30-Day FRN (2900-0116), VAF 21-4193

2900-0116 30Day FRN.pdf

Notice to Department of Veterans Affairs of Veteran or Beneficiary Incarcerated in Penal Institution (VA Form 21-4193)

30-Day FRN (2900-0116), VAF 21-4193

OMB: 2900-0116

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Federal Register / Vol. 82, No. 125 / Friday, June 30, 2017 / Notices
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0116]

Agency Information Collection Activity
Under OMB Review: Notice to
Department of Veterans Affairs of
Veteran or Beneficiary Incarcerated in
Penal Institution
Veterans Benefits
Administration, Department of Veterans
Affairs
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, 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 July 31, 2017.
ADDRESSES: Submit written comments
on the collection of information through

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SUMMARY:

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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. 2900–0116’’ 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. 2900–0116’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–21.
Title: Notice to Department of
Veterans Affairs of Veteran or
Beneficiary Incarcerated in Penal
Institution (VA Form 21–4193).
OMB Control Number: 2900–0116.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 21–4193 is used to
gather information from penal
institutions about incarcerated VA
beneficiaries. When beneficiaries are
incarcerated in penal institutions in

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excess of 60 days after conviction, VA
benefits are reduced or terminated.
Without this collection of information,
VA would be unable to accurately adjust
the rates of incarcerated beneficiaries
and overpayments would result.
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 82 FR
69 on April 12, 2017, pages 17742 and
17743.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 416.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
1,664.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2017–13727 Filed 6–29–17; 8:45 am]
BILLING CODE 8320–01–P

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File Typeapplication/pdf
File TitleVA-2017-VACO-0001-0164.pdf
Authorvacoharvec
File Modified2017-06-30
File Created2017-06-30

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