82 FR 16088 - Agency Information Collection Activity: Request for and Consent to Release of Information From Claimant's Records

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 61 (March 31, 2017)

Page Range		16088-16089
FR Document		2017-06350

The Office of Information and Technology (IT), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information used by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed revision of a currently approved collection, and allow 60 days for public comment in response to this notice. This notice solicits comments for information needed from service organizations requesting to be placed on VA's mailing lists for specific publications; to request additional information from the correspondent to identify a veteran; to request for and consent to release of information from claimant's records to a third party; and to determine an applicant's eligibility to receive a list of names and addresses of Veterans and their dependents.

Federal Register, Volume 82 Issue 61 (Friday, March 31, 2017)

[Federal Register Volume 82, Number 61 (Friday, March 31, 2017)]
[Notices]
[Pages 16088-16089]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-06350]


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

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0028]


Agency Information Collection Activity: Request for and Consent 
to Release of Information From Claimant's Records

AGENCY: Office of Information and Technology, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: The Office of Information and Technology (IT), Department of 
Veterans Affairs (VA), is announcing an opportunity for public comment 
on the proposed collection of certain information used by the agency. 
Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are 
required to publish notice in the Federal Register concerning each 
proposed collection of information, including each proposed revision of 
a currently approved collection, and allow 60 days for public comment 
in response to this notice. This notice solicits comments for 
information needed from service organizations requesting to be placed 
on VA's mailing lists for specific publications; to request additional 
information from the correspondent to identify a veteran; to request 
for and consent to release of information from claimant's records to a 
third party; and to determine an applicant's eligibility to receive a 
list of names and addresses of Veterans and their dependents.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before May 30, 2017.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Martin L. Hill, Office of Information and Technology (005R1B), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email: [email protected]. Please refer to ``2900-0028'' in 
any correspondence. During the comment period, comments may be viewed 
online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Martin L. Hill at (202) 632-7452.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-21), 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, IT invites 
comments on: (1) Whether the proposed collection of information is 
necessary for the proper performance of IT's functions, including 
whether the information will have practical utility; (2) the accuracy 
of IT'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.
    Titles:
    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215.
    b. Request for and Consent to Release of Information from 
Claimant's Records, VA Form 3288.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70-2.
    d. 38 CFR 1.519(A) Lists of Names and Addresses.
    OMB Control Number: 2900-0028.
    Type of Review: Extension without change of a currently approved 
collection.
    Abstract:
    a. VA operates an outreach services program to ensure Veterans and 
beneficiaries have information about

[[Page 16089]]

benefits and services to which they may be entitled. To support the 
program, VA distributes copies of publications to Veterans Service 
Organizations' representatives to be used in rendering services and 
representation of veterans, their spouses and dependents. Service 
organizations complete VA Form 3215 to request placement on a mailing 
list for specific VA publications.
    b. Veterans or beneficiaries complete VA Form 3288 to provide VA 
with a written consent to release his or her records or information to 
third parties such as insurance companies, physicians and other 
individuals.
    c. VA Form Letter 70-2 is used to obtain additional information 
from a correspondent when the incoming correspondence does not provide 
sufficient information to identify a Veteran. VA personnel use the 
information to identify the Veteran, determine the location of a 
specific file, and to accomplish the action requested by the 
correspondent such as processing a benefit claim or file material in 
the individual's claims folder.
    d. Title 38 U.S.C. 5701(f)(1) authorized the disclosure of names or 
addresses, or both of present or former members of the Armed Forces 
and/or their beneficiaries to nonprofit organizations (including 
members of Congress) to notify Veterans of Title 38 benefits and to 
provide assistance to Veterans in obtaining these benefits. This 
release includes VA's Outreach Program for the purpose of advising 
Veterans of non-VA Federal State and local benefits and programs.
    Affected Public: Individuals or households, Not for profit 
institutions, and State, local or tribal government.
    Estimated Annual Burden:
    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215--25 hours.
    b. Request for and Consent to Release of Information From 
Claimant's Records, VA Form 3288--18,875 hours.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70-2--3,750 hours.
    d. 38 CFR 1.519(A) Lists of Names and Addresses--50 hours.
    Estimated Average Burden Per Respondent:
    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215--10 minutes.
    b. Request for and Consent to Release of Information From 
Claimant's Records, VA Form 3288--7.5 minutes.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70-2--5 minutes.
    d. 38 CFR 1.519(A) Lists of Names and Addresses--60 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215--150.
    b. Request for and Consent to Release of Information From 
Claimant's Records, VA Form 3288--151,000.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70-2--45,000.
    d. 38 CFR 1.519(A) Lists of Names and Addresses--50.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-06350 Filed 3-30-17; 8:45 am]
BILLING CODE 8320-01-P

