80 FR 24319 - Proposed Information Collection (Notice of Disagreement) Activity: Comment Request

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 80, Issue 83 (April 30, 2015)

Page Range		24319-24320
FR Document		2015-10104

The Veterans Benefits Administration (VBA), 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 revision of a currently approved collection, and allow 60 days for public comment in response to the notice. VA Form 21-0958, will be used by the Veteran to initiate an appeal by indicating disagreement with a decision issued by a Regional Office (RO).

Federal Register, Volume 80 Issue 83 (Thursday, April 30, 2015)

[Federal Register Volume 80, Number 83 (Thursday, April 30, 2015)]
[Notices]
[Pages 24319-24320]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-10104]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0791]


Proposed Information Collection (Notice of Disagreement) 
Activity: Comment Request

AGENCY: Veterans Benefits Administration, VA.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Veterans Benefits Administration (VBA), 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 revision of 
a currently approved collection, and allow 60 days for public comment 
in response to the notice.
    VA Form 21-0958, will be used by the Veteran to initiate an appeal 
by indicating disagreement with a decision issued by a Regional Office 
(RO).

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before June 29, 2015.

ADDRESSES: 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

[[Page 24320]]

``OMB Control No. 2900-0791'' in any correspondence. During the comment 
period, comments may be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or FAX (202) 632-8925.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-21), Federal agencies must obtain approval from the Office 
of 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.
    Title: Notice of Disagreement (VA Form 21-0958).
    OMB Control Number: 2900-0791.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-0958, will be used by the Veteran to initiate 
an appeal by indicating disagreement with a decision issued by a 
Regional Office (RO). Historically, VBA commenced a pilot program on 
March 1, 2012 and provided the NOD in all decision and notification 
letters at the pilot location. VA Form 21-0958, is the first step in 
the appeal process. The respondent may or may not continue with an 
appeal to the Board of Veterans Appeals (BVA). If the Veteran opts to 
continue to BVA for an appeal, this form will be included in the claim 
folder as evidence. VA will provide VA Form 21-0958 to claimants with 
the notification letter of the decision in paper form, via hyperlink to 
VA's Web site, or through its electronic claims processing system. The 
use of VA Form 21-0958 is mandatory when claimants want to initiate an 
appeal from a decision on disability compensation claims dated on or 
after March 24, 2015.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 72,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 144,000.

    By direction of the Secretary:
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2015-10104 Filed 4-29-15; 8:45 am]
 BILLING CODE 8320-01-P

Federal Register / Vol. 80, No. 83 / Thursday, April 30, 2015 / Notices 24319

after June 18, 1980. The new rule will Estimated Annual Burden Hours: Abstract: Form 8952 was created by
be included in regulations finalizing the 7,664. the IRS in conjunction with a new
temporary regulations. OMB Number: 1545–1913. program developed to permit taxpayers
Affected Public: Private Sector: Type of Review: Extension without to voluntarily reclassify workers as
Businesses or other for-profits. change of a currently approved employees for federal employment tax
Estimated Annual Burden Hours: 200. collection. purposes and obtain similar relief to
OMB Number: 1545–1799. Title: Payment of Gift/GST Tax and/ that obtained in the current
Type of Review: Extension without or Application for Extension of Time To Classification Settlement Program. To
change of a currently approved File Form 709. participate in the program, taxpayers
collection. Form: 8892. must meet certain eligibility
Title: Notice 2002–69, Interest Rates Abstract: Form 8892 was created to requirements, apply to participate in
and Appropriate Foreign Loss Payment serve a dual purpose. First, the form VCSP, and enter into closing agreements
Patterns For Determining the Qualified enables taxpayers to request an with the IRS.
Insurance Income of Certain Controlled extension of time to File 709, when they Affected Public: Private Sector:
Corporations under Section 954(f). are not filing an individual income tax Businesses or other for-profits.
Abstract: This notice provide extension. Second, it serves as a Estimated Annual Burden Hours:
guidance on how to determine the payment voucher for taxpayers, who are 16,745.
foreign loss payment patterns of a filing an individual income tax Dated: April 27, 2015.
foreign insurance company owned by extension (by Form 4868) and will have Dawn D. Wolfgang,
U.S. shareholder for purposes of a gift tax balance due on Form 709. Treasury PRA Clearance Officer.
determining the amount of investment Affected Public: Individuals or [FR Doc. 2015–10078 Filed 4–29–15; 8:45 am]
income earned by the insurance Households. BILLING CODE 4830–01–P
company that is not treated as Subpart Estimated Annual Burden Hours:
F income under section 954(i). 7,200.
Affected Public: Private Sector:
Businesses or other for-profits. OMB Number: 1545–1942. DEPARTMENT OF VETERANS
Estimated Annual Burden Hours: 300. Type of Review: Extension without AFFAIRS
OMB Number: 1545–1817. change of a currently approved
collection. [OMB Control No. 2900–0791]
Type of Review: Extension without
change of a currently approved Title: Notice 2005–44, Charitable
Contributions of Certain Motor Vehicles, Proposed Information Collection
collection. (Notice of Disagreement) Activity:
Title: Application for United States Boats, and Airplanes.
Abstract: The notice provides Comment Request
Residency Certification.
Form: 8802. guidance under new Subsection AGENCY: Veterans Benefits
Abstract: All requests for U.S. 170(f)(12) and 6720 regarding how to Administration, VA.
residency certification must be received determine the amount of a charitable ACTION: Notice.
on Form 8802, Application for United contribution for certain vehicles and the
States Residency Certification. This related substantiation and information SUMMARY: The Veterans Benefits
application must be sent to the reporting requirements. Administration (VBA), Department of
Philadelphia Service Center. As proof of Affected Public: Individuals or Veterans Affairs (VA), is announcing an
residency in the United States and of Households. opportunity for public comment on the
entitlement to the benefits of a tax Estimated Annual Burden Hours: proposed collection of certain
treaty, U.S. treaty partner countries 3,041. information by the agency. Under the
require a U.S. Government certification OMB Number: 1545–1950. Paperwork Reduction Act (PRA) of
that you are a U.S. citizen, U.S. Type of Review: Extension without 1995, Federal agencies are required to
corporation, U.S. partnership, or change of a currently approved publish notice in the Federal Register
resident of the United States for collection. concerning each proposed collection of
purposes of taxation. Title: Return by a Shareholder Making information, including each proposed
Affected Public: Private Sector: Certain Late Elections To End Treatment revision of a currently approved
Businesses or other for-profits. as a Passive Foreign Investment collection, and allow 60 days for public
Estimated Annual Burden Hours: Company. comment in response to the notice.
472,380. Abstract: Form 8621–A is used by VA Form 21–0958, will be used by the
certain taxpayer/investors to request Veteran to initiate an appeal by
OMB Number: 1545–1856.
ending of their treatment as investing in indicating disagreement with a decision
Type of Review: Extension without
a Passive Foreign Investment Company. issued by a Regional Office (RO).
change of a currently approved
collection. New regulations are being written in DATES: Written comments and
Title: Consent To Disclosure of Return support of the new products. The recommendations on the proposed
Information. underlying law is in IRC sections 1297 collection of information should be
Form: 13362. and 1298. received on or before June 29, 2015.
Abstract: The Consent Form is Affected Public: Individuals or ADDRESSES: Submit written comments
Households.
mstockstill on DSK4VPTVN1PROD with NOTICES

