80 FR 46107 - Proposed Information Collection (VA Forms 21P-4706b, 21-4706c, 21-4718a) Activity: Comment Request

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 80, Issue 148 (August 3, 2015)

Page Range		46107-46108
FR Document		2015-18923

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 with extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information provided by VA federal fiduciaries management of beneficiary funds.

Federal Register, Volume 80 Issue 148 (Monday, August 3, 2015)

[Federal Register Volume 80, Number 148 (Monday, August 3, 2015)]
[Notices]
[Pages 46107-46108]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-18923]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0017]


Proposed Information Collection (VA Forms 21P-4706b, 21-4706c, 
21-4718a) Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

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 
with extension of a currently approved collection, and allow 60 days 
for public comment in response to the notice. This notice solicits 
comments on information provided by VA federal fiduciaries management 
of beneficiary funds.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before October 2, 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

[[Page 46108]]

Administration (20M33), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420 or email to [email protected]. 
Please refer to ``OMB Control No. 2900-0017'' 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: (a) VA Fiduciary's Account (VA Form 21P-4706b),
    (b) Court Appointed Fiduciary's Account (VA Form 21P-4706c), and
    (c) Certificate of Balance on Deposit and Authorization to Disclose 
Financial Records (VA Form 21-4718a).
    OMB Control Number: 2900-0017.
    Type of Review: Extension of a currently approved collection and 
minor changes.
    Abstract: VA maintains supervision of the distribution and use of 
VA benefits paid to fiduciaries on behalf of VA claimants who are 
incompetent, a minor, or under legal disability. The forms are used to 
verify beneficiaries' deposit remaining at a financial institution 
against a fiduciary's accounting. The following forms will be used to 
ensure claimants' benefits payments are administered properly.
    (a) VA Forms 21P-4706b and 4706c are used by estate to determine 
proper usage of benefits paid to fiduciaries. The 21P-4706b are both 
necessary to conform to requirement of various State courts.
    (b) VA Form 21-4718a--Fiduciaries are required to obtain 
certifications that the balances remaining on deposit in financial 
institutions as shown on accountings are correct. Certifying official 
at a financial institution completing the form must affix the 
institution's official seal or stamp. The data collected is used to 
appoint an appropriate fiduciary for a VA beneficiary and to prevent 
fiduciaries from supplying false certification, embezzling funds, and 
possibly prevent and/or identify fraud, waste and abuse of government 
funds paid to fiduciaries on behalf of VA beneficiaries.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 17,850.
    (a) 21P-4706b: 12,600.
    (b) 21P-4706c: 3,500.
    (c) 21-4718a: 1,750.
    Estimated Average Burden per Respondent:
    (a) 21P-4706b: 27 minutes.
    (b) 21P-4706c: 30 minutes.
    (c) 21-4718: 3 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 35,000.

    By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records 
Management, Department of Veterans Affairs.
[FR Doc. 2015-18923 Filed 7-31-15; 8:45 am]
BILLING CODE 8320-01-P

