30-day FRN - 2900-0556 - VA Advance Directive: Durable POA for Health Care & Living Will - published

30-day FRN_2900-0556_VA Advance Directive_POA for Health Care & Living Will_published 02122021.pdf

VA Advance Directive - Durable Power of Attorney for Health Care and Living Will (VA Form 10-0137)

30-day FRN - 2900-0556 - VA Advance Directive: Durable POA for Health Care & Living Will - published

OMB: 2900-0556

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9424

Federal Register / Vol. 86, No. 28 / Friday, February 12, 2021 / Notices

personal information provided. Please
see the Privacy Act heading below.
Docket: For access to the docket to
read background documents or
comments received, go to http://
www.regulations.gov, and follow the
online instructions for accessing the
dockets, or go to the street address listed
above.
Privacy Act: In accordance with 5
U.S.C. 553(c), DOT solicits comments
from the public to better inform its
rulemaking process. DOT posts these
comments, without edit, including any
personal information the commenter
provides, to www.regulations.gov, as
described in the system of records
notice (DOT/ALL–14 FDMS), which can
be reviewed at www.dot.gov/privacy.
Public Participation: The Federal
eRulemaking Portal is available 24
hours each day, 365 days each year. You
can obtain electronic submission and
retrieval help and guidelines under the
‘‘help’’ section of the Federal
eRulemaking Portal website. If you want
us to notify you that we received your
comments, please include a selfaddressed, stamped envelope or
postcard, or print the acknowledgement
page that appears after submitting
comments online. Comments received
after the comment closing date will be
included in the docket and will be
considered to the extent practicable.
FOR FURTHER INFORMATION CONTACT: Ms.
Dora Tambo-Gonzales, Office of
Registration, Licensing and Insurance
Division, Department of Transportation,
Federal Motor Carrier Safety
Administration, West Building 6th
Floor, 1200 New Jersey Avenue SE,
Washington, DC 20590. Telephone:
202–366–2577; email:
[email protected]
SUPPLEMENTARY INFORMATION:
Background: Title 49 U.S.C. 13902(c)
contains basic licensing procedures for
registering foreign (Mexico-based) motor
carriers to operate across the U.S.Mexico international border into the
United States. 49 CFR pt. 368 contains
the regulations that require foreign
(Mexico-based) motor carriers to apply
to the FMCSA for a Certificate of
Registration to provide interstate
transportation in municipalities in the
United States on the U.S.-Mexico
international border or within the
commercial zones of such
municipalities as defined in 49 U.S.C.
13902(c)(4)(A). The FMCSA carries out
this registration program under
authority delegated by the Secretary of
Transportation.
Foreign (Mexico-based) motor carriers
use Form OP–2 to apply for Certificate
of Registration authority with the

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FMCSA. The form requests information
on the foreign motor carrier’s name,
address, U.S. DOT Number, form of
business (e.g., corporation, sole
proprietorship, partnership), locations
where the applicant plans to operate,
types of registration requested (e.g., forhire motor carrier, household goods
carrier, motor private carrier),
insurance, safety certifications,
household goods arbitration
certifications, and compliance
certifications.
Title: Application for Certificate of
Registration for Foreign Motor Carriers
and Foreign Motor Private Carriers.
OMB Control Number: 2126–0019.
Type of Request: Renewal of a
currently-approved information
collection.
Respondents: Foreign motor carriers.
Estimated Number of Respondents:
31.
Estimated Time per Response: 1.5
hours to complete or update Form OP–
2.
Expiration Date: October 31, 2021.
Frequency of Response: Occasionally.
Estimated Total Annual Burden: 47
hours [31 responses × 11⁄2 hours to
complete Form OP–2 = 47 hours].
Public Comments Invited: You are
asked to comment on any aspect of this
information collection, including: (1)
Whether the proposed collection is
necessary for the performance of
FMCSA’s functions; (2) the accuracy of
the estimated burden; (3) ways for
FMCSA to enhance the quality,
usefulness, and clarity of the collected
information; and (4) ways that the
burden could be minimized without
reducing the quality of the collected
information. The agency will summarize
or include your comments in the request
for OMB’s clearance of this information
collection.
Issued under the authority of 49 CFR
1.87.
Thomas P. Keane,
Associate Administrator, Office of Research
and Registration.
[FR Doc. 2021–02851 Filed 2–11–21; 8:45 am]
BILLING CODE 4910–EX–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0556]

Agency Information Collection Activity
Under OMB Review: VA Advance
Directive: Durable Power of Attorney
for Health Care and Living Will
Veterans Health
Administration, Department of Veterans
Affairs.

AGENCY:

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ACTION:

Notice.