provided to external applicant that will on the collection of information through
allow the Service the ability to conduct Estimated Annual Burden Hours: 785. Federal Docket Management System
tax checks to determine if an applicant OMB Number: 1545–2215. (FDMS) at www.Regulations.gov or to
is suitability for employment once they Type of Review: Revision of a Nancy J. Kessinger, Veterans Benefits
are determined qualified and within currently approved collection. Administration (20M33), Department of
reach to receive an employment offer. Title: Application for Voluntary Veterans Affairs, 810 Vermont Avenue
Affected Public: Individuals or Classification Settlement Program. NW., Washington, DC 20420 or email to
Households. Form: 8952. nancy.kessinger@va.gov. Please refer to

VerDate Sep<11>2014 17:01 Apr 29, 2015 Jkt 235001 PO 00000 Frm 00090 Fmt 4703 Sfmt 4703 E:\FR\FM\30APN1.SGM 30APN1

24320 Federal Register / Vol. 80, No. 83 / Thursday, April 30, 2015 / Notices

‘‘OMB Control No. 2900–0791’’ in any Frequency of Response: One time. Representative and Appointment of
correspondence. During the comment Estimated Number of Respondents: Individual as Claimant’s Representative
period, comments may be viewed online 144,000. (VA Forms 21–22 and 21–22a).
through the FDMS. By direction of the Secretary: OMB Control Number: 2900–0321.
FOR FURTHER INFORMATION CONTACT: Type of Review: Revision of a
Crystal Rennie,
Nancy J. Kessinger at (202) 632–8924 or currently approved collection.
VA Clearance Officer, Department of Veterans Abstract: VA Forms 21–22 and 21–
FAX (202) 632–8925. Affairs.
22a are used to collect the information
SUPPLEMENTARY INFORMATION: Under the [FR Doc. 2015–10104 Filed 4–29–15; 8:45 am]
PRA of 1995 (Pub. L. 104–13; 44 U.S.C. needed to determine whom claimants
BILLING CODE 8320–01–P
3501–21), Federal agencies must obtain have appointed to represent them in the
approval from the Office of Management preparation, presentation, and
and Budget (OMB) for each collection of prosecution of claims for VA benefits.
DEPARTMENT OF VETERANS
information they conduct or sponsor. The information is also used to
AFFAIRS
This request for comment is being made determine the extent of representatives’
pursuant to Section 3506(c)(2)(A) of the
[OMB Control No. 2900–0321] access to claimants’ records.
An agency may not conduct or
PRA. Agency Information Collection
With respect to the following sponsor, and a person is not required to
(Appointment of Veterans Service respond to a collection of information
collection of information, VBA invites Organization as Claimant’s
comments on: (1) Whether the proposed unless it displays a currently valid OMB
Representative and Appointment of control number. The Federal Register
collection of information is necessary Individual as Claimant’s
for the proper performance of VBA’s Notice with a 60-day comment period
Representative) Activity Under OMB soliciting comments on this collection
functions, including whether the Review
information will have practical utility; of information was published at 80 FR
(2) the accuracy of VBA’s estimate of the AGENCY: Veterans Benefits 8763 on February 18, 2015.
burden of the proposed collection of Administration, Department of Veterans Affected Public: Individuals or
information; (3) ways to enhance the Affairs. Households.
quality, utility, and clarity of the Estimated Annual Burden: 27,616.
ACTION: Notice.
Estimated Average Burden Per
information to be collected; and (4)
SUMMARY: In compliance with the Respondent: 5 minutes.
ways to minimize the burden of the Frequency of Response: One time.
collection of information on Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–21), this notice Estimated Number of Respondents:
respondents, including through the use 331,400.
of automated collection techniques or announces that the Veterans Benefits
