80_FR_64078 80 FR 63875 - Agency Information Collection (Former Prisoner of War Medical History) Activities Under OMB Review

80 FR 63875 - Agency Information Collection (Former Prisoner of War Medical History) Activities Under OMB Review

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 80, Issue 203 (October 21, 2015)

Page Range63875-63876
FR Document2015-26655

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.

Federal Register, Volume 80 Issue 203 (Wednesday, October 21, 2015)
[Federal Register Volume 80, Number 203 (Wednesday, October 21, 2015)]
[Notices]
[Pages 63875-63876]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-26655]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0427]


Agency Information Collection (Former Prisoner of War Medical 
History) Activities Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

[[Page 63876]]


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 November 20, 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 
oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
0427 (Former Prisoner of War Medical History)'' 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 
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-0427 
(Former Prisoner of War Medical History)'' 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: Former Prisoner of War Medical History.
    OMB Control Number: 2900-0427.
    Type of Review: Revision.
    Abstract: VA Form 10-0048, Former POW Medical History, is used to 
collect data in response to Public Law 97-37, the ``Former Prisoner of 
War Benefits Act of 1981,'' that liberalizes eligibility requirements 
and extends the existing benefits. Additionally, the National Advisory 
Committee on Former Prisoners Of War requires this information for 
their annual submission to Congress.
    VA physician will obtain the information on the VA Form 10-0048 
during a medical examination. If these questions were not asked, the 
physician would be unable to assess the health care, disability 
compensation or rehabilitation needs of the Former Prisoner Of War 
(FPOW). The importance of collecting this very detailed information 
when the veteran is first seen is critical, not only with the physician 
evaluating the veteran but also by the rating specialist who will rate 
this claim. The rater also reviews the statements given by the veteran 
on this form not only at the first claim submission but in future years 
when other disabilities are claimed. Feedback from POW physicians in 
the field indicates their appreciation of the well thought out content 
and structure of the form. It is useful not only for Compensation and 
Pension examinations but also as a guide and reference for treatment 
planning for the FPOW patient. The questions in the form make it 
relevant for FPOWS of current as well as prior conflicts.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 113 burden hours.
    Estimated Average Burden per Respondent: 90 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 75.

    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. 2015-26655 Filed 10-20-15; 8:45 am]
BILLING CODE 8320-01-P



                                                                        Federal Register / Vol. 80, No. 203 / Wednesday, October 21, 2015 / Notices                                                63875

