82 FR 27330 - Agency Information Collection Activity Under OMB Review: Request for and Consent To Release of Information From Claimant's Records

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 113 (June 14, 2017)

Page Range		27330-27331
FR Document		2017-12274

The Office of Information and Technology (OIT), 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. 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 113 (Wednesday, June 14, 2017)

[Federal Register Volume 82, Number 113 (Wednesday, June 14, 2017)]
[Notices]
[Pages 27330-27331]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-12274]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0028]


Agency Information Collection Activity Under OMB Review: 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 (OIT), 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. 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 July 14, 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 ``2900-0028'' 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 ``2900-0028'' in any 
correspondence.

SUPPLEMENTARY INFORMATION:

    Authority:  44 U.S.C. 3501-21.

    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 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.
    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 82 FR 61 on Friday, March 31, 2017, pages 
16088-16089.
    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.


[[Page 27331]]


    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-12274 Filed 6-13-17; 8:45 am]
BILLING CODE 8320-01-P

27330 Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Notices

Veteran when the claimant is not the collection of information should be by the correspondent such as processing
Veteran’s natural mother or father or received on or before July 14, 2017. a benefit claim or file material in the
adopted mother or father. ADDRESSES: Submit written comments individual’s claims folder.
An agency may not conduct or on the collection of information through d. Title 38 U.S.C. 5701(f)(1)
sponsor, and a person is not required to www.Regulations.gov, or to Office of authorized the disclosure of names or
respond to a collection of information Information and Regulatory Affairs, addresses, or both of present or former
unless it displays a currently valid OMB Office of Management and Budget, Attn: members of the Armed Forces and/or
control number. The Federal Register VA Desk Officer; 725 17th St. NW., their beneficiaries to nonprofit
Notice with a 60-day comment period Washington, DC 20503 or sent through organizations (including members of
soliciting comments on this collection electronic mail to oira_submission@ Congress) to notify Veterans of Title 38
of information was published at 82 FR omb.eop.gov. Please refer to ‘‘2900– benefits and to provide assistance to
8562 on January 26, 2017. 0028’’ in any correspondence. Veterans in obtaining these benefits.
Affected Public: Individuals or This release includes VA’s Outreach
Households. FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor, Enterprise Program for the purpose of advising
Estimated Annual Burden: 800 hours. Veterans of non-VA Federal State and
Estimated Average Burden per Records Service (005R1B), Department
of Veterans Affairs, 810 Vermont local benefits and programs.
Respondent: 120 minutes.
Frequency of Response: One time. Avenue NW., Washington, DC 20420, An agency may not conduct or
Estimated Number of Respondents: (202) 461–5870 or email cynthia.harvey- sponsor, and a person is not required to
400. pryor@va.gov. Please refer to ‘‘2900– respond to a collection of information
0028’’ in any correspondence. unless it displays a currently valid OMB
By direction of the Secretary.
SUPPLEMENTARY INFORMATION:
control number. The Federal Register
Cynthia Harvey-Pryor, Notice with a 60-day comment period
Department Clearance Officer, Office of Authority: 44 U.S.C. 3501–21. soliciting comments on this collection
Privacy and Records Management,
Titles: of information was published at 82 FR
Department of Veterans Affairs.
a. Application of Service 61 on Friday, March 31, 2017, pages
[FR Doc. 2017–12277 Filed 6–13–17; 8:45 am]
Representative for Placement on Mailing 16088–16089.
BILLING CODE 8320–01–P
List, VA Form 3215. Affected Public: Individuals or
b. Request for and Consent to Release households, Not for profit institutions,
DEPARTMENT OF VETERANS of Information from Claimant’s Records, and State, local or tribal government.
AFFAIRS VA Form 3288. Estimated Annual Burden:
c. Request to Correspondent for a. Application of Service
[OMB Control No. 2900–0028] Identifying Information, VA Form Letter Representative for Placement on Mailing
70–2. List, VA Form 3215—25 hours.
Agency Information Collection Activity d. 38 CFR 1.519(A) Lists of Names
Under OMB Review: Request for and b. Request for and Consent to Release
and Addresses. of Information From Claimant’s
Consent To Release of Information OMB Control Number: 2900–0028.
From Claimant’s Records Records, VA Form 3288—18,875 hours.
Type of Review: Extension without c. Request to Correspondent for
AGENCY: Office of Information and change of a currently approved Identifying Information, VA Form Letter
Technology, Department of Veterans collection. 70–2—3,750 hours.
Affairs. Abstract: d. 38 CFR 1.519(A) Lists of Names
ACTION: Notice. a. VA operates an outreach services and Addresses—50 hours.
program to ensure Veterans and Estimated Average Burden per
SUMMARY: The Office of Information and beneficiaries have information about Respondent:
Technology (OIT), Department of benefits and services to which they may
Veterans Affairs (VA), is announcing an a. Application of Service
be entitled. To support the program, VA
opportunity for public comment on the Representative for Placement on Mailing
distributes copies of publications to
proposed collection of certain List, VA Form 3215—10 minutes.
Veterans Service Organizations’
information used by the agency. Under b. Request for and Consent to Release
representatives to be used in rendering
the Paperwork Reduction Act (PRA) of of Information From Claimant’s
services and representation of veterans,
1995, Federal agencies are required to Records, VA Form 3288—7.5 minutes.
their spouses and dependents. Service
publish notice in the Federal Register organizations complete VA Form 3215 c. Request to Correspondent for
concerning each proposed collection of to request placement on a mailing list Identifying Information, VA Form Letter
information, including each proposed for specific VA publications. 70–2—5 minutes.
revision of a currently approved b. Veterans or beneficiaries complete d. 38 CFR 1.519(A) Lists of Names
collection. This notice solicits VA Form 3288 to provide VA with a and Addresses—60 minutes.
comments for information needed from written consent to release his or her Frequency of Response: On occasion.
service organizations requesting to be records or information to third parties Estimated Number of Respondents:
placed on VA’s mailing lists for specific such as insurance companies, a. Application of Service
publications; to request additional physicians and other individuals. Representative for Placement on Mailing
information from the correspondent to c. VA Form Letter 70–2 is used to List, VA Form 3215—150.
identify a veteran; to request for and obtain additional information from a b. Request for and Consent to Release
mstockstill on DSK30JT082PROD with NOTICES

