30-day FRN - 2900-0757 - SSVF Program Grant Application & Report - pub 10252021

Federal Register / Vol. 86, No. 203 / Monday, October 25, 2021 / Notices
DEPARTMENT OF THE TREASURY
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request; Multiple
Fiscal Service Information Collection
Requests
Departmental Offices,
Department of the Treasury.
ACTION: Notice.
AGENCY:

The Department of the
Treasury will submit the following
information collection requests to the
Office of Management and Budget
(OMB) for review and clearance in
accordance with the Paperwork
Reduction Act of 1995, on or after the
date of publication of this notice. The
public is invited to submit comments on
these requests.
DATES: Comments should be received on
or before November 24, 2021 to be
assured of consideration.
ADDRESSES: 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.
FOR FURTHER INFORMATION CONTACT:
Copies of the submissions may be
obtained from Molly Stasko by emailing
[email protected], calling (202) 622–
8922, or viewing the entire information
collection request at www.reginfo.gov.
SUPPLEMENTARY INFORMATION:

jspears on DSK121TN23PROD with NOTICES1

SUMMARY:

Fiscal Service (FS)
1. Title: Claim Against the United
States for the Proceeds of a Government
Check.
OMB Control Number: 1530–0010.
Type of Review: Extension without
change of a currently approved
collection.
Description: The forms are used to
collect information needed to process an
individual’s claim for non-receipt of
proceeds from a U.S. Treasury check.
Once the information is analyzed, a
determination is made and a
recommendation is submitted to the
program agency to either settle or deny
the claim.
Form: FS Form 1133 and FS Form
1133–A.
Affected Public: Individuals or
households.
Estimated Number of Respondents:
51,640.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 51,640.

VerDate Sep<11>2014

18:00 Oct 22, 2021

Jkt 256001

Estimated Time per Response: 10
minutes.
Estimated Total Annual Burden
Hours: 8,609 hours.
2. Title: Special Form of Assignment
for U.S. Registered Securities.
OMB Control Number: 1530–0058.
Type of Review: Extension without
change of a currently approved
collection.
Description: FS Form 1832 is used by
owners, or authorized representatives,
to complete transactions involving the
assignment of U.S. Registered and
Bearer Securities.
Form: FS Form 1832.
Affected Public: Individuals or
households.
Estimated Number of Respondents:
10.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 10.
Estimated Time per Response: 15
minutes.
Estimated Total Annual Burden
Hours: 2.5 hours.
3. Title: Disclaimer and Consent With
Respect To United States Savings
Bonds/Notes.
OMB Control Number: 1530–0059.
Type of Review: Extension without
change of a currently approved
collection.
Description: A disclaimer and consent
may be necessary when, as the result of
an error in registration or otherwise, the
payment, refund of purchase price, or
reissue of savings bonds/notes as
requested by one person would appear
to affect the right, title or interest of
some other person.
Form: FS Form 1849.
Affected Public: Individuals or
households.
Estimated Number of Respondents:
450.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 450.
Estimated Time per Response: 6
minutes.
Estimated Total Annual Burden
Hours: 45 hours.
4. Title: Checklists of Filings for
Certified Surety and/or Certified
Reinsuring Companies and for Admitted
Reinsurer Companies.
OMB Control Number: 1530–0061.
Type of Review: Extension without
change of a currently approved
collection.
Description: This information is
collected from insurance companies to
assist the Treasury Department in
determining acceptability of the
companies applying for a Certificate of
Authority to write or reinsure Federal
surety bonds and/or gain recognition as
an Admitted Reinsurer.

PO 00000

Frm 00147

Fmt 4703

Sfmt 4703

59005

Form: Annual Filing Checklist
Certified Companies; Annual Filing
Checklist Admitted Reinsurers.
Affected Public: Businesses or other
for-profit.
Estimated Number of Respondents:
30.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 30.
Estimated Time per Response: 5
hours.
Estimated Total Annual Burden
Hours: 150 hours.
5. Title: Subscription for Purchase and
Issue of U.S. Treasury Securities—State
and Local Government Series.
OMB Control Number: 1530–0065.
Type of Review: Extension without
change of a currently approved
collection.
Description: The information is
requested to establish and maintain
accounts for the owners of securities of
the State and Local Government Series.
Form: FS Form 4144; FS Form 4144–
1; FS Form 4144–2; FS Form 4144–5; FS
Form 4144–6; FS Form 4144–7; FS Form
5377; FS Form 5237; and FS Form 5238.
Affected Public: State and Local
Governments.
Estimated Number of Respondents:
6,437.
Frequency of Response: On Occasion.
Estimated Total Number of Annual
Responses: 6,437.
Estimated Time per Response: 24
minutes.
Estimated Total Annual Burden
Hours: 2,578 hours.
Authority: 44 U.S.C. 3501 et seq.
Dated: October 19, 2021.
Molly Stasko,
Treasury PRA Clearance Officer.
[FR Doc. 2021–23149 Filed 10–22–21; 8:45 am]
BILLING CODE 4810–AS–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0757]