                                              ADDRESSES:    Submit written comments                     Frequency of Response: One-time.                    SUPPLEMENTARY INFORMATION:       Under the
                                              on the collection of information through                  Estimated Number of Respondents:                    PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
                                              Federal Docket Management System                        120,000.                                              3501–21), Federal agencies must obtain
                                              (FDMS) at www.Regulations.gov or to                        By direction of the Secretary.                     approval from the Office of Management
                                              Nancy J. Kessinger, Veterans Benefits                   Kathleen M. Manwell,                                  and Budget (OMB) for each collection of
                                              Administration (20M33), Department of                   Program Analyst, VA Privacy Service, Office           information they conduct or sponsor.
                                              Veterans Affairs, 810 Vermont Avenue                    of Privacy and Records Management,                    This request for comment is being made
                                              NW., Washington, DC 20420 or email to                   Department of Veterans Affairs.                       pursuant to section 3506(c)(2)(A) of the
                                              nancy.kessinger@va.gov. Please refer to                 [FR Doc. 2015–26645 Filed 10–20–15; 8:45 am]          PRA.
                                              ‘‘OMB Control No. 2900–0406’’ in any                                                                             With respect to the following
                                                                                                      BILLING CODE 8320–01–P
                                              correspondence. During the comment                                                                            collection of information, VBA invites
                                              period, comments may be viewed online                                                                         comments on: (1) Whether the proposed
                                              through the FDMS.                                       DEPARTMENT OF VETERANS                                collection of information is necessary
                                              FOR FURTHER INFORMATION CONTACT:                        AFFAIRS                                               for the proper performance of VBA’s
                                              Nancy J. Kessinger at (202) 632–8924 or                                                                       functions, including whether the
                                              FAX (202) 632–8925.                                     [OMB Control No. 2900–0572]                           information will have practical utility;
                                              SUPPLEMENTARY INFORMATION: Under the                                                                          (2) the accuracy of VBA’s estimate of the
                                                                                                      Proposed Information Collection
                                              PRA of 1995 (Pub. L. 104–13; 44 U.S.C.                                                                        burden of the proposed collection of
                                                                                                      (Application for Benefits for Certain
                                              3501–21), Federal agencies must obtain                                                                        information; (3) ways to enhance the
                                                                                                      Children With Disabilities Born of
                                              approval from the Office of Management                                                                        quality, utility, and clarity of the
                                                                                                      Vietnam and Certain Korea Service
                                              and Budget (OMB) for each collection of                                                                       information to be collected; and (4)
                                                                                                      Veterans) Activity: Comment Request
                                              information they conduct or sponsor.                                                                          ways to minimize the burden of the
                                              This request for comment is being made                  AGENCY:  Veterans Benefits                            collection of information on
                                              pursuant to Section 3506(c)(2)(A) of the                Administration, Department of Veterans                respondents, including through the use
                                              PRA.                                                    Affairs.                                              of automated collection techniques or
                                                 With respect to the following                        ACTION: Notice.                                       the use of other forms of information
                                              collection of information, VBA invites                                                                        technology.
                                              comments on: (1) Whether the proposed                   SUMMARY:    The Veterans Benefits                        Title: Application for Benefits for
                                              collection of information is necessary                  Administration (VBA), Department of                   Certain Children with Disabilities Born
                                              for the proper performance of VBA’s                     Veterans Affairs (VA), is announcing an               of Vietnam and Certain Korea Service
                                              functions, including whether the                        opportunity for public comment on the                 Veterans (VA Form 21–0304).
                                              information will have practical utility;                proposed collection of certain                           OMB Control Number: 2900–0572.
                                              (2) the accuracy of VBA’s estimate of the               information by the agency. Under the                     Type of Review: Revision of a
                                              burden of the proposed collection of                    Paperwork Reduction Act (PRA) of                      currently approved collection.
                                              information; (3) ways to enhance the                    1995, Federal agencies are required to                   Abstract: VA Form 21–0304 is used to
                                              quality, utility, and clarity of the                    publish notice in the Federal Register                determine the monetary allowance for a
                                              information to be collected; and (4)                    concerning each proposed collection of                child born with Spina Bifida or certain
                                              ways to minimize the burden of the                      information, including each proposed                  birth defects who is the natural child of
                                              collection of information on                            revision of a currently approved                      a Vietnam veteran. Without this
                                              respondents, including through the use                  collection, and allow 60 days for public              information, VA would be unable to
                                              of automated collection techniques or                   comment in response to the notice.                    effectively administer this law.
                                              the use of other forms of information                      VA Form 21–0304 is used to gather                     Affected Public: Individuals or
                                              technology.                                             information necessary to determine                    households.
                                                 Title: Verification of VA Benefits (VA               eligibility for a monetary allowance for                 Estimated Annual Burden: 72.
                                              Form 26–8937).                                          a child born with Spina Bifida or certain                Estimated Average Burden per
                                                 OMB Control Number: 2900–0406.                       birth defects who is a natural child of               Respondent: 10 minutes.
                                                 Type of Review: Revision of a                        a Vietnam Veteran.                                       Frequency of Response: One time.
                                              currently approved collection.                                                                                   Estimated Number of Respondents:
                                                                                                      DATES: Written comments and
                                                 Abstract: VA has instructed lenders                                                                        430.
                                                                                                      recommendations on the proposed
                                              that they may not close any proposed                    collection of information should be                      By direction of the Secretary.
                                              loan until they have evidence from VA                   received on or before December 21,                    Kathleen M. Manwell,
                                              that there is no debt, or if a debt exists,             2015.                                                 Program Analyst, VA Privacy Service, Office
                                              an acceptable repayment plan has been                                                                         of Privacy and Records Management,
                                              agreed to by the veteran, or payments                   ADDRESSES: Submit written comments                    Department of Veterans Affairs.
                                              under a plan already in effect are                      on the collection of information through
                                                                                                                                                            [FR Doc. 2015–26647 Filed 10–20–15; 8:45 am]
                                              current. VA Form 26–8937 is designed                    Federal Docket Management System
                                                                                                                                                            BILLING CODE 8320–01–P
                                              to assist lenders and VA in the                         (FDMS) at www.Regulations.gov or to
                                              completion of debt checks in a uniform                  Nancy J. Kessinger, Veterans Benefits
                                              manner. The form restricts information                  Administration (20M33), Department of                 DEPARTMENT OF VETERANS
                                              requested to only that needed for the                   Veterans Affairs, 810 Vermont Avenue                  AFFAIRS
                                              debt check and also eliminates                          NW., Washington, DC 20420 or email to
                                                                                                      nancy.kessinger@va.gov. Please refer to               [OMB Control No. 2900–0427]
                                              unlimited versions of lender-designed
tkelley on DSK3SPTVN1PROD with NOTICES




