30-day FRN

2019-21703.pdf

Alternate Signer Certification (VA Form 21-0972)

30-day FRN

OMB: 2900-0849

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Federal Register / Vol. 84, No. 194 / Monday, October 7, 2019 / Notices

[OMB Control No. 2900–0849]

Agency Information Collection Activity
Under OMB Review: Alternate Signer
Certification
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 November 6, 2019.
SUMMARY:

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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. 2900–0849’’ in any
correspondence.

ADDRESSES:

DEPARTMENT OF VETERANS
AFFAIRS

FOR FURTHER INFORMATION CONTACT:

Danny S. Green, (202) 421–1354 or
email [email protected]. Please
refer to ‘‘OMB Control No. 2900–0849’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–21.
Title: Alternate Signer Certification
(VA Form 21–0972).
OMB Control Number: 2900–0849.
Type of Review: Extension of a
currently approved collection.
Abstract: The VA Form 21–0972 is
used to collect the alternate signer
information necessary for VA to accept
benefit application forms signed by the
individuals on behalf of veterans and

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claimants. The information collected
will be used to contact the alternate
signer for verification purposes.
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 84 FR 118,
on June 19, 2019, page 28627.
Affected Public: Individuals and
households.
Estimated Annual Burden: 1,250.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
5,000.
By direction of the Secretary.
Danny S. Green,
VA Interim Clearance Officer, Office of
Quality, Performance and Risk Department
of Veterans Affairs.
[FR Doc. 2019–21703 Filed 10–4–19; 8:45 am]
BILLING CODE 8320–01–P

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