81 FR 36660 - Agency Information Collection (Alternate Signer Certification) Activity Under OMB Review

DEPARTMENT OF VETERANS AFFAIRS

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

Page Range		36660-36661
FR Document		2016-13395

In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-21), this notice announces that the Veterans Benefits Administration, 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 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]
[Pages 36660-36661]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-13395]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Agency Information Collection (Alternate Signer Certification) 
Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-21), this notice announces that the Veterans Benefits 
Administration, 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 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 
oira_submission@omb.eop.gov. Please refer to ``OMB

[[Page 36661]]

Control No. 2900-NEW'' 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, 
cynthia.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900-
NEW'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Alternate Signer Certification.
    OMB Control Number: 2900-NEW.
    Type of Review: New collection.
    Abstract: VA Form 21-0972 will be used to collect the alternate 
signer information necessary for VA to accept benefit application forms 
signed by individuals on behalf of Veterans and claimants. The 
information collected will be used to contact the alternate signer for 
verification purposes.
    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 81 FR 58 on March 25, 2016, pages 16282 
and 16283.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 1,250.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 5,000.

    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. 2016-13395 Filed 6-6-16; 8:45 am]
BILLING CODE 8320-01-P

36660 Federal Register / Vol. 81, No. 109 / Tuesday, June 7, 2016 / Notices

determine eligibility for pension and aid Kalasinsky, Designated Federal Officer, Veteran’s qualification for a VA-
and attendance benefits based on at (202) 443–5600. guaranteed home loan. An agency may
nursing home status. The form also Dated: June 2, 2016. not conduct or sponsor, and a person is
requests information regarding Jelessa Burney,
not required to respond to a collection
Medicaid status and nursing home care of information unless it displays a
Federal Advisory Committee Management
charges, so VA can determine the proper Officer.
currently valid OMB control number.
rate of payment. The Federal Register Notice with a 60-
[FR Doc. 2016–13383 Filed 6–6–16; 8:45 am]
Affected Public: Individuals or day comment period soliciting
BILLING CODE P
households. comments on this collection of
Estimated Annual Burden: 10,188 information was published on February
hours. 18, 2016, at page 8359.
Estimated Average Burden per DEPARTMENT OF VETERANS
AFFAIRS Affected Public: Individuals or
Respondent: 10 minutes. households.
Frequency of Response: One time. [OMB Control No. 2900–0086] Estimated Annual Burden: 80,250
Estimated Number of Respondents: hours.
61,125. Agency Information Collection— Estimated Average Burden per
By direction of the Secretary. Request for a Certificate of Eligibility Respondent: 15 minutes.
Kathleen M. Manwell,
VA Form 26–1880; Activity Under OMB Frequency of Response: One-time.
Review Estimated Number of Respondents:
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management, AGENCY: Veterans Benefits 321,000.
