2900-0138 30-Day FRN

2900-0138 30-Day FRN.pdf

Request for Details of Expenses (VA Form 21P-8049)

2900-0138 30-Day FRN

OMB: 2900-0138

Document [pdf]
Download: pdf | pdf
Federal Register / Vol. 81, No. 109 / Tuesday, June 7, 2016 / Notices
internment allowance, and
transportation reimbursement.
Affected Public: Individuals or
households.
Estimated Annual Burden: 33,750
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
135,000.

SUPPLEMENTARY INFORMATION:

By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2016–13392 Filed 6–6–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0138]

Agency Information Collection
(Request for Details of Expenses, VA
Form 21P–8049) 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 July 7, 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. 2900–0138’’ 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. 2900–0138.’’

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SUMMARY:

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Title: Request for Details of Expenses,
VA Form 21P–8049.
OMB Control Number: 2900–0138.
Type of Review: Revision of a
currently approved collection.
Abstract: VA uses the information
collected on this form as evidence of
additional circumstances which may
affect entitlement determinations
pursuant to 38 U.S.C. 1522. The
information is used as a counterbalance
to a claimant’s substantial estate and/or
annual income.
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 on March
28, 2016, at 81 FR 17245.
Affected Public: Individuals or
households.
Estimated Annual Burden: 5,700
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
22,800.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst,
VA Privacy Service, Office of Privacy and
Records Management, Department of
Veterans Affairs.
[FR Doc. 2016–13393 Filed 6–6–16; 8:45 am]
BILLING CODE 8320–01–P

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

Proposed Information Collection
(Request for Nursing Home
Information in Connection With Claim
for Aid and Attendance (VA Form 21–
0779)); Activity: Comment Request.
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

SUMMARY:

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revision of a currently approved
collection, and allow 60 days for public
comment in response to the notice.
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.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before August 8, 2016.
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. 2900–0652’’ 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 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 an
approved collection.
Abstract: VA Form 21–0779 is used to
gather the necessary information to

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