In compliance with the
Paperwork Reduction Act (PRA) of
1995, this notice announces that the
Veterans Health 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: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. Refer to ‘‘OMB Control
No. 2900–0556.’’
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 1717 H Street NW,
Washington, DC 20006, (202) 266–4688
or email [email protected] Please
refer to ‘‘OMB Control No. 2900–0556’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–21.
Title: VA Advance Directive: Durable
Power of Attorney for Health Care and
Living Will, VA Form 10–0137.
OMB Control Number: 2900–0556.
Type of Review: Extension of a
currently approved collection.
Abstract: Section 7331 of title 38,
United States Code (U.S.C.), requires, in
relevant part, that the Secretary of
Veterans Affairs, upon the
recommendation of the Under Secretary
for Health, prescribe regulations to
ensure, to the maximum extent
practicable, that all Department of
Veterans Affairs (VA) patient care be
carried out only with the full and
informed consent of the patient, or in
appropriate cases, a representative
thereof. Based on VA’s interpretation of
this statute and our mandate in 38
U.S.C. 7301(b) to provide a complete
medical and hospital service, we
recognize that patients with decisionmaking capacity have the right to state
their treatment preferences in a VA or
other valid advance directive.
VA Form 10–0137, VA Advance
Directive: Durable Power of Attorney for
Health Care and Living Will, is the VA
recognized legal document that permits
VA patients to designate a health care
agent and/or specify preferences for
SUMMARY:

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Federal Register / Vol. 86, No. 28 / Friday, February 12, 2021 / Notices
future health care. The VA Advance
Directive is invoked if a patient becomes
unable to make health care decisions for
himself or herself. Use of the VA
Advance Directive is specified in VHA
Handbook 1004.02, Advance Care
Planning and Management of Advance
Directives. Veterans’ rights to designate
a health care agent and specify health
care preferences in advance are codified
in 38 CFR 17.32. This regulation also
obligates VA to recognize advance
directives and to use the information
contained therein when health care
decisions must be made for a patient
that has lost decision making capacity.
VA Form 10–0137 (both English and
Spanish-English language versions) has
a current OMB Paperwork Reduction
Act (PRA) clearance under OMB Control
Number 2900–0556. In addition, 2900–
0556 now includes the collection of a
‘‘Close Personal Friend Statement’’ for
incapacitated Veterans who have not
completed an Advance Directive and are
in need of health care. When a Veteran
is incapacitated and does not have an
Advance Directive, the VA regulations
allow a statement to be submitted from
a ‘‘Close Personal Friend’’ who will be
responsible for making health care
decisions on behalf of the Veteran. It is
estimated that 300 such statements will
be collected annually. VA seeks to
renew the PRA clearance for the
information collection under OMB
Control Number 2900–0556.
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 85 FR
196 on October 8, 2020, pages 63661.
VA Form 10–0137
Affected Public: Individuals and
households.
Estimated Annual Burden: 171,811
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
343,622.
Close Personal Friend Statement
Affected Public: Individuals and
households.
Estimated Annual Burden: 50 hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
300.

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By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2021–02853 Filed 2–11–21; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0091]

Agency Information Collection Activity
Under OMB Review: VA Health
Benefits: Application, Update, and
Hardship Determination
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, this notice announces that the
Veterans Health 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: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. Refer to ‘‘OMB Control
No. 2900–0091.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 1717 H Street NW,
Washington, DC 20006, (202) 266–4688
or email [email protected] Please
refer to ‘‘OMB Control No. 2900–0091’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–21.
Title: VA Health Benefits:
Application, Update, and Hardship
Determination, VA Forms 10–10EZ, 10–
10EZR and 10–10HS.
OMB Control Number: 2900–0091.
Type of Review: Extension of a
currently approved collection.
Abstract: Title 38 U.S.C. Chapter 17
authorizes VA to provide hospital care,
medical services, domiciliary care, and
nursing home care to eligible Veterans.
SUMMARY:

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Title 38 U.S.C. 1705 requires VA to
design, establish, and operate a system
of annual patient enrollment in
accordance with a series of stipulated
priorities. Title 38 U.S.C. 1722
establishes eligibility assessment
procedures for cost-free VA medical
care, based on income levels, which
determines whether nonserviceconnected and 0% service-connected
non-compensable Veterans are able to
defray the necessary expenses of care for
nonservice-connected conditions.
Further, when the Veteran projects that
his or her attributable income for the
current calendar year would be
substantially below the applicable
income thresholds, the Veteran would
be considered unable to defray the
expenses of care and VA may exempt
the Veteran from the requirement to pay
copayments for hospital or outpatient
care.
This collection of information is
required to properly administer health
benefits to eligible Veterans.
a. VA Form 10–10EZ, Application for
Health Benefits, is used to collect
Veteran information during the initial
application process for VA medical care,
nursing home, domiciliary, dental
benefits, etc.
b. VA Form 10–10EZR, Health
Benefits Update Form, is used to update
a Veteran’s personal information, such
as marital status, address, health
insurance and financial information, for
renewal of health benefits.
c. VA Form 10–10HS, Request for
Hardship Determination, is used to
collect information from Veterans who
are in a copay required status for
hospital care and medical services, but
due to a loss of income project their
income for the current year will be
substantially below the VA means test
limits.
These forms collect information to
enroll a Veteran for health benefits,
establish basic eligibility, identify 3rd
party health insurance coverage,
identify prescription copayment,
provide for income verification, and
serve as a mechanism to make changes
upon admission for benefits or yearly
financial updates.
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 85 FR
209 on October 28, 2020, pages 68418
and 68419.

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File Modified2021-02-12
File Created2021-02-12

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