80 FR 48959 - Agency Information Collection (Application for Voluntary Service VA Form 10-7055 and Associated Internet Application)
DEPARTMENT OF VETERANS AFFAIRS Federal Register Volume 80, Issue 157 (August 14, 2015)
Federal Register Volume 80, Issue 157 (August 14, 2015)
| Page Range | 48959-48960 | |
| FR Document | 2015-19966 |
[Federal Register Volume 80, Number 157 (Friday, August 14, 2015)] [Notices] [Pages 48959-48960] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-19966] ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0090] Agency Information Collection (Application for Voluntary Service VA Form 10-7055 and Associated Internet Application) AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Veterans Health Administration (VHA), 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 includes the actual data collection instrument. DATES: Written comments and recommendations on the proposed collection of information should be received on or before September 14, 2015. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to [email protected]. Please refer to ``OMB Control No. 2900- 0090 (Application for Voluntary Service VA Form 10-7055 and Associated Internet Application)'' in any correspondence. During the comment period, comments may be viewed online through the FDMS. FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email [email protected]. Please refer to ``OMB Control No. 2900-0090'' in any correspondence. SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 U.S.C. 3501-3521), 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, VHA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VHA's functions, including whether the information will have practical utility; (2) the accuracy of VHA'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. SUPPLEMENTARY INFORMATION: Titles: Application for Voluntary Service VA Form 10-7055 and Associated Internet Application. OMB Control Number: 2900-0900, (Application for Voluntary Service VA Form 10-7055 and Associated Internet Application). Type of Review: Revision. Abstract: This application (VA Form 10-7055 and the associated web form) will be here-in-after referred to as the form. The form is used to assist [[Page 48960]] personnel of volunteer organizations, which recruit volunteers from their membership, and the Department of Veterans Affairs (VA) in the selection, screening and placement of volunteers in the nationwide VA Voluntary Service program. The volunteer program supplements the medical care and treatment of veteran patients in all VA medical centers. This form is necessary to assist in determining the suitability and placement of potential volunteers. The information is collected under the authority of 38 U.S.C. 7405(a) Affected Public: Individuals or Households. Estimated Annual Burden: 8,000 burden hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 32,000. 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. 2015-19966 Filed 8-13-15; 8:45 am] BILLING CODE 8320-01-P
![Federal Register / Vol. 80, No. 157 / Friday, August 14, 2015 / Notices 48959
comments on: (1) Whether the proposed Estimated Annual Burden DATES: Written comments and
collection of information is necessary a. Foreign Medical Program (FMP) recommendations on the proposed
for the proper performance of VHA’s Registration Form—fill, VA Form 10– collection of information should be
functions, including whether the 7959f–1—111 hours. received on or before September 14,
information will have practical utility; b. CLAIM COVER SHEET—FOREIGN 2015.
(2) the accuracy of VHA’s estimate of MEDICAL PROGRAM (FMP)—fill, VA ADDRESSES: Submit written comments
the burden of the proposed collection of Form 10–7959f–2—3,652 hours. on the collection of information through
information; (3) ways to enhance the www.Regulations.gov, or to Office of
quality, utility, and clarity of the Estimated Average Burden per
Information and Regulatory Affairs,
information to be collected; and (4) Respondent
Office of Management and Budget, Attn:
ways to minimize the burden of the a. Foreign Medical Program (FMP) VA Desk Officer; 725 17th St. NW.,
collection of information on Registration Form—fill, VA Form 10– Washington, DC 20503 or sent through
respondents, including through the use 7959f–1—4 minutes. electronic mail to oira_submission@
of automated collection techniques or b. CLAIM COVER SHEET—FOREIGN omb.eop.gov. Please refer to ‘‘OMB
the use of other forms of information MEDICAL PROGRAM (FMP)—fill, VA Control No. 2900–0090 (Application for
technology. Form 10–7959f–2—11 minutes. Voluntary Service VA Form 10–7055
SUPPLEMENTARY INFORMATION: Frequency of Response and Associated Internet Application)’’
in any correspondence. During the
Titles a. Foreign Medical Program (FMP)
comment period, comments may be
Registration Form—fill, VA Form 10–
viewed online through the FDMS.
1. Foreign Medical Program (FMP) 7959f–1—Annually
b. CLAIM COVER SHEET—FOREIGN FOR FURTHER INFORMATION CONTACT:
Registration Form.
MEDICAL PROGRAM (FMP)—fill, VA Crystal Rennie, Enterprise Records
2. CLAIM COVER SHEET—FOREIGN Service (005R1B), Department of
MEDICAL PROGRAM (FMP). Form 10–7959f–2—12 times a year.
Veterans Affairs, 810 Vermont Avenue
OMB Control Number: 2900–0648. Estimated Annual Responses NW., Washington, DC 20420, (202) 632–
Type of Review: Extension of a a. Foreign Medical Program (FMP) 7492 or email crystal.rennie@va.gov.
currently approved collection. Registration Form—fill, VA Form 10– Please refer to ‘‘OMB Control No. 2900–
7959f–1—1,660. 0090’’ in any correspondence.