Federal Register / Vol. 80, No. 148 / Monday, August 3, 2015 / Notices 46107

Estimated Average Burden per omb.eop.gov. Please refer to ‘‘OMB Affected Public: Individuals or
Respondent: 5 minutes. Control No. 2900—NEW (Audience households.
Frequency of Response: On occasion. Feedback Questionnaire—PACT Demo Estimated Annual Burden: 83 burden
Estimated Number of Respondents: Lab VISN 4)’’ in any correspondence. hours.
50,000. During the comment period, comments Estimated Average Burden per
By direction of the Secretary. may be viewed online through the Respondent: 5 minutes.
FDMS. Frequency of Response: Once
Kathleen M. Manwell,
annually.
Program Analyst, VA Privacy Service, Office FOR FURTHER INFORMATION CONTACT:
Estimated Number of Respondents:
of Privacy and Records Management, Crystal Rennie, Enterprise Records
1000.
Department of Veterans Affairs. Service (005R1B), Department of An agency may not conduct or
[FR Doc. 2015–18927 Filed 7–31–15; 8:45 am] Veterans Affairs, 810 Vermont Avenue sponsor, and a person is not required to
BILLING CODE 8320–01–P NW., Washington, DC 20420, (202) 632– respond to a collection of information
7492 or email crystal.rennie@va.gov. unless it displays a currently valid OMB
Please refer to ‘‘OMB Control No. 2900– control number. The Federal Register
DEPARTMENT OF VETERANS NEW (Audience Feedback Notice with a 60-day comment period
AFFAIRS Questionnaire—PACT Demo Lab VISN soliciting comments on this collection
4)’’ in any correspondence. of information was published at 80 FR
[OMB Control No. 2900–NEW]
SUPPLEMENTARY INFORMATION: Under the 4336, January 27, 2015.
Proposed Information Collection: From PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
By direction of the Secretary.
War to Home: Improving Patient- 3501–3521), Federal agencies must
obtain approval from the Office of Kathleen M. Manwell,
Centered Care and Promoting Empathy
Management and Budget (OMB) for each Program Analyst, VA Privacy Service, Office
for ‘‘Operation Enduring Freedom’’ and
collection of information they conduct of Privacy and Records Management,
‘‘Operation Iraqi Freedom’’ (OEF/OIF) Department of Veterans Affairs.
Veterans in the Veterans Health or sponsor. This request for comment is
being made pursuant to Section [FR Doc. 2015–18921 Filed 7–31–15; 8:45 am]
Administration Patient Aligned Care
Team Demo Lab VISN 4 3506(c)(2)(A) of the PRA. BILLING CODE 8320–01–P
With respect to the following
AGENCY: Veterans Health collection of information, VHA invites
Administration, Department of Veterans comments on: (1) Whether the proposed DEPARTMENT OF VETERANS
Affairs. collection of information is necessary AFFAIRS
ACTION: Notice. for the proper performance of VHA’s [OMB Control No. 2900–0017]
functions, including whether the
ACTIVITY: Under OMB Review. information will have practical utility; Proposed Information Collection (VA
SUMMARY: The Veterans Health (2) the accuracy of VHA’s estimate of Forms 21P–4706b, 21–4706c, 21–
Administration (VHA), Department of the burden of the proposed collection of 4718a) Activity: Comment Request
Veterans Affairs (VA), is announcing an information; (3) ways to enhance the
AGENCY: Veterans Benefits
opportunity for public comment on the quality, utility, and clarity of the
Administration, Department of Veterans
proposed collection of certain information to be collected; and (4)
Affairs.
information by the agency. Under the ways to minimize the burden of the
ACTION: Notice.
Paperwork Reduction Act (PRA) of collection of information on
1995, Federal agencies are required to respondents, including through the use SUMMARY: The Veterans Benefits
publish notice in the Federal Register of automated collection techniques or Administration (VBA), Department of
concerning each proposed collection of the use of other forms of information Veterans Affairs (VA), is announcing an
information, including each new technology. opportunity for public comment on the
collection, and allow 60 days for public Titles: From War to Home: Improving proposed collection of certain
comment in response to the notice. This Patient-Centered Care and Promoting information by the agency. Under the
notice solicits comments on the Empathy for OEF/OIF Veterans in the Paperwork Reduction Act (PRA) of
information needed to evaluate the VHA—PACT Demo Lab VISN 4, VA 1995, Federal agencies are required to
project aims to enhance PACT Form 10–10130. publish notice in the Federal Register
implementation by evaluating the OMB Control Number: 2900—NEW. concerning each proposed collection of
effects of the VA PACT initiative and by Type of Review: New data collection.
information, including each proposed
test new, innovative strategies for Abstract: This project is being
revision with extension of a currently
patient care that can be spread if proven conducted under the auspices of the
approved collection, and allow 60 days
effective. VISN 4 Demonstration Lab, which was
for public comment in response to the
funded by Patient Care Services to
DATES: Written comments and notice. This notice solicits comments on
assess the Patient Aligned Care Team
recommendations on the proposed information provided by VA federal
(PACT) model of care for Veterans.
collection of information should be fiduciaries management of beneficiary
There is considerable interest in and
received on or before September 2, funds.
urgency to implement the PACT
2015. model—reflecting both a desire to DATES: Written comments and
recommendations on the proposed
mstockstill on DSK4VPTVN1PROD with NOTICES