                                              forms.                                                  ‘‘OMB Control No. 2900–0572’’ in any
                                                                                                      correspondence. During the comment                    Agency Information Collection (Former
                                                 Affected Public: Individuals or                                                                            Prisoner of War Medical History)
                                              households.                                             period, comments may be viewed online
                                                                                                      through the FDMS.                                     Activities Under OMB Review
                                                 Estimated Annual Burden: 10,000
                                              hours.                                                  FOR FURTHER INFORMATION CONTACT:                      AGENCY:  Veterans Health
                                                 Estimated Average Burden per                         Nancy J. Kessinger at (202) 632–8924 or               Administration, Department of Veterans
                                              Respondent: 5 minutes.                                  FAX (202) 632–8925.                                   Affairs.


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                                              63876                     Federal Register / Vol. 80, No. 203 / Wednesday, October 21, 2015 / Notices

                                              ACTION:   Notice.                                       of automated collection techniques or                 DEPARTMENT OF VETERANS
                                                                                                      the use of other forms of information                 AFFAIRS
                                              SUMMARY:    In compliance with the                      technology.
                                              Paperwork Reduction Act (PRA) of 1995                                                                         [OMB Control No. 2900–0704]
                                              (44 U.S.C. 3501–3521), this notice                      SUPPLEMENTARY INFORMATION:
                                              announces that the Veterans Health                                                                            Proposed Information Collection (VA/
                                                                                                         Titles: Former Prisoner of War
                                              Administration (VHA), Department of                                                                           DOD Joint Disability Evaluation Claim)
                                                                                                      Medical History.                                      Activity: Comment Request
                                              Veterans Affairs, will submit the
                                              collection of information abstracted                       OMB Control Number: 2900–0427.
                                                                                                                                                            AGENCY:  Veterans Benefits
                                              below to the Office of Management and                      Type of Review: Revision.                          Administration, Department of Veterans
                                              Budget (OMB) for review and comment.                       Abstract: VA Form 10–0048, Former                  Affairs.
                                              The PRA submission describes the                        POW Medical History, is used to collect               ACTION: Notice.
                                              nature of the information collection and                data in response to Public Law 97–37,
                                              its expected cost and burden and                        the ‘‘Former Prisoner of War Benefits                 SUMMARY:    The Veterans Benefits
                                              includes the actual data collection                     Act of 1981,’’ that liberalizes eligibility           Administration (VBA), Department of
                                              instrument.                                                                                                   Veterans Affairs (VA), is announcing an
                                                                                                      requirements and extends the existing
                                              DATES: Written comments and                             benefits. Additionally, the National                  opportunity for public comment on the
                                              recommendations on the proposed                         Advisory Committee on Former                          proposed collection of certain
                                              collection of information should be                     Prisoners Of War requires this                        information by the agency. Under the
                                              received on or before November 20,                      information for their annual submission               Paperwork Reduction Act (PRA) of
                                              2015.                                                   to Congress.                                          1995, Federal agencies are required to
                                                                                                                                                            publish notice in the Federal Register
                                              ADDRESSES: Submit written comments                         VA physician will obtain the                       concerning each proposed collection of
                                              on the collection of information through                information on the VA Form 10–0048                    information, including each proposed
                                              www.Regulations.gov, or to Office of                    during a medical examination. If these
                                              Information and Regulatory Affairs,                                                                           revision of a currently approved
                                                                                                      questions were not asked, the physician               collection, and allow 60 days for public
                                              Office of Management and Budget, Attn:                  would be unable to assess the health
                                              VA Desk Officer; 725 17th St. NW.,                                                                            comment in response to the notice.
                                                                                                      care, disability compensation or                         VA Form 21–0819 is used to gather
                                              Washington, DC 20503 or sent through
                                                                                                      rehabilitation needs of the Former                    the necessary information to determine
                                              electronic mail to oira_submission@
                                                                                                      Prisoner Of War (FPOW). The                           eligibility for active duty service
                                              omb.eop.gov. Please refer to ‘‘OMB
                                                                                                      importance of collecting this very                    members who may be eligible for DoD
                                              Control No. 2900–0427 (Former Prisoner
                                                                                                      detailed information when the veteran                 Disability Evaluation Board and VA
                                              of War Medical History)’’ in any
                                                                                                      is first seen is critical, not only with the          compensation. Without this