Abstracts b. CLAIM COVER SHEET—FOREIGN SUPPLEMENTARY INFORMATION: Under the
This information collection is needed MEDICAL PROGRAM (FMP)—fill, VA PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
to carry out the health care benefits Form 10–7959f–2—19,920. 3501–3521), Federal agencies must
allowed by the Foreign Medical Program By direction of the Secretary. obtain approval from the Office of
(FMP). It is a federal health benefits Kathleen M. Manwell, Management and Budget (OMB) for each
program for Veterans administered by Program Analyst, VA Privacy Service, Office collection of information they conduct
the Department of Veterans Affairs (VA) of Privacy and Records Management, or sponsor. This request for comment is
Veterans Health Administration (VHA). Department of Veterans Affairs. being made pursuant to Section
FMP is a Fee for Service (indemnity [FR Doc. 2015–19965 Filed 8–13–15; 8:45 am] 3506(c)(2)(A) of the PRA.
plan) program. FMP provides With respect to the following
BILLING CODE 8320–01–P
reimbursement for VA adjudicated collection of information, VHA invites
service-connected conditions. Title 38 comments on: (1) Whether the proposed
CFR 17.35 states that the VA will DEPARTMENT OF VETERANS collection of information is necessary
provide coverage for the Veteran’s AFFAIRS for the proper performance of VHA’s
service-connected disability when the functions, including whether the
[OMB Control No. 2900–0090] information will have practical utility;
Veteran is residing or traveling overseas.
(2) the accuracy of VHA’s estimate of
VA Form 10–7959f–1, Foreign Agency Information Collection
the burden of the proposed collection of
Medical Program (FMP) Registration (Application for Voluntary Service VA
information; (3) ways to enhance the
Form, is used to register into the Foreign Form 10–7055 and Associated Internet
quality, utility, and clarity of the
Medical Program those Veterans with Application)
information to be collected; and (4)
service-connected disabilities that are ways to minimize the burden of the
AGENCY: Veterans Health
living or traveling overseas. Title 38 collection of information on
Administration, Department of Veterans
CFR 17.125(d) states that requests for respondents, including through the use
Affairs.
consideration of claim reimbursement of automated collection techniques or
ACTION: Notice.
from approved health care providers the use of other forms of information
and Veterans are to be mailed to VHA SUMMARY: In compliance with the technology.
Health Administration Center (HAC). Paperwork Reduction Act (PRA) of 1995 SUPPLEMENTARY INFORMATION:
The VA Form 10–7959f–2, Claim Cover (44 U.S.C. 3501–3521), this notice Titles: Application for Voluntary
Sheet—Foreign Medical Program announces that the Veterans Health Service VA Form 10–7055 and
streamlines the claims submission Administration (VHA), Department of Associated Internet Application.
process for claimants or physicians Veterans Affairs, will submit the
asabaliauskas on DSK5VPTVN1PROD with NOTICES
OMB Control Number: 2900–0900,
while also reducing the time spent by collection of information abstracted (Application for Voluntary Service VA
VA on processing FMP claims. The below to the Office of Management and Form 10–7055 and Associated Internet
cover sheet will allow foreign providers/ Budget (OMB) for review and comment. Application).
Veterans with a better understanding of The PRA submission describes the Type of Review: Revision.
basic information required for the nature of the information collection and Abstract: This application (VA Form
processing and payment of claims. its expected cost and burden and 10–7055 and the associated web form)
Affected Public: Individuals or includes the actual data collection will be here-in-after referred to as the
households. instrument. form. The form is used to assist
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![48960 Federal Register / Vol. 80, No. 157 / Friday, August 14, 2015 / Notices
personnel of volunteer organizations, collection of information should be By direction of the Secretary.
which recruit volunteers from their received on or before October 13, 2015. Kathleen M. Manwell,
membership, and the Department of ADDRESSES: Submit written comments Program Analyst, VA Privacy Service, Office
Veterans Affairs (VA) in the selection, on the collection of information through of Privacy and Records Management,
screening and placement of volunteers Federal Docket Management System Department of Veterans Affairs.
in the nationwide VA Voluntary Service (FDMS) at www.Regulations.gov or to [FR Doc. 2015–20096 Filed 8–13–15; 8:45 am]
program. The volunteer program Nancy J. Kessinger, Veterans Benefits BILLING CODE 8320–01–P
supplements the medical care and Administration (20M33), Department of
treatment of veteran patients in all VA Veterans Affairs, 810 Vermont Avenue
medical centers. This form is necessary NW., Washington, DC 20420 or email to DEPARTMENT OF VETERANS
to assist in determining the suitability nancy.kessinger@va.gov. Please refer to AFFAIRS
and placement of potential volunteers. ‘‘OMB Control No. 2900–0358’’ in any [OMB Control No. 2900—NEW]
The information is collected under the correspondence. During the comment
authority of 38 U.S.C. 7405(a) period, comments may be viewed online Agency Information Collection—The
Affected Public: Individuals or through the FDMS. Department of Veterans Affairs (VA)
Households. FOR FURTHER INFORMATION CONTACT: Office of Small and Disadvantaged
Estimated Annual Burden: 8,000 Nancy J. Kessinger at (202) 632–8924 or Business Utilization (OSDBU) Under
burden hours. FAX (202) 632–8925. OMB Review
Estimated Average Burden per SUPPLEMENTARY INFORMATION: Under the
Respondent: 15 minutes. AGENCY: Office of Small and
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
Frequency of Response: Annually. Disadvantaged Business Utilization
3501–21), Federal agencies must obtain
Estimated Number of Respondents: approval from the Office of Management (OSDBU), the Department of Veterans
32,000. and Budget (OMB) for each collection of Affairs (VA).
