82 FR 20688 - Agency Information Collection Activity Under OMB Review: Authorization To Disclose Personal Information to a Third Party (Insurance)

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 84 (May 3, 2017)

Page Range		20688-20688
FR Document		2017-08931

In compliance with the Paperwork Reduction Act (PRA) of 1995, 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 82 Issue 84 (Wednesday, May 3, 2017)

[Federal Register Volume 82, Number 84 (Wednesday, May 3, 2017)]
[Notices]
[Page 20688]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-08931]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Agency Information Collection Activity Under OMB Review: 
Authorization To Disclose Personal Information to a Third Party 
(Insurance)

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 
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 June 2, 2017.

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-
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 
[email protected]. Please refer to ``OMB Control No. 2900-
NEW.''

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-3521.
    Title: Authorization to Disclose Personal Information to a Third 
Party (Insurance).
    OMB Control Number: 2900-NEW.
    Type of Review: New collection.
    Abstract: VA Form 29-0975 will be used by the Department of 
Veterans Affairs Insurance Center (VAIC) to enable a third party to act 
on behalf of the insured Veteran/beneficiary. Many of our customers are 
of advanced age or suffer from limiting disabilities and need 
assistance from a third party to conduct their affairs. The information 
collected provides an optional service and is not required to receive 
insurance benefits.
    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 Volume 82 FR on page 6729, January 19, 
2017.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 100 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 1200.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise Records Service, Office of 
Quality and Compliance, Department of Veterans Affairs.
[FR Doc. 2017-08931 Filed 5-2-17; 8:45 am]
 BILLING CODE 8320-01-P

20688 Federal Register / Vol. 82, No. 84 / Wednesday, May 3, 2017 / Notices

FOR FURTHER INFORMATION CONTACT: DEPARTMENT OF VETERANS SUPPLEMENTARY INFORMATION:
Cynthia Harvey-Pryor, Enterprise AFFAIRS Authority: 44 U.S.C. 3501–3521.
Records Service (005R1B), Department
[OMB Control No. 2900–NEW] Title: Authorization to Disclose
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420, Personal Information to a Third Party
Agency Information Collection Activity (Insurance).
(202) 461–5870 or email cynthia.harvey- Under OMB Review: Authorization To
pryor@va.gov. Please refer to ‘‘OMB Disclose Personal Information to a OMB Control Number: 2900–NEW.
Control No. 2900–0500’’ in any Third Party (Insurance) Type of Review: New collection.
correspondence.
AGENCY: Veterans Benefits Abstract: VA Form 29–0975 will be
SUPPLEMENTARY INFORMATION: Administration, Department of Veterans used by the Department of Veterans
Authority: 44 U.S.C. 3501–21. Affairs. Affairs Insurance Center (VAIC) to
Title: Mandatory Status of Dependents enable a third party to act on behalf of
(VA Form 21–0538). ACTION: Notice.
the insured Veteran/beneficiary. Many
OMB Control Number: 2900–0500. SUMMARY: In compliance with the
Type of Review: Revision of a of our customers are of advanced age or
Paperwork Reduction Act (PRA) of suffer from limiting disabilities and
currently approved collection. 1995, this notice announces that the
Abstract: VA Form 21–0538 is used to need assistance from a third party to
Veterans Benefits Administration conduct their affairs. The information
request certification of the status of
(VBA), Department of Veterans Affairs, collected provides an optional service
dependents for whom additional
will submit the collection of and is not required to receive insurance
compensation is being paid to veterans.
information abstracted below to the benefits.
Without this information, continued
Office of Management and Budget
entitlement to the benefits for An agency may not conduct or
(OMB) for review and comment. The
dependents could not be determined. sponsor, and a person is not required to
An agency may not conduct or PRA submission describes the nature of
the information collection and its respond to a collection of information
sponsor, and a person is not required to unless it displays a currently valid OMB
respond to a collection of information expected cost and burden; it includes
the actual data collection instrument. control number. The Federal Register
unless it displays a currently valid OMB Notice with a 60-day comment period
control number. The Federal Register DATES: Comments must be submitted on
or before June 2, 2017. soliciting comments on this collection
Notice with a 60-day comment period
ADDRESSES: Submit written comments of information was published at Volume
soliciting comments on this collection
on the collection of information through 82 FR on page 6729, January 19, 2017.
of information was published at Volume
82 FR 13 on January 23, 2017, pages www.Regulations.gov, or to Office of Affected Public: Individuals or
7917 and 7918. Information and Regulatory Affairs, households.
Affected Public: Individuals or Office of Management and Budget, Attn: Estimated Annual Burden: 100 hours.
Households. VA Desk Officer; 725 17th St. NW.,
Estimated Annual Burden: 14,083. Washington, DC 20503 or sent through Estimated Average Burden per
Estimated Average Burden Per electronic mail to oira_submission@ Respondent: 5 minutes.
Respondent: 10 minutes. omb.eop.gov. Please refer to ‘‘OMB Frequency of Response: On occasion.
Frequency of Response: One time. Control No. 2900–NEW’’ in any
Estimated Number of Respondents: Estimated Number of Respondents:
correspondence. 1200.
84,500.
FOR FURTHER INFORMATION CONTACT:
By direction of the Secretary. By direction of the Secretary.
Cynthia Harvey-Pryor, Enterprise
Cynthia Harvey-Pryor, Records Service (005R1B), Department Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise of Veterans Affairs, 810 Vermont Department Clearance Officer, Enterprise
Records Service, Office of Quality and Avenue NW., Washington, DC 20420, Records Service, Office of Quality and
Compliance, Department of Veterans Affairs. (202) 461–5870 or email cynthia.harvey- Compliance, Department of Veterans Affairs.
[FR Doc. 2017–08930 Filed 5–2–17; 8:45 am] pryor@va.gov. Please refer to ‘‘OMB [FR Doc. 2017–08931 Filed 5–2–17; 8:45 am]
BILLING CODE 8320–01–P Control No. 2900–NEW.’’ BILLING CODE 8320–01–P
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Document Created: 2018-11-08 08:36:05
Document Modified: 2018-11-08 08:36:05

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 June 2, 2017.
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.''
FR Citation		82 FR 20688