ADDRESSES: Submit written comments improve health care for Veterans and to
on the collection of information through sustain the VA’s leadership in health collection of information should be
www.Regulations.gov, or to Office of care quality. CEPACT aims to contribute received on or before October 2, 2015.
Information and Regulatory Affairs, to these goals by evaluating the effects ADDRESSES: Submit written comments
Office of Management and Budget, Attn: of the VA PACT initiative and by testing on the collection of information through
VA Desk Officer; 725 17th St. NW., new, innovative strategies for patient Federal Docket Management System
Washington, DC 20503 or sent through care that can be spread if proven (FDMS) at www.Regulations.gov or to
electronic mail to oira_submission@ effective. Nancy J. Kessinger, Veterans Benefits

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46108 Federal Register / Vol. 80, No. 148 / Monday, August 3, 2015 / Notices

Administration (20M33), Department of the balances remaining on deposit in www.Regulations.gov, or to Office of
Veterans Affairs, 810 Vermont Avenue financial institutions as shown on Information and Regulatory Affairs,
NW., Washington, DC 20420 or email to accountings are correct. Certifying Office of Management and Budget, Attn:
nancy.kessinger@va.gov. Please refer to official at a financial institution VA Desk Officer; 725 17th St. NW.,
‘‘OMB Control No. 2900–0017’’ in any completing the form must affix the Washington, DC 20503 or sent through
correspondence. During the comment institution’s official seal or stamp. The electronic mail to oira_submission@
period, comments may be viewed online data collected is used to appoint an omb.eop.gov. Please refer to ‘‘OMB
through the FDMS. appropriate fiduciary for a VA Control No. 2900–0386’’ in any
FOR FURTHER INFORMATION CONTACT: beneficiary and to prevent fiduciaries correspondence.
Nancy J. Kessinger at (202) 632–8924 or from supplying false certification,
FAX (202) 632–8925. embezzling funds, and possibly prevent FOR FURTHER INFORMATION CONTACT:
SUPPLEMENTARY INFORMATION: Under the and/or identify fraud, waste and abuse Crystal Rennie, Enterprise Records
PRA of 1995 (Pub. L. 104–13; 44 U.S.C. of government funds paid to fiduciaries Service (005R1B), Department of
3501–21), Federal agencies must obtain on behalf of VA beneficiaries. Veterans Affairs, 810 Vermont Avenue
approval from the Office of Management Affected Public: Individuals or NW., Washington, DC 20420, (202) 632–
and Budget (OMB) for each collection of households. 7492 or email crystal.rennie@va.gov.
information they conduct or sponsor. Estimated Annual Burden: 17,850. Please refer to ‘‘OMB Control No. 2900–
This request for comment is being made (a) 21P–4706b: 12,600. 0386.’’
pursuant to Section 3506(c)(2)(A) of the (b) 21P–4706c: 3,500.
(c) 21–4718a: 1,750. SUPPLEMENTARY INFORMATION:
PRA.
Estimated Average Burden per Title: Interest Rate Reduction
With respect to the following
Respondent: Refinancing Loan Worksheet, VA Form
collection of information, VBA invites
(a) 21P–4706b: 27 minutes. 26–8923.
comments on: (1) Whether the proposed
(b) 21P–4706c: 30 minutes.
collection of information is necessary OMB Control Number: 2900–0386.
(c) 21–4718: 3 minutes.
for the proper performance of VBA’s
Frequency of Response: Annually. Type of Review: Revision of a
functions, including whether the Estimated Number of Respondents:
information will have practical utility; currently approved collection.
35,000.
(2) the accuracy of VBA’s estimate of the Abstract: Lenders are required to
burden of the proposed collection of By direction of the Secretary. complete VA Form 26–8923, Interest
information; (3) ways to enhance the Kathleen M. Manwell, Rate Reduction Refinancing Loan
