DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0670]
Agency Information Collection Activity under OMB Review: Fiduciary Statement in Support of Appointment
AGENCY: Veterans Benefits Administration, Department of Veterans Affairs
ACTION: Notice
SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 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 and it includes the actual data collection instrument.
DATES: Written comments and recommendations on the proposed collection of information should be received on or before [Insert date 30 days after date of publication in the FEDERAL REGISTER].
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 [email protected]. Please refer to ‘‘OMB Control No. 2900–0670” in any correspondence. During the comment period, comments may be viewed online through the FDMS.
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. 2900–0670” in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: Public Law 104-13;44 U.S.C. 3501-3521
Title: Fiduciary Statement in Support of Appointment (VA Form 21P-0792)
OMB Control Number: 2900-0670.
Type of Review: Revision of a currently approved collection.
Abstract: VA Form 21P-0792 will be completed by individuals who are seeking to be appointed as fiduciaries of VA beneficiaries. The information will be used by VA field examiners to determine whether an individual is an appropriate fiduciary for a VA beneficiary and make an inquiry into his or her credit and criminal background.
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 June 14, 2017, at pages 27331-27332.
Affected Public: Individuals or households.
Estimated Annual Burden: 10,750 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 43,000.
By direction of the Secretary:
Cynthia Harvey-Pryor,
Department Clearance Officer,
Office of Privacy and Records Management,
Department of Veterans Affairs
BILLING CODE 8320-01-P
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | dgonzalez |
| File Modified | 0000-00-00 |
| File Created | 2021-01-22 |