the use of other forms of information Administration, Department of Veterans By direction of the Secretary.
technology. Affairs, will submit the collection of Crystal Rennie,
Title: Notice of Disagreement (VA information abstracted below to the VA Clearance Officer, U.S. Department of
Form 21–0958). Office of Management and Budget Veterans Affairs.
OMB Control Number: 2900–0791. (OMB) for review and comment. The [FR Doc. 2015–10100 Filed 4–29–15; 8:45 am]
Type of Review: Revision of a PRA submission describes the nature of BILLING CODE 8320–01–P
currently approved collection. the information collection and its
Abstract: VA Form 21–0958, will be expected cost and burden and it
used by the Veteran to initiate an appeal includes the actual data collection DEPARTMENT OF VETERANS
by indicating disagreement with a instrument. AFFAIRS
decision issued by a Regional Office DATES: Comments must be submitted on [OMB Control No. 2900–0682]
(RO). Historically, VBA commenced a or before June 1, 2015.
pilot program on March 1, 2012 and Agency Information Collection
ADDRESSES: Submit written comments
provided the NOD in all decision and (Advertising, Sales, and Enrollment
notification letters at the pilot location. on the collection of information through
www.Regulations.gov, or to Office of Materials, and Candidate Handbooks)
VA Form 21–0958, is the first step in the Activity Under OMB Review
appeal process. The respondent may or Information and Regulatory Affairs,
may not continue with an appeal to the Office of Management and Budget, Attn: AGENCY: Veterans Benefits
Board of Veterans Appeals (BVA). If the VA Desk Officer; 725 17th St. NW., Administration, Department of Veterans
Veteran opts to continue to BVA for an Washington, DC 20503 or sent through Affairs.
appeal, this form will be included in the electronic mail to oira_submission@ ACTION: Notice.
claim folder as evidence. VA will omb.eop.gov. Please refer to ‘‘OMB
provide VA Form 21–0958 to claimants Control No. 2900–0321’’ in any SUMMARY: In compliance with the
with the notification letter of the correspondence. During the comment Paperwork Reduction Act (PRA) of 1995
decision in paper form, via hyperlink to period, comments may be viewed online (44 U.S.C. 3501–3521), this notice
VA’s Web site, or through its electronic through the FDMS. announces that the Veterans Benefits
claims processing system. The use of FOR FURTHER INFORMATION CONTACT: Administration (VBA), Department of
VA Form 21–0958 is mandatory when Crystal Rennie, Enterprise Records Veterans Affairs, will submit the
claimants want to initiate an appeal Service (005R1B), Department of collection of information abstracted
below to the Office of Management and
mstockstill on DSK4VPTVN1PROD with NOTICES

from a decision on disability Veterans Affairs, 810 Vermont Avenue
compensation claims dated on or after NW., Washington, DC 20420, (202) 632– Budget (OMB) for review and comment.
March 24, 2015. 7492 or email crystal.rennie@va.gov. The PRA submission describes the
Affected Public: Individuals or Please refer to ‘‘OMB Control No. 2900– nature of the information collection and
households. 0321’’ in any correspondence. its expected cost and burden; it includes
Estimated Annual Burden: 72,000. SUPPLEMENTARY INFORMATION: the actual data collection instrument.
Estimated Average Burden per Title: Appointment of Veterans DATES: Comments must be submitted on
Respondent: 30 minutes. Service Organization as Claimant’s or before June 1, 2015.

VerDate Sep<11>2014 17:01 Apr 29, 2015 Jkt 235001 PO 00000 Frm 00091 Fmt 4703 Sfmt 4703 E:\FR\FM\30APN1.SGM 30APN1

Document Created: 2018-02-21 10:14:49
Document Modified: 2018-02-21 10:14:49

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		Written comments and recommendations on the proposed collection of information should be received on or before June 29, 2015.
Contact		Nancy J. Kessinger at (202) 632-8924 or FAX (202) 632-8925.
FR Citation		80 FR 24319