81 FR 69574 - Proposed Information Collection (Beneficiary Travel Mileage Reimbursement Application Form, VA Form 10-3542) Activity: OMB Review

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 81, Issue 194 (October 6, 2016)

Page Range		69574-69574
FR Document		2016-24159

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; it includes the actual data collection instrument.

Federal Register, Volume 81 Issue 194 (Thursday, October 6, 2016)

[Federal Register Volume 81, Number 194 (Thursday, October 6, 2016)]
[Notices]
[Page 69574]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-24159]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0798]


Proposed Information Collection (Beneficiary Travel Mileage 
Reimbursement Application Form, VA Form 10-3542) Activity: OMB Review

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; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before November 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-
0798'' 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-
0798.''

SUPPLEMENTARY INFORMATION: 
    Title: Beneficiary Travel Mileage Reimbursement Application Form.
    OMB Control Number: 2900-0798.
    Type of Review: Extension of a Currently Approved Collection.
    Abstract: The information collection is for beneficiaries to apply 
for the BT mileage reimbursement benefit. VHA determines the identity 
of the claimant, the dates and length of the trip being claimed based 
on addresses of starting and ending points, and whether expenses other 
than mileage are being claimed. The claimant is required to sign the 
form. The form is used only when the claimant chooses not to apply 
verbally and is provided for their convenience. Once the information is 
obtained it is entered into a software program that calculates the 
mileage and resulting reimbursement. The Federal Register Notice with a 
60-day comment period soliciting comments on this collection of 
information was published at Vol. 81, No. 129, Friday, July 6, 2016
    Affected Public: Individuals or households.
    Estimated Annual Burden: 580,000 hours.
    Estimated Average Burden per Respondent: 3 minutes.
    Frequency of Response: 8 per year.
    Estimated Number of Respondents: 1,450,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2016-24159 Filed 10-5-16; 8:45 am]
 BILLING CODE 8320-01-P

69574 Federal Register / Vol. 81, No. 194 / Thursday, October 6, 2016 / Notices

DEPARTMENT OF VETERANS The Federal Register Notice with a (202) 461–5870 or email cynthia.harvey-
AFFAIRS 60-day comment period soliciting pryor@va.gov. Please refer to ‘‘OMB
comments on this collection of Control No. 2900–0798.’’
[OMB Control No. 2900–0703] information was published at 81 FR SUPPLEMENTARY INFORMATION:
15985 on Wednesday, July 6, 2016. Title: Beneficiary Travel Mileage
Agency Information Collection Affected Public: Individuals or Reimbursement Application Form.
(Dependent’s Educational Assistance Households. OMB Control Number: 2900–0798.
(DEA)) OMB Review Estimated Annual Burden: 96 hours. Type of Review: Extension of a
Estimated Average Burden per Currently Approved Collection.
AGENCY: Veterans Benefits
Respondent: 15 minutes. Abstract: The information collection
Administration, Department of Veterans Frequency of Response: One-time
Affairs. is for beneficiaries to apply for the BT
during benefit period. mileage reimbursement benefit. VHA
ACTION: Notice. Estimated Number of Respondents:
determines the identity of the claimant,
384 respondents.
SUMMARY: In compliance with the the dates and length of the trip being
Paperwork Reduction Act (PRA) of 1995 By direction of the Secretary. claimed based on addresses of starting
(44 U.S.C. 3501–3521), this notice Cynthia Harvey-Pryor, and ending points, and whether
announces that the Veterans Benefits Program Specialist, Office of Privacy and expenses other than mileage are being
Administration (VBA), Department of Records Management, Department of claimed. The claimant is required to
Veterans Affairs, will submit the Veterans Affairs. sign the form. The form is used only
collection of information abstracted [FR Doc. 2016–24155 Filed 10–5–16; 8:45 am] when the claimant chooses not to apply
below to the Office of Management and BILLING CODE 8320–01–P verbally and is provided for their
Budget (OMB) for review and comment. convenience. Once the information is
The PRA submission describes the obtained it is entered into a software
nature of the information collection and DEPARTMENT OF VETERANS program that calculates the mileage and
its expected cost and burden; it includes AFFAIRS resulting reimbursement. The Federal
the actual data collection instrument. [OMB Control No. 2900–0798] Register Notice with a 60-day comment
DATES: Comments must be submitted on period soliciting comments on this
or before November 7, 2016. Proposed Information Collection collection of information was published
(Beneficiary Travel Mileage at Vol. 81, No. 129, Friday, July 6, 2016
ADDRESSES: Submit written comments
Reimbursement Application Form, VA Affected Public: Individuals or
on the collection of information through
Form 10–3542) Activity: OMB Review households.
www.Regulations.gov, or to Office of
Estimated Annual Burden: 580,000
Information and Regulatory Affairs, AGENCY: Veterans Health hours.
Office of Management and Budget, Attn: Administration, Department of Veterans Estimated Average Burden per
VA Desk Officer; 725 17th St. NW., Affairs. Respondent: 3 minutes.
Washington, DC 20503 or sent through ACTION: Notice. Frequency of Response: 8 per year.
electronic mail to oira_submission@
Estimated Number of Respondents:
omb.eop.gov. Please refer to ‘‘OMB SUMMARY: In compliance with the
1,450,000.
Control No. 2900–0703’’ in any Paperwork Reduction Act (PRA) of 1995
correspondence. (44 U.S.C. 3501–3521), this notice By direction of the Secretary.
announces that the Veterans Health Cynthia Harvey-Pryor,
FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor, Enterprise Administration (VHA), Department of Program Specialist, Office of Privacy and
Veterans Affairs, will submit the Records Management, Department of
Records Service (005R1B), Department Veterans Affairs.
of Veterans Affairs, 810 Vermont collection of information abstracted
Avenue NW., Washington, DC 20420, below to the Office of Management and [FR Doc. 2016–24159 Filed 10–5–16; 8:45 am]