quality, utility, and clarity of the Program Analyst, VA Privacy Service, Office Worksheet, on all interest rate reduction
information to be collected; and (4) of Privacy and Records Management, refinancing loans and submit the form
ways to minimize the burden of the Department of Veterans Affairs. in the loan file when selected by VA for
collection of information on [FR Doc. 2015–18923 Filed 7–31–15; 8:45 am] quality review. The subject form ensures
respondents, including through the use BILLING CODE 8320–01–P that lenders correctly compute the
of automated collection techniques or funding fee and the maximum
the use of other forms of information permissible loan amount for interest rate
technology. DEPARTMENT OF VETERANS
reduction refinancing loans.
Title: (a) VA Fiduciary’s Account (VA AFFAIRS
Form 21P–4706b), An agency may not conduct or
[OMB Control No. 2900–0386]
(b) Court Appointed Fiduciary’s sponsor, and a person is not required to
Account (VA Form 21P–4706c), and Agency Information Collection respond to a collection of information
(c) Certificate of Balance on Deposit (Interest Rate Reduction Refinancing unless it displays a currently valid OMB
and Authorization to Disclose Financial Loan Worksheet) Activity Under OMB control number. The Federal Register
Records (VA Form 21–4718a). Review Notice with a 60-day comment period
OMB Control Number: 2900–0017. soliciting comments on this collection
Type of Review: Extension of a AGENCY: Veterans Benefits of information was published at 80 FR
currently approved collection and Administration, Department of Veterans 2482 on January 16, 2015.
minor changes. Affairs.
Affected Public: Private Sector.
Abstract: VA maintains supervision of ACTION: Notice.
the distribution and use of VA benefits Estimated Annual Burden: 23,333
paid to fiduciaries on behalf of VA SUMMARY: In compliance with the hours.
claimants who are incompetent, a Paperwork Reduction Act (PRA) of 1995
Estimated Average Burden per
minor, or under legal disability. The (44 U.S.C. 3501–3521), this notice
Respondent: 10 minutes.
forms are used to verify beneficiaries’ announces that the Veterans Benefits
Administration (VBA), Department of Frequency of Response: Once per
deposit remaining at a financial
Veterans Affairs, will submit the year.
institution against a fiduciary’s
accounting. The following forms will be collection of information abstracted Estimated Number of Respondents:
used to ensure claimants’ benefits below to the Office of Management and 140,000.
payments are administered properly. Budget (OMB) for review and comment.
The PRA submission describes the By direction of the Secretary.
mstockstill on DSK4VPTVN1PROD with NOTICES

(a) VA Forms 21P–4706b and 4706c Kathleen M. Manwell
are used by estate to determine proper nature of the information collection and
usage of benefits paid to fiduciaries. The its expected cost and burden; it includes VA Privacy Service, Office of Privacy and
the actual data collection instrument. Records Management, Department of
21P–4706b are both necessary to
DATES: Comments must be submitted on Veterans Affairs.
conform to requirement of various State
or before September 2, 2015. [FR Doc. 2015–18931 Filed 7–31–15; 8:45 am]
courts.
(b) VA Form 21–4718a—Fiduciaries ADDRESSES: Submit written comments BILLING CODE 8320–01–P

are required to obtain certifications that on the collection of information through

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Document Created: 2018-02-23 10:51:27
Document Modified: 2018-02-23 10:51:27

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 October 2, 2015.
Contact		Nancy J. Kessinger at (202) 632-8924 or FAX (202) 632-8925.
FR Citation		80 FR 46107