60-Day FRN - 2900-0060 (2021)

60-Day FRN - 2900-0060 (2021).pdf

Claim for One Sum Payment (Government Life Ins), Claim for Monthly Payments (National Service Life Ins), and Claim for One Sum Payment (Government Life Ins) VA Forms 29-4125, 4125A, 4125e-Electronic

60-Day FRN - 2900-0060 (2021)

OMB: 2900-0060

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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

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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:

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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

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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:

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Federal Register / Vol. 86, No. 203 / Monday, October 25, 2021 / Notices
extension of a currently approved
collection, and allow 60 days for public
comment in response to the notice.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before December 27,
2021.
Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Nancy J. Kessinger, Veterans Benefits
Administration (20M33), Department of
Veterans Affairs, 810 Vermont Avenue
NW, Washington, DC 20420 or email to
[email protected]. Please refer to
‘‘OMB Control No. 2900–0060’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
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. 2900–0060’’
in any correspondence.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995, Federal agencies must
obtain approval from the Office of

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ADDRESSES:

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Management and Budget (OMB) for each
collection of information they conduct
or sponsor. This request for comment is
being made pursuant to Section
3506(c)(2)(A) of the PRA.
With respect to the following
collection of information, VBA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VBA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VBA’s estimate of the
burden of the proposed collection of
information; (3) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Authority: Public Law 104–13; 44
U.S.C. 3501–3521.
Title: Claim for One Sum Payment
Government Life Insurance (29–4125);
Claim for One Sum Payment
Government Life Insurance (29–4125e);
Claim for Monthly Payments
Government Life Insurance (29–4125a).
OMB Control Number: 2900–0060.
Type of Review: Extension of a
currently approved collection.

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Abstract: These forms are used by
beneficiaries applying for proceeds of
Government Life Insurance policies.
The VA Form 29–4125e has been added
to this collection. This is an electronic
version of the 29–4125. This form was
created so beneficiaries can apply for
insurance proceeds electronically. This
will not affect the number of
respondents but will make it easier and
reduce the time it takes for beneficiaries
to receive their insurance proceeds. The
information requested on the forms is
required by law, 38 U.S.C. Sections
1917 and 1952.
Affected Public: Individuals and
households.
Estimated Annual Burden: 12,010
hours.
Estimated Average Burden per
Respondent: 6 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
120,100.
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. 2021–23234 Filed 10–22–21; 8:45 am]
BILLING CODE 8320–01–P

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