16088 Federal Register / Vol. 82, No. 61 / Friday, March 31, 2017 / Notices

By direction of the Secretary. from a claimant’s treating physician receive a list of names and addresses of
Cynthia Harvey-Pryor, regarding the results of medical Veterans and their dependents.
Department Clearance Officer, Office of examinations. DATES: Written comments and
Privacy and Records Management, An agency may not conduct or recommendations on the proposed
Department of Veterans Affairs. sponsor, and a person is not required to collection of information should be
[FR Doc. 2017–06348 Filed 3–30–17; 8:45 am] respond to a collection of information received on or before May 30, 2017.
BILLING CODE 8320–01–P unless it displays a currently valid OMB ADDRESSES: Submit written comments
control number. on the collection of information through
The Federal Register Notice with a Federal Docket Management System
DEPARTMENT OF VETERANS 60-day comment period soliciting (FDMS) at www.Regulations.gov or to
AFFAIRS comments on this collection of Martin L. Hill, Office of Information and
[OMB Control No. 2900–0802] information was published at Volume Technology (005R1B), Department of
82 FR 8568, Thursday, January 26, 2017. Veterans Affairs, 810 Vermont Avenue
Agency Information Collection Activity Affected Public: Individuals or NW., Washington, DC 20420 or email:
Under OMB Review: Shoulder and Arm Households. martin.hill@va.gov. Please refer to
Conditions Disability Benefits Estimated Annual Burden: 25,000. ‘‘2900–0028’’ in any correspondence.
Questionnaire Estimated Average Burden per During the comment period, comments
Respondent: 30 minutes. may be viewed online through the
AGENCY: Veterans Benefits Frequency of Response: One time.
Administration, Department of Veterans FDMS.
Estimated Number of Respondents:
Affairs. 50,000. FOR FURTHER INFORMATION CONTACT:
ACTION: Notice. Martin L. Hill at (202) 632–7452.
By direction of the Secretary:
SUPPLEMENTARY INFORMATION: Under the
SUMMARY: In compliance with the Cynthia Harvey-Pryor, PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
Paperwork Reduction Act (PRA) of Department Clearance Officer, Office of 3501–21), Federal agencies must obtain
1995, this notice announces that the Privacy and Records Management, approval from the Office of Management
Veterans Benefits Administration, Department of Veterans Affairs.
and Budget (OMB) for each collection of
Department of Veterans Affairs, will [FR Doc. 2017–06349 Filed 3–30–17; 8:45 am]
information they conduct or sponsor.
submit the collection of information BILLING CODE 8320–01–P This request for comment is being made
abstracted below to the Office of pursuant to Section 3506(c)(2)(A) of the
Management and Budget (OMB) for PRA.
review and comment. The PRA DEPARTMENT OF VETERANS With respect to the following
submission describes the nature of the AFFAIRS collection of information, IT invites
information collection and its expected comments on: (1) Whether the proposed
[OMB Control No. 2900–0028]
cost and burden and it includes the collection of information is necessary
actual data collection instrument. Agency Information Collection for the proper performance of IT’s
DATES: Comments must be submitted on Activity: Request for and Consent to functions, including whether the
or before May 1, 2017. Release of Information From information will have practical utility;
ADDRESSES: Submit written comments Claimant’s Records (2) the accuracy of IT’s estimate of the
on the collection of information through burden of the proposed collection of
www.Regulations.gov, or to Office of AGENCY: Office of Information and information; (3) ways to enhance the
Information and Regulatory Affairs, Technology, Department of Veterans quality, utility, and clarity of the
Office of Management and Budget, Attn: Affairs. information to be collected; and (4)
VA Desk Officer; 725 17th St. NW., ACTION: Notice. ways to minimize the burden of the
Washington, DC 20503 or sent through collection of information on
electronic mail to oira_submission@ SUMMARY: The Office of Information and
respondents, including through the use
omb.eop.gov. Please refer to ‘‘OMB Technology (IT), Department of
of automated collection techniques or
Control No. 2900–0802’’ in any Veterans Affairs (VA), is announcing an
the use of other forms of information
correspondence. opportunity for public comment on the
technology.
proposed collection of certain Titles:
FOR FURTHER INFORMATION CONTACT: information used by the agency. Under
Cynthia Harvey-Pryor, Enterprise a. Application of Service
the Paperwork Reduction Act (PRA) of Representative for Placement on Mailing
Records Service (005R1B), Department 1995, Federal agencies are required to
of Veterans Affairs, 810 Vermont List, VA Form 3215.
publish notice in the Federal Register b. Request for and Consent to Release
Avenue NW., Washington, DC 20420, concerning each proposed collection of
(202) 461–5870 or email cynthia.harvey- of Information from Claimant’s Records,
information, including each proposed VA Form 3288.
pryor@va.gov. Please refer to ‘‘OMB revision of a currently approved c. Request to Correspondent for
Control No. 2900–0802’’ in any collection, and allow 60 days for public Identifying Information, VA Form Letter
correspondence. comment in response to this notice. 70–2.
SUPPLEMENTARY INFORMATION: This notice solicits comments for d. 38 CFR 1.519(A) Lists of Names
Authority: 44 U.S.C. 3501–21. information needed from service and Addresses.
organizations requesting to be placed on
sradovich on DSK3GMQ082PROD with NOTICES