Agency Information Collection Activity
Under OMB Review: Supportive
Services for Veteran Families (SSVF)
Program—Grant Application & Report
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

SUMMARY:

E:\FR\FM\25OCN1.SGM

25OCN1

jspears on DSK121TN23PROD with NOTICES1

59006

Federal Register / Vol. 86, No. 203 / Monday, October 25, 2021 / Notices

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. 2900–0757.
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. 2900–0757’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–21.
Title: Supportive Services for Veteran
Families (SSVF) Program—Grant
Application & Report, VA Forms 10–
10072, 10–10072a, 10–10072b and 10–
10072c.
OMB Control Number: 2900–0757.
Type of Review: Reinstatement of a
previously approved collection.
Abstract: The purpose of the
Supportive Services for Veteran
Families (SSVF) Program is to provide
supportive services grants to private
non-profit organizations and consumer
cooperatives who will coordinate or
provide supportive services to very lowincome veteran families who are
residing in permanent housing, are
homeless and scheduled to become
residents of permanent housing within
a specified time period, or after exiting
permanent housing, are seeking other
housing that is responsive to such very
low-income veteran family needs and
preferences. The following VA forms are
included in this collection, as well as
templates and a certification that do not
require PRA clearances.
a. Application for Supportive Services
Grants, VA Form 10–10072
b. Participant Satisfaction Survey, VA
Form 10–10072a
c. Quarterly Grantee Performance
Report, VA Form 10–10072b
d. Renewal Application, VA Form 10–
10072c
e. Applicant Budget Template
f. Financial Report Template
g. Grantee Certification
An agency may not conduct or
sponsor, and a person is not required to

VerDate Sep<11>2014

18:00 Oct 22, 2021

Jkt 256001

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 86 FR
133 on July 15, 2021, page 37406.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 25,505
hours.
Estimated Average Burden per
Respondent: 125 minutes.
Frequency of Response: Average of
twice annually.
Estimated Number of Respondents:
12,270.
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. 2021–23133 Filed 10–22–21; 8:45 am]

Signing Authority

BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
Corporate Senior Executive
Management Office; Notice of
Performance Review Board Members
Corporate Senior Executive
Management Office, Department of
Veterans Affairs.
ACTION: Notice.
AGENCY:

Agencies are required to
publish a notice in the Federal Register
of the appointment of Performance
Review Board (PRB) members. This
notice announces the appointment of
individuals to serve on the PRB of the
Department of Veterans Affairs.
DATES: This appointment is effective
October 25, 2021.
ADDRESSES: Corporate Senior Executive
Management Office, Department of
Veterans Affairs, 810 Vermont Avenue
NW, Washington, DC 20420.
FOR FURTHER INFORMATION CONTACT:
Contact Carrie Johnson-Clark, Executive
Director, Corporate Senior Executive
Management Office (006D), Department
of Veterans Affairs, 810 Vermont
Avenue NW, Washington, DC 20420,
(202) 632–5181.
SUPPLEMENTARY INFORMATION: The
membership of the Department of
Veterans Affairs Performance Review
Board is as follows:
Bradsher, Tanya (Chair)
Arnold, Kenneth
Billups, Angela
Bocchicchio, Alfred
Boerstler, John
Bonjorni, Jessica
SUMMARY:

PO 00000

Frm 00148

Fmt 4703

Christy, Phillip W.
Czarnecki, Tammy
Duke, Laura
Eskenazi, Laura
Flint, Sandra
Galvin, Jack
Hogan, Michael
Lilly, Ryan
MacDonald, Edna
Marsh, Willie C.
McInerney, Joan
McDivitt, Robert
Mitrano, Catherine
Morton, Barbara
Murray, Edward J.
Pape, Lisa
Pope, Derwin B.
Rivera, Fernando O.
Scavella, Erica
Simpson, Todd
Tapp, Charles
Thomas, Lisa
Tibbits, Paul

Sfmt 4703

Denis McDonough, Secretary of
Veterans Affairs, approved this
document on October 19, 2021, and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
electronically as an official document of
the Department of Veterans Affairs.
(Authority: 5 U.S.C. 4314(c)(4))
Jeffrey M. Martin,
Assistant Director, Office of Regulation Policy
& Management, Office of General Counsel,
Department of Veterans Affairs.
[FR Doc. 2021–23167 Filed 10–22–21; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0060]

Agency Information Collection
Activity: Claim for One Sum Payment
Government Life Insurance and Claim
for Monthly Payments Government Life
Insurance
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

Veterans Benefits
Administration, 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:

E:\FR\FM\25OCN1.SGM

25OCN1