consent to release of information from correspondent when the incoming of Information From Claimant’s
claimant’s records to a third party; and correspondence does not provide Records, VA Form 3288—151,000.
to determine an applicant’s eligibility to sufficient information to identify a c. Request to Correspondent for
receive a list of names and addresses of Veteran. VA personnel use the Identifying Information, VA Form Letter
Veterans and their dependents. information to identify the Veteran, 70–2—45,000.
DATES: Written comments and determine the location of a specific file, d. 38 CFR 1.519(A) Lists of Names
recommendations on the proposed and to accomplish the action requested and Addresses—50.

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Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Notices 27331

By direction of the Secretary. examination is necessary in order to VA Desk Officer; 725 17th St. NW.,
Cynthia Harvey-Pryor, gather information that is needed to Washington, DC 20503 or sent through
Department Clearance Officer, Office of maintain program integrity. Without electronic mail to oira_submission@
Privacy and Records Management, this information, continued entitlement omb.eop.gov. Please refer to ‘‘OMB
Department of Veterans Affairs. to the benefits could not be determined. Control No. 2900–0670’’ in any
[FR Doc. 2017–12274 Filed 6–13–17; 8:45 am] An agency may not conduct or correspondence. During the comment
BILLING CODE 8320–01–P sponsor, and a person is not required to period, comments may be viewed online
respond to a collection of information through the FDMS.
unless it displays a currently valid OMB
DEPARTMENT OF VETERANS control number. The Federal Register FOR FURTHER INFORMATION CONTACT:
AFFAIRS Notice with a 60-day comment period Cynthia Harvey-Pryor at (202) 461–
soliciting comments on this collection 5870.
[OMB Control No. 2900–0660]
of information was published at 82 FR
SUPPLEMENTARY INFORMATION: Under the
Agency Information Collection Activity 35 on February 23, 2017, pages 11498
PRA of 1995, Federal agencies must
Under OMB Review: Request for and 11499.
Affected Public: Individuals or obtain approval from the Office of
Contact Information Management and Budget (OMB) for each
Households.
AGENCY: Veterans Benefits Estimated Annual Burden: 1,250. collection of information they conduct
Administration, Department of Veterans Estimated Average Burden per or sponsor. This request for comment is
Affairs. Respondent: 15 minutes. being made pursuant to Section
ACTION: Notice. Frequency of Response: One time. 3506(c)(2)(A) of the PRA.
Estimated Number of Respondents: With respect to the following
SUMMARY: In compliance with the 5,000. collection of information, VBA invites
Paperwork Reduction Act (PRA) of
By direction of the Secretary. comments on: (1) Whether the proposed
1995, this notice announces that the
Cynthia Harvey-Pryor, collection of information is necessary
VBA, Department of Veterans Affairs,
Department Clearance Officer, Office of for the proper performance of VBA’s
will submit the collection of
Privacy and Records Management, functions, including whether the
information abstracted below to the
Department of Veterans Affairs. information will have practical utility;
Office of Management and Budget
(OMB) for review and comment. The [FR Doc. 2017–12278 Filed 6–13–17; 8:45 am] (2) the accuracy of VBA’s estimate of the
PRA submission describes the nature of BILLING CODE 8320–01–P burden of the proposed collection of
the information collection and its information; (3) ways to enhance the
