81 FR 36659 - Agency Information Collection (Request for Details of Expenses, VA Form 21P-8049) Activity Under OMB Review

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 81, Issue 109 (June 7, 2016)

Page Range		36659-36659
FR Document		2016-13393

In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Veterans Benefits Administration (VBA), 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; it includes the actual data collection instrument.

Federal Register, Volume 81 Issue 109 (Tuesday, June 7, 2016)

[Federal Register Volume 81, Number 109 (Tuesday, June 7, 2016)]
[Notices]
[Page 36659]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-13393]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0138]


Agency Information Collection (Request for Details of Expenses, 
VA Form 21P-8049) Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-3521), this notice announces that the Veterans Benefits 
Administration (VBA), 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; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before July 7, 2016.

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-
0138'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
[email protected]. Please refer to ``OMB control No. 2900-
0138.''

SUPPLEMENTARY INFORMATION: 
    Title: Request for Details of Expenses, VA Form 21P-8049.
    OMB Control Number: 2900-0138.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA uses the information collected on this form as 
evidence of additional circumstances which may affect entitlement 
determinations pursuant to 38 U.S.C. 1522. The information is used as a 
counterbalance to a claimant's substantial estate and/or annual income.
    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 on March 28, 2016, at 81 FR 17245.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 5,700 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 22,800.

    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. 2016-13393 Filed 6-6-16; 8:45 am]
 BILLING CODE 8320-01-P

Federal Register / Vol. 81, No. 109 / Tuesday, June 7, 2016 / Notices 36659

internment allowance, and SUPPLEMENTARY INFORMATION: revision of a currently approved
transportation reimbursement. Title: Request for Details of Expenses, collection, and allow 60 days for public
Affected Public: Individuals or VA Form 21P–8049. comment in response to the notice.
households. OMB Control Number: 2900–0138. VA Form 21–0779 is used to gather
Estimated Annual Burden: 33,750 Type of Review: Revision of a the necessary information to determine
hours. currently approved collection. eligibility for pension and aid and
Estimated Average Burden per Abstract: VA uses the information attendance benefits based on nursing
Respondent: 15 minutes. collected on this form as evidence of home status. The form also requests
Frequency of Response: One time. additional circumstances which may information regarding Medicaid status
Estimated Number of Respondents: affect entitlement determinations and nursing home care charges, so VA
135,000. pursuant to 38 U.S.C. 1522. The can determine the proper rate of
By direction of the Secretary. information is used as a counterbalance payment.
Kathleen M. Manwell, to a claimant’s substantial estate and/or DATES: Written comments and
Program Analyst, VA Privacy Service, Office annual income. recommendations on the proposed
of Privacy and Records Management, An agency may not conduct or collection of information should be
Department of Veterans Affairs. sponsor, and a person is not required to received on or before August 8, 2016.
[FR Doc. 2016–13392 Filed 6–6–16; 8:45 am] respond to a collection of information ADDRESSES: Submit written comments
BILLING CODE 8320–01–P unless it displays a currently valid OMB on the collection of information through
control number. The Federal Register Federal Docket Management System
Notice with a 60-day comment period (FDMS) at www.Regulations.gov or to
DEPARTMENT OF VETERANS soliciting comments on this collection Nancy J. Kessinger, Veterans Benefits
AFFAIRS of information was published on March Administration (20M33), Department of
[OMB Control No. 2900–0138]
28, 2016, at 81 FR 17245. Veterans Affairs, 810 Vermont Avenue
Affected Public: Individuals or NW., Washington, DC 20420 or email to
Agency Information Collection households. nancy.kessinger@va.gov. Please refer to
(Request for Details of Expenses, VA Estimated Annual Burden: 5,700 ‘‘OMB Control No. 2900–0652’’ in any
Form 21P–8049) Activity Under OMB hours. correspondence. During the comment
Review Estimated Average Burden per period, comments may be viewed online
Respondent: 15 minutes. through the FDMS.
AGENCY: Veterans Benefits Frequency of Response: One time.
Administration, Department of Veterans FOR FURTHER INFORMATION CONTACT:
Estimated Number of Respondents:
Affairs. Nancy J. Kessinger at (202) 632–8924 or
22,800.
ACTION: Notice.
FAX (202) 632–8925.
By direction of the Secretary. SUPPLEMENTARY INFORMATION: Under the
SUMMARY: In compliance with the Kathleen M. Manwell, PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
Paperwork Reduction Act (PRA) of 1995 Program Analyst, 3501–21), Federal agencies must obtain
(44 U.S.C. 3501–3521), this notice VA Privacy Service, Office of Privacy and approval from the Office of Management
announces that the Veterans Benefits Records Management, Department of and Budget (OMB) for each collection of
Administration (VBA), Department of Veterans Affairs. information they conduct or sponsor.
Veterans Affairs, will submit the [FR Doc. 2016–13393 Filed 6–6–16; 8:45 am] This request for comment is being made
collection of information abstracted BILLING CODE 8320–01–P pursuant to Section 3506(c)(2)(A) of the
below to the Office of Management and PRA.
Budget (OMB) for review and comment. With respect to the following
The PRA submission describes the DEPARTMENT OF VETERANS collection of information, VBA invites
nature of the information collection and AFFAIRS comments on: (1) Whether the proposed
its expected cost and burden; it includes [OMB Control No. 2900–0652] collection of information is necessary
the actual data collection instrument. for the proper performance of VBA’s
DATES: Comments must be submitted on Proposed Information Collection functions, including whether the
or before July 7, 2016. (Request for Nursing Home information will have practical utility;
ADDRESSES: Submit written comments
Information in Connection With Claim (2) the accuracy of VBA’s estimate of the
on the collection of information through for Aid and Attendance (VA Form 21– burden of the proposed collection of
www.Regulations.gov, or to Office of 0779)); Activity: Comment Request. information; (3) ways to enhance the
Information and Regulatory Affairs, quality, utility, and clarity of the
AGENCY: Veterans Benefits information to be collected; and (4)
Office of Management and Budget, Attn: Administration, Department of Veterans
VA Desk Officer; 725 17th St. NW., ways to minimize the burden of the
Affairs. collection of information on
Washington, DC 20503 or sent through
ACTION: Notice. respondents, including through the use
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB of automated collection techniques or
SUMMARY: The Veterans Benefits the use of other forms of information
Control No. 2900–0138’’ in any Administration (VBA), Department of
correspondence. technology.
Veterans Affairs (VA), is announcing an
asabaliauskas on DSK3SPTVN1PROD with NOTICES

Title: Request for Nursing Home
FOR FURTHER INFORMATION CONTACT: opportunity for public comment on the Information in Connection with Claim
Cynthia Harvey-Pryor, Enterprise proposed collection of certain for Aid and Attendance (VA Form 21–
Records Service (005R1B), Department information by the agency. Under the 0779).
of Veterans Affairs, 810 Vermont Paperwork Reduction Act (PRA) of OMB Control Number: 2900–0652.
Avenue NW., Washington, DC 20420, 1995, Federal agencies are required to Type of Review: Revision of an
(202) 461–5870 or email cynthia.harvey- publish notice in the Federal Register approved collection.
pryor@va.gov. Please refer to ‘‘OMB concerning each proposed collection of Abstract: VA Form 21–0779 is used to
control No. 2900–0138.’’ information, including each proposed gather the necessary information to

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Document Created: 2018-02-08 07:32:04
Document Modified: 2018-02-08 07:32:04

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		Comments must be submitted on or before July 7, 2016.
Contact		Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-5870 or email [email protected] Please refer to ``OMB control No. 2900- 0138.''
FR Citation		81 FR 36659