                                              correspondence. During the comment
                                                                                                      physician evaluating the veteran but                  information, determination of
                                              period, comments may be viewed online
                                                                                                      also by the rating specialist who will                entitlement would not be possible.
                                              through the FDMS.
                                                                                                      rate this claim. The rater also reviews               DATES: Written comments and
                                              FOR FURTHER INFORMATION CONTACT:
                                                                                                      the statements given by the veteran on                recommendations on the proposed
                                              Crystal Rennie, Enterprise Records                      this form not only at the first claim                 collection of information should be
                                              Service (005R1B), Department of                         submission but in future years when                   received on or before December 21,
                                              Veterans Affairs, 810 Vermont Avenue
                                                                                                      other disabilities are claimed. Feedback              2015.
                                              NW., Washington, DC 20420, (202) 632–
                                                                                                      from POW physicians in the field                      ADDRESSES: Submit written comments
                                              7492 or email crystal.rennie@va.gov.
                                                                                                      indicates their appreciation of the well              on the collection of information through
                                              Please refer to ‘‘OMB Control No. 2900–
                                                                                                      thought out content and structure of the              Federal Docket Management System
                                              0427 (Former Prisoner of War Medical
                                                                                                      form. It is useful not only for                       (FDMS) at www.Regulations.gov or to
                                              History)’’ in any correspondence.
                                                                                                      Compensation and Pension                              Nancy J. Kessinger, Veterans Benefits
                                              SUPPLEMENTARY INFORMATION: Under the
                                                                                                      examinations but also as a guide and                  Administration (20M33), Department of
                                              PRA of 1995 (Pub. L. 104–13; 44 U.S.C.                  reference for treatment planning for the
                                              3501–3521), Federal agencies must                                                                             Veterans Affairs, 810 Vermont Avenue
                                                                                                      FPOW patient. The questions in the                    NW., Washington, DC 20420 or email to
                                              obtain approval from the Office of                      form make it relevant for FPOWS of
                                              Management and Budget (OMB) for each                                                                          nancy.kessinger@va.gov. Please refer to
                                                                                                      current as well as prior conflicts.                   ‘‘OMB Control No. 2900–0704’’ in any
                                              collection of information they conduct
                                              or sponsor. This request for comment is                    Affected Public: Individuals or                    correspondence. During the comment
                                              being made pursuant to Section                          Households.                                           period, comments may be viewed online
                                              3506(c)(2)(A) of the PRA.                                  Estimated Annual Burden: 113                       through the FDMS.
                                                 With respect to the following                        burden hours.                                         FOR FURTHER INFORMATION CONTACT:
                                              collection of information, VHA invites                                                                        Nancy J. Kessinger at (202) 632–8924 or
                                                                                                         Estimated Average Burden per                       FAX (202) 632–8925.
                                              comments on: (1) Whether the proposed
                                                                                                      Respondent: 90 minutes.
                                              collection of information is necessary                                                                        SUPPLEMENTARY INFORMATION: Under the
                                              for the proper performance of VHA’s                        Frequency of Response: Annually.                   PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
                                              functions, including whether the                           Estimated Number of Respondents:                   3501–21), Federal agencies must obtain
                                              information will have practical utility;                75.                                                   approval from the Office of Management
                                              (2) the accuracy of VHA’s estimate of                                                                         and Budget (OMB) for each collection of
                                                                                                         By direction of the Secretary.
tkelley on DSK3SPTVN1PROD with NOTICES




                                              the burden of the proposed collection of                                                                      information they conduct or sponsor.
                                              information; (3) ways to enhance the                    Kathleen M. Manwell,                                  This request for comment is being made
                                              quality, utility, and clarity of the                    Program Analyst, VA Privacy Service, Office           pursuant to Section 3506(c)(2)(A) of the
                                              information to be collected; and (4)                    of Privacy and Records Management,                    PRA.
                                              ways to minimize the burden of the                      Department of Veterans Affairs.                          With respect to the following
                                              collection of information on                            [FR Doc. 2015–26655 Filed 10–20–15; 8:45 am]          collection of information, VBA invites
                                              respondents, including through the use                  BILLING CODE 8320–01–P                                comments on: (1) Whether the proposed


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Document Created: 2018-02-27 08:54:13
Document Modified: 2018-02-27 08:54:13
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesWritten comments and recommendations on the proposed collection of information should be received on or before November 20, 2015.
ContactCrystal 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. 2900-0427 (Former Prisoner of War Medical History)'' in any correspondence.
FR Citation80 FR 63875 

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