expected cost and burden and it quality, utility, and clarity of the
includes the actual data collection DEPARTMENT OF VETERANS information to be collected; and (4)
instrument. AFFAIRS ways to minimize the burden of the
[OMB Control No. 2900–0670] collection of information on
DATES: Comments must be submitted on respondents, including through the use
or before July 14, 2017. of automated collection techniques or
Agency Information Collection
ADDRESSES: Submit written comments the use of other forms of information
Activity: Fiduciary Statement in
on the collection of information through Support of Appointment technology.
www.Regulations.gov, or to Office of
Information and Regulatory Affairs, AGENCY: Veterans Benefits Authority: Public Law 104–13; 44 U.S.C.
Office of Management and Budget, Attn: Administration, Department of Veterans 3501–3521.
VA Desk Officer; 725 17th St. NW., Affairs. Title: Fiduciary Statement in Support
Washington, DC 20503 or sent through ACTION: Notice. of Appointment (VA Form 21P–0792)
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB SUMMARY: The Veterans Benefits OMB Control Number: 2900–0670.
Control No. 2900–0660’’ in any Administration (VBA), Department of Type of Review: Revision of an
correspondence. Veterans Affairs (VA), is announcing an already approved collection.
opportunity for public comment on the
FOR FURTHER INFORMATION CONTACT: Abstract: VA Form 21P–0792 will be
proposed collection of certain
Cynthia Harvey-Pryor, Enterprise completed by individuals who are
information by the agency. Under the
Records Service (005R1B), Department seeking to be appointed as fiduciaries of
Paperwork Reduction Act (PRA) of
of Veterans Affairs, 810 Vermont VA beneficiaries. The information will
1995, Federal agencies are required to
Avenue NW., Washington, DC 20420, be used by VA field examiners to
publish notice in the Federal Register
(202) 461–5870 or email cynthia.harvey- determine whether an individual is an
concerning each proposed collection of
pryor@va.gov. Please refer to ‘‘OMB appropriate fiduciary for a VA
information, including each proposed
Control No. 2900–0660’’ in any beneficiary and make an inquiry into his
extension of a currently approved
correspondence. or her credit and criminal background.
collection, and allow 60 days for public
SUPPLEMENTARY INFORMATION: comment in response to the notice. Affected Public: Individuals or
Authority: 44 U.S.C. 3501–21. DATES: Written comments and households.
Title: Request for Contact Information recommendations on the proposed Estimated Annual Burden: 10,750
mstockstill on DSK30JT082PROD with NOTICES

(VA Form Letter 21–30). collection of information should be hours.
OMB Control Number: 2900–0660. received on or before August 14, 2017.
Estimated Average Burden per
Type of Review: Extension of a ADDRESSES: Submit written comments Respondent: 15 minutes.
currently approved collection. on the collection of information through
Abstract: VA Form Letter 21–30 is www.Regulations.gov, or to Office of Frequency of Response: One time.
used to locate a fiduciary, beneficiary, Information and Regulatory Affairs, Estimated Number of Respondents:
claimant, or witness when a field Office of Management and Budget, Attn: 43,000.

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Document Created: 2017-06-14 01:23:55
Document Modified: 2017-06-14 01:23:55

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 July 14, 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 ``2900-0028'' in any correspondence.
FR Citation		82 FR 27330