By direction of the Secretary. information they conduct or sponsor. ACTION: Notice.
Kathleen M. Manwell, This request for comment is being made
SUMMARY: In compliance with the
Program Analyst, VA Privacy Service, Office pursuant to Section 3506(c)(2)(A) of the
Paperwork Reduction Act (PRA) of 1995
of Privacy and Records Management, PRA.
With respect to the following (44 U.S.C. 3501–3521), this notice
Department of Veterans Affairs.
collection of information, VBA invites announces that OSDBU, Department of
[FR Doc. 2015–19966 Filed 8–13–15; 8:45 am]
comments on: (1) Whether the proposed Veterans Affairs, has submitted the
BILLING CODE 8320–01–P collection of information abstracted
collection of information is necessary
for the proper performance of VBA’s below to the Office of Management and
functions, including whether the Budget (OMB) for review and comment.
DEPARTMENT OF VETERANS
information will have practical utility; The PRA submission describes the
AFFAIRS
(2) the accuracy of VBA’s estimate of the nature of the information collection and
[OMB Control No. 2900–0358] burden of the proposed collection of its expected cost and burden; it includes
information; (3) ways to enhance the the actual data collection instrument.
Proposed Information Collection DATES: Comments must be submitted on
(Supplemental Information for Change quality, utility, and clarity of the
information to be collected; and (4) or before September 14, 2015.
of Program or Re-Enrollment After
ways to minimize the burden of the ADDRESSES: Submit written comments
Unsatisfactory Attendance, Conduct or
collection of information on on the collection of information through
Progress, VA Form 22–8873) Activity:
respondents, including through the use www.Regulations.gov, or to Office of
Comment Request
of automated collection techniques or Information and Regulatory Affairs,
AGENCY: Veterans Benefits the use of other forms of information Office of Management and Budget, Attn:
Administration, Department of Veterans technology. VA Desk Officer; 725 17th St. NW.,
Affairs. Title: Supplemental Information for Washington, DC 20503 or sent through
ACTION: Notice. Change of Program or Re-enrollment electronic mail to oira_submission@
After Unsatisfactory Attendance, omb.eop.gov. Please refer to ‘‘OMB
SUMMARY: The Veterans Benefits Conduct or Progress, VA Form 22–8873. Control No. 2900—NEW (Awards &
Administration (VBA), Department of OMB Control Number: 2900–0358. ROI)’’ in any correspondence.
Veterans Affairs (VA), is announcing an Type of Review: Revision of a FOR FURTHER INFORMATION CONTACT:
opportunity for public comment on the currently approved collection. Crystal Rennie, Enterprise Records
proposed collection of certain Abstract: The information from the
Service (005R1B), Department of
information by the agency. Under the claimant enables claims examiners to
Veterans Affairs, 810 Vermont Avenue
Paperwork Reduction Act (PRA) of evaluate the suitability of a training
NW., Washington, DC 20420, (202) 632–
1995, Federal agencies are required to program or evaluate the reasons for
7492 or email crystal.rennie@va.gov.
publish notice in the Federal Register unsatisfactory attendance, conduct, or
Please refer to ‘‘OMB Control No.
concerning each proposed collection of progress. The number of claimants is
2900—NEW (Awards & ROI).’’
information, including each proposed expected to increase due to chapter 33
(Post 9/11 GI Bill). SUPPLEMENTARY INFORMATION:
revision of a currently approved Title: Awards & ROI.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
collection, and allow 60 days for public Affected Public: Individuals or
households. OMB Control Number: 2900—NEW.
comment in response to the notice. This Type of Review: New collection.
notice solicits comments on information Estimated Annual Burden: 21,769
hours. Abstract: The OSDBU needs to
needed to determine a claimant’s measure the return on investment
Estimated Average Burden per
entitlement to VA educational received by attendees of the 2014
Respondent: 30 minutes.
assistance. Frequency of Response: One time. National Veteran Small Business
DATES:Written comments and Estimated Number of Respondents: Engagement (NVSBE). This will be
recommendations on the proposed 43,536. determined by the incidence of federal
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Document Created: 2018-02-23 10:58:50
Document Modified: 2018-02-23 10:58:50
| 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 September 14, 2015. | |
| Contact | Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email [email protected] Please refer to ``OMB Control No. 2900-0090'' in any correspondence. | |
| FR Citation | 80 FR 48959 |
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