2016–21066 Filed 8–31–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0161]

Agency Information Collection
(Medical Expense Report, VA Form
21P–8416) 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.

SUMMARY:

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60416

Federal Register / Vol. 81, No. 170 / Thursday, September 1, 2016 / Notices

Comments must be submitted on
or before October 3, 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. 2900–0161’’ in any
correspondence.
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. 2900–0161.’’
SUPPLEMENTARY INFORMATION:
Title: Medical Expense Report.
OMB Control Number: 2900–0161.
Type of Review: Revision of a
Currently Approved Collection.
Abstract: The Department of Veterans
Affairs (VA), through its Veterans
Benefits Administration (VBA),
administers an integrated program of
benefits and services established by law
for veterans, service personnel, and
their dependents and/or beneficiaries.
Information is requested on VA Form
21P–8416 under the authority of 38
U.S.C. 1503(a)(8) regarding exceptions
to countable income for needs-based
benefits, specifically an amount equal to
amounts paid by a claimant or
beneficiary for unreimbursed medical
expenses.
VA Form 21P–8416 is used by
claimants and beneficiaries to report
unreimbursed medical expenses for the
purpose of reducing their countable
income associated with needs-based
benefit programs such as VA Pension
and Parents’ Dependency and
Indemnity Compensation (DIC).
Unreimbursed medical expenses are
deducted from otherwise countable
income to determine eligibility for
income-based benefits and the rate
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 period soliciting

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DATES:

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comments on this collection of
information was published at 81 FR
32387 on May 23, 2016.
Affected Public: Individuals or
households.
Estimated Annual Burden: 48,200
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents:
96,400 respondents.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy &
Records Management, Department of
Veterans Affairs.
[FR Doc. 2016–21032 Filed 8–31–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0797]

Agency Information Collection
(Principles of Excellence Complaint
System Intake) 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 October 3, 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
SUMMARY:

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Control No. 2900–0797’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, 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. 2900–0797.’’
SUPPLEMENTARY INFORMATION:
Title: Principles of Excellence
Complaint System.
OMB Control Number: 2900–0797.
Type of Review: Extension of an
approved collection.
Abstract: Executive Order 13607,
Establishing Principles of Excellence for
Educational Institutions Serving Service
Members, Veterans, Spouses, and Other
Family Members, requires the
establishment of a centralized complaint
system for students receiving Federal
military and veteran educational
benefits. The purpose of the complaint
system is to provide a standardized
method to submit a complaint against
an educational institution alleging
fraudulent and unduly aggressive
recruiting techniques,
misrepresentation, payment of incentive
compensation, failure to meet state
authorization requirements, or failure to
adhere to the Principles of Excellence as
outlined in the Executive Order.
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
FR12031 on May 23, 2016.
Affected Public: Individuals or
households.
Estimated Annual Burden: 375 hours.
Estimated Average Burden Per
Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
1,500 respondents.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy &
Records Management, Department of
Veterans Affairs.
[FR Doc. 2016–21034 Filed 8–31–16; 8:45 am]
BILLING CODE 8320–01–P

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