82_FR_27663 82 FR 27549 - Agency Information Collection Activity Under Review: Proposed Information Collection, Claim for Standard Government Headstone or Marker and Claim for Government Medallion for Placement in a Private Cemetery

82 FR 27549 - Agency Information Collection Activity Under Review: Proposed Information Collection, Claim for Standard Government Headstone or Marker and Claim for Government Medallion for Placement in a Private Cemetery

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 114 (June 15, 2017)

Page Range27549-27550
FR Document2017-12379

In compliance with Paperwork Reduction Act (PRA) of 1995, this notice announces that the National Cemetery Administration (NCA), 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 82 Issue 114 (Thursday, June 15, 2017) 
[Federal Register Volume 82, Number 114 (Thursday, June 15, 2017)]
[Notices]
[Pages 27549-27550]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-12379]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0222]


Agency Information Collection Activity Under Review: Proposed 
Information Collection, Claim for Standard Government Headstone or 
Marker and Claim for Government Medallion for Placement in a Private 
