80 FR 74838 - Agency Information Collection (Application for Voluntary Service VA Form 10-7055 and Associated Internet Application)

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 80, Issue 229 (November 30, 2015)

Page Range		74838-74838
FR Document		2015-30280

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 229 (Monday, November 30, 2015)

[Federal Register Volume 80, Number 229 (Monday, November 30, 2015)]
[Notices]
[Page 74838]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-30280]


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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 December 30, 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-
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 
crystal.rennie@va.gov. 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: 2900-0090.
    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 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).
    An agency may not conduct or sponsor, and a person is not required 
to respond to a collection of information unless it displays a 
currently valid OMB control number. The Federal Register Notice with a 
60-day comment period soliciting comments on this collection of 
information was published at 80 FR 46105 on August 3, 2015.
    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. 2015-30280 Filed 11-27-15; 8:45 am]
 BILLING CODE 8320-01-P

74838 Federal Register / Vol. 80, No. 229 / Monday, November 30, 2015 / Notices

Cover Sheet included to ensure proper includes the actual data collection of automated collection techniques or
document processing. instrument. the use of other forms of information
The new Vendorizing Form DATES: Written comments and technology.
(VA10091) streamlines the data required recommendations on the proposed SUPPLEMENTARY INFORMATION:
to establish a vendor record (from the collection of information should be
SF 3881 and Vendorizing Cover Sheet) Titles: Application for Voluntary
received on or before December 30, Service VA Form 10–7055 and
into a single form. 2015.
Affected Public: Businesses or other Associated Internet Application.
for-profit, not-for-profit institutions; ADDRESSES: Submit written comments OMB Control Number: 2900–0090.
State, Local or Tribal Government; VA on the collection of information through Type of Review: Revision.
employees; Veterans; Caregivers. www.Regulations.gov, or to Office of Abstract: This application (VA Form
Estimated Annual Burden: 37,500 Information and Regulatory Affairs, 10–7055 and the associated web form)
burden hours. Office of Management and Budget, Attn: will be here-in-after referred to as the
Estimated Average Burden Per VA Desk Officer; 725 17th St. NW., form. The form is used to assist
Respondent: 15 minutes. Washington, DC 20503 or sent through
personnel of volunteer organizations,
Frequency of Response: Once per electronic mail to oira_submission@
which recruit volunteers from their
applicant, unless there is a change of omb.eop.gov. Please refer to ‘‘OMB
membership, and the Department of
name, address, banking information. Control No. 2900–0090 (Application for
Veterans Affairs (VA) in the selection,
Estimated Number of Respondents: Voluntary Service VA Form 10–7055
screening and placement of volunteers
150,000. and Associated Internet Application)’’
in the nationwide VA Voluntary Service
By direction of the Secretary:. in any correspondence. During the
program. The volunteer program
comment period, comments may be
Kathleen M. Manwell, supplements the medical care and
viewed online through the FDMS.
Program Analyst, VA Privacy Service, Office treatment of veteran patients in all VA
FOR FURTHER INFORMATION CONTACT:
of Privacy and Records Management, medical centers. This form is necessary
Department of Veterans Affairs. Crystal Rennie, Enterprise Records to assist in determining the suitability
[FR Doc. 2015–30288 Filed 11–27–15; 8:45 am]
Service (005R1B), Department of and placement of potential volunteers.
Veterans Affairs, 810 Vermont Avenue The information is collected under the
BILLING CODE 8320–01–P
NW., Washington, DC 20420, (202) 632– authority of 38 U.S.C. 7405(a).
7492 or email crystal.rennie@va.gov.
Please refer to ‘‘OMB Control No. 2900– An agency may not conduct or
DEPARTMENT OF VETERANS sponsor, and a person is not required to
AFFAIRS 0090’’ in any correspondence.
respond to a collection of information
SUPPLEMENTARY INFORMATION: Under the
[OMB Control No. 2900–0090] unless it displays a currently valid OMB
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
control number. The Federal Register
3501–3521), Federal agencies must
Agency Information Collection Notice with a 60-day comment period
obtain approval from the Office of
(Application for Voluntary Service VA soliciting comments on this collection
Management and Budget (OMB) for each
Form 10–7055 and Associated Internet of information was published at 80 FR
collection of information they conduct
Application) 46105 on August 3, 2015.
or sponsor. This request for comment is
AGENCY: Veterans Health being made pursuant to Section Affected Public: Individuals or
Administration, Department of Veterans 3506(c)(2)(A) of the PRA. Households.
Affairs. With respect to the following Estimated Annual Burden: 8,000
ACTION: Notice. collection of information, VHA invites burden hours.
comments on: (1) Whether the proposed Estimated Average Burden per
SUMMARY: In compliance with the collection of information is necessary Respondent: 15 minutes.
Paperwork Reduction Act (PRA) of 1995 for the proper performance of VHA’s Frequency of Response: Annually.
(44 U.S.C. 3501–3521), this notice functions, including whether the
Estimated Number of Respondents:
announces that the Veterans Health information will have practical utility;
32,000.
Administration (VHA), Department of (2) the accuracy of VHA’s estimate of
Veterans Affairs, will submit the the burden of the proposed collection of By direction of the Secretary.
collection of information abstracted information; (3) ways to enhance the Kathleen M. Manwell,
below to the Office of Management and quality, utility, and clarity of the Program Analyst, VA Privacy Service, Office
Budget (OMB) for review and comment. information to be collected; and (4) of Privacy and Records Management,
The PRA submission describes the ways to minimize the burden of the Department of Veterans Affairs.
nature of the information collection and collection of information on [FR Doc. 2015–30280 Filed 11–27–15; 8:45 am]
its expected cost and burden and respondents, including through the use BILLING CODE 8320–01–P
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Document Created: 2018-03-01 11:11:51
Document Modified: 2018-03-01 11:11:51

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 December 30, 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 74838