Title: Shoulder and Arm Conditions OMB Control Number: 2900–0028.
Disability Benefits Questionnaire (VA VA’s mailing lists for specific Type of Review: Extension without
Form 21–0960M–12). publications; to request additional change of a currently approved
OMB Control Number: 2900–0802. information from the correspondent to collection.
Type of Review: Extension of a identify a veteran; to request for and Abstract:
currently approved collection. consent to release of information from a. VA operates an outreach services
Abstract: VA Forms 21–0960M–12 is claimant’s records to a third party; and program to ensure Veterans and
used to gather necessary information to determine an applicant’s eligibility to beneficiaries have information about

VerDate Sep<11>2014 16:31 Mar 30, 2017 Jkt 241001 PO 00000 Frm 00070 Fmt 4703 Sfmt 4703 E:\FR\FM\31MRN1.SGM 31MRN1

$Federal Register / Vol. 82, No. 61 / Friday, March 31, 2017 / Notices 16089 benefits and services to which they may addresses, or both of present or former b. Request for and Consent to Release be entitled. To support the program, VA members of the Armed Forces and/or of Information From Claimant’s distributes copies of publications to their beneficiaries to nonprofit Records, VA Form 3288—7.5 minutes. Veterans Service Organizations’ organizations (including members of c. Request to Correspondent for representatives to be used in rendering Congress) to notify Veterans of Title 38 Identifying Information, VA Form Letter services and representation of veterans, benefits and to provide assistance to 70–2—5 minutes. their spouses and dependents. Service Veterans in obtaining these benefits. d. 38 CFR 1.519(A) Lists of Names organizations complete VA Form 3215 This release includes VA’s Outreach and Addresses—60 minutes. to request placement on a mailing list Program for the purpose of advising for specific VA publications. Veterans of non-VA Federal State and Frequency of Response: On occasion. b. Veterans or beneficiaries complete local benefits and programs. Estimated Number of Respondents: VA Form 3288 to provide VA with a Affected Public: Individuals or a. Application of Service written consent to release his or her households, Not for profit institutions, Representative for Placement on Mailing records or information to third parties and State, local or tribal government. List, VA Form 3215—150. such as insurance companies, Estimated Annual Burden: a. Application of Service b. Request for and Consent to Release physicians and other individuals. of Information From Claimant’s Representative for Placement on Mailing c. VA Form Letter 70–2 is used to Records, VA Form 3288—151,000. List, VA Form 3215—25 hours. obtain additional information from a b. Request for and Consent to Release c. Request to Correspondent for correspondent when the incoming of Information From Claimant’s Identifying Information, VA Form Letter correspondence does not provide Records, VA Form 3288—18,875 hours. 70–2—45,000. sufficient information to identify a c. Request to Correspondent for d. 38 CFR 1.519(A) Lists of Names Veteran. VA personnel use the Identifying Information, VA Form Letter and Addresses—50. information to identify the Veteran, 70–2—3,750 hours. determine the location of a specific file, d. 38 CFR 1.519(A) Lists of Names By direction of the Secretary. and to accomplish the action requested and Addresses—50 hours. Cynthia Harvey-Pryor, by the correspondent such as processing Estimated Average Burden Per Department Clearance Officer, Office of a benefit claim or file material in the Respondent: Privacy and Records Management, individual’s claims folder. a. Application of Service Department of Veterans Affairs. d. Title 38 U.S.C. 5701(f)(1) Representative for Placement on Mailing [FR Doc. 2017–06350 Filed 3–30–17; 8:45 am] authorized the disclosure of names or List, VA Form 3215—10 minutes. BILLING CODE 8320–01–P sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 16:31 Mar 30, 2017 Jkt 241001 PO 00000 Frm 00071 Fmt 4703 Sfmt 9990 E:\FR\FM\31MRN1.SGM 31MRN1$

Document Created: 2017-03-31 01:37:35
Document Modified: 2017-03-31 01:37:35

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 May 30, 2017.
Contact		Martin L. Hill at (202) 632-7452.
FR Citation		82 FR 16088