(202) 461–5870 or email cynthia.harvey- Budget (OMB) for review and comment. BILLING CODE 8320–01–P

pryor@va.gov. Please refer to ‘‘OMB The PRA submission describes the
Control No. 2900–0703.’’ nature of the information collection and
its expected cost and burden; it includes DEPARTMENT OF VETERANS
SUPPLEMENTARY INFORMATION: AFFAIRS
the actual data collection instrument.
Title: DEPENDENT’S EDUCATIONAL
DATES: Comments must be submitted on [OMB Control No. 2900–0600]
ASSISTANCE (DEA).
or before November 7, 2016.
OMB Control Number: 2900–0703.
ADDRESSES: Submit written comments Agency Information Collection:
Type of Review: Revision of a
on the collection of information through (Reconsideration of Denied Claims)
currently approved collection.
www.Regulations.gov, or to Office of Activity: Comment Request
Abstract: For the VA Form 22–0703,
VA will use the information collected to Information and Regulatory Affairs, AGENCY: Veterans Health
determine when to begin their payment. Office of Management and Budget, Attn: Administration, Department of Veterans
It is mandatory VA notify the dependent VA Desk Officer; 725 17th St. NW., Affairs.
child under 38 U.S.C. 3512(a) the Washington, DC 20503 or sent through
ACTION: Notice.
opportunity to make an election. Under electronic mail to oira_submission@
38 U.S.C. 3512(b) it is not mandatory omb.eop.gov. Please refer to ‘‘OMB SUMMARY: In compliance with the
sradovich on DSK3GMQ082PROD with NOTICES

VA provide spouses the opportunity to Control No. 2900–0798’’ in any Paperwork Reduction Act (PRA) of 1995
make an election, but they may also correspondence. (44 U.S.C. 3501–3521), this notice
elect a begin date. An agency may not FOR FURTHER INFORMATION CONTACT: announces that the Veterans Health
conduct or sponsor, and a person is not Cynthia Harvey-Pryor, Enterprise Administration (VHA), Department of
required to respond to a collection of Records Service (005R1B), Department Veterans Affairs, will submit the
information unless it displays a of Veterans Affairs, 810 Vermont collection of information abstracted
currently valid OMB control number. Avenue NW., Washington, DC 20420, below to the Office of Management and

VerDate Sep<11>2014 18:46 Oct 05, 2016 Jkt 241001 PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 E:\FR\FM\06OCN1.SGM 06OCN1

Document Created: 2016-10-06 02:37:41
Document Modified: 2016-10-06 02:37:41

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 November 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- 0798.''
FR Citation		81 FR 69574