Department of Veterans Affairs. Administration, Department of Veterans By direction of the Secretary.
[FR Doc. 2016–13391 Filed 6–6–16; 8:45 am] Affairs. Kathleen M. Manwell,
BILLING CODE 8320–01–P ACTION: Notice. Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
SUMMARY: In compliance with the Department of Veterans Affairs.
DEPARTMENT OF VETERANS Paperwork Reduction Act (PRA) of 1995 [FR Doc. 2016–13390 Filed 6–6–16; 8:45 am]
AFFAIRS (44 U.S.C. 3501–3521), this notice BILLING CODE 8320–01–P
announces that the Veterans Benefits
Research Advisory Committee on Gulf Administration (VBA), Department of
War Veterans’ Illnesses; Notice of Veterans Affairs, will submit the DEPARTMENT OF VETERANS
Meeting collection of information abstracted AFFAIRS
The Department of Veterans Affairs below to the Office of Management and
(VA) gives notice under the Federal Budget (OMB) for review and comment. [OMB Control No. 2900–NEW]
Advisory Committee Act, 5 U.S.C., App. The PRA submission describes the
2, that the Research Advisory nature of the information collection and Agency Information Collection
Committee on Gulf War Veterans’ its expected cost and burden; it includes (Alternate Signer Certification) Activity
Illnesses will conduct a telephone the actual data collection instrument. Under OMB Review
conference call meeting from 3:00 p.m. DATES: Comments must be submitted on AGENCY: Veterans Benefits
to 5:30 p.m. (EDT) on June 25, 2016. The or before July 7, 2016. Administration, Department of Veterans
toll-free number for the meeting is (800) ADDRESSES: Submit written comments Affairs.
767–1750, and the access code is on the collection of information through ACTION: Notice.
56978#. All sessions are open to the www.Regulations.gov, or to Office of
public. Information and Regulatory Affairs, SUMMARY: In compliance with the
The purpose of the Committee is to Office of Management and Budget, Attn: Paperwork Reduction Act (PRA) of 1995
provide advice and make VA Desk Officer; 725 17th St. NW., (44 U.S.C. 3501–21), this notice
recommendations to the Secretary of Washington, DC 20503 or sent through announces that the Veterans Benefits
Veterans Affairs on proposed research electronic mail to oira_submission@ Administration, Department of Veterans
studies, research plans, and research omb.eop.gov. Please refer to ‘‘OMB Affairs, will submit the collection of
strategies relating to the health Control No. 2900–0086’’ in any information abstracted below to the
consequences of military service in the correspondence. Office of Management and Budget
Southwest Asia Theater of Operations (OMB) for review and comment. The
during the Gulf War in 1990–1991. FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor, Enterprise PRA submission describes the nature of
The Committee will discuss draft the information collection and its
recommendations regarding future VA Records Service (005R1A), Department
of Veterans Affairs, 810 Vermont expected cost and burden and it
research directions and other Committee includes the actual data collection
business. Avenue NW., Washington, DC 20420,
(202) 461–5870 or email cynthia.harvey- instrument.
A 30-minute period will be reserved
at 5:00 p.m. (EDT) for public comments. pryor@va.gov. Please refer to ‘‘OMB DATES: Comments must be submitted on
Individuals who wish to address the Control No. 2900–0086.’’ or before July 7, 2016.
Committee may submit a 1–2 page SUPPLEMENTARY INFORMATION: ADDRESSES: Submit written comments
asabaliauskas on DSK3SPTVN1PROD with NOTICES

summary of their comments for Title: Request for a Certificate of on the collection of information through
inclusion in the official meeting record. Eligibility. www.Regulations.gov, or to Office of
Members of the public may also submit OMB Control Number: 2900–0086. Information and Regulatory Affairs,
written statements for the Committee’s Type of Review: Revision of a Office of Management and Budget, Attn:
review to Dr. Victor Kalasinsky via currently approved collection. VA Desk Officer; 725 17th St. NW.,
email at victor.kalasinsky@va.gov. Any Abstract: Under title 38, U.S.C., Washington, DC 20503 or sent through
member of the public seeking additional section 3702, authorizes collection of electronic mail to oira_submission@
information should contact Dr. this information to help determine a omb.eop.gov. Please refer to ‘‘OMB

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Federal Register / Vol. 81, No. 109 / Tuesday, June 7, 2016 / Notices 36661

Control No. 2900–NEW’’ in any DEPARTMENT OF VETERANS Title: Marital Status Questionnaire,
correspondence. AFFAIRS VA Form 21P–0537.
FOR FURTHER INFORMATION CONTACT: OMB Control Number: 2900–0495.
Cynthia Harvey-Pryor, Enterprise [OMB Control No. 2900–0495] Type of Review: Revision of an
Records Service (005R1B), Department approved collection.
Agency Information Collection (Marital Abstract: VA Form 21P–0537 is used
of Veterans Affairs, 810 Vermont
Status Questionnaire, 21P–0537) to verify a surviving spouse’s current
Avenue NW., Washington, DC 20420,
Activity Under OMB Review marital status to determine his or her
(202) 461–5870 or email,
cynthia.harvey-pryor@va.gov. Please AGENCY: Veterans Benefits continuing entitlement to Dependency
refer to ‘‘OMB Control No. 2900–NEW’’ Administration, Department of Veterans and Indemnity Compensation (DIC)
in any correspondence. Affairs. benefits. The form letter is automatically
SUPPLEMENTARY INFORMATION:
generated and mailed to DIC
ACTION: Notice.
Title: Alternate Signer Certification. beneficiaries. Agency action depends on
SUMMARY: In compliance with the the information provided by the
OMB Control Number: 2900–NEW.
Paperwork Reduction Act (PRA) of 1995 beneficiary. If the information provided
Type of Review: New collection.
(44 U.S.C. 3501–3521), this notice supports the beneficiary’s continued
Abstract: VA Form 21–0972 will be
announces that the Veterans Benefits entitlement to benefits, no action is
used to collect the alternate signer
Administration (VBA), Department of taken. If the information provided by
information necessary for VA to accept
Veterans Affairs, will submit the the beneficiary does not support
benefit application forms signed by
collection of information abstracted continued entitlement to benefits, VA
individuals on behalf of Veterans and
below to the Office of Management and will take action to terminate benefit
claimants. The information collected
Budget (OMB) for review and comment. payments, based on the facts found.
will be used to contact the alternate
signer for verification purposes. The PRA submission describes the An agency may not conduct or
nature of the information collection and sponsor, and a person is not required to
An agency may not conduct or
its expected cost and burden; it includes respond to a collection of information
sponsor, and a person is not required to
the actual data collection instrument. unless it displays a currently valid OMB
respond to a collection of information
DATES: Comments must be submitted on control number.
unless it displays a currently valid OMB
control number. The Federal Register or before July 7, 2016. The Federal Register Notice with a
Notice with a 60-day comment period ADDRESSES: Submit written comments
60-day comment period soliciting
soliciting comments on this collection on the collection of information through comments on this collection of
of information was published at 81 FR www.Regulations.gov, or to Office of information was published on Friday,
58 on March 25, 2016, pages 16282 and Information and Regulatory Affairs, March 25, 2016, at 81 FR 16283.
16283. Office of Management and Budget, Attn: Affected Public: Individuals or
Affected Public: Individuals or VA Desk Officer; 725 17th St. NW., households.
Households. Washington, DC 20503 or sent through Estimated Annual Burden: 1,484
Estimated Annual Burden: 1,250. electronic mail to oira_submission@ hours.
Estimated Average Burden per omb.eop.gov. Please refer to ‘‘OMB Estimated Average Burden per
Respondent: 15 minutes. Control No. 2900–0495’’ in any Respondent: 5 minutes.
Frequency of Response: One time. correspondence. Frequency of Response: One time.
Estimated Number of Respondents: FOR FURTHER INFORMATION CONTACT: Estimated Number of Respondents:
5,000. Cynthia Harvey-Pryor, Enterprise 17,808.
By direction of the Secretary. Records Service (005R1B), Department By direction of the Secretary.
Kathleen M. Manwell, of Veterans Affairs, 810 Vermont Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office Avenue NW., Washington, DC 20420, Program Analyst, VA Privacy Service, Office
of Privacy and Records Management, (202) 461–5870 or email cynthia.harvey- of Privacy and Records Management,
Department of Veterans Affairs. pryor@va.gov. Please refer to ‘‘OMB Department of Veterans Affairs.
[FR Doc. 2016–13395 Filed 6–6–16; 8:45 am] control No. 2900–0495.’’ [FR Doc. 2016–13394 Filed 6–6–16; 8:45 am]
BILLING CODE 8320–01–P SUPPLEMENTARY INFORMATION: BILLING CODE 8320–01–P
asabaliauskas on DSK3SPTVN1PROD with NOTICES

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Document Created: 2018-02-08 07:31:30
Document Modified: 2018-02-08 07:31:30

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- NEW'' in any correspondence.
FR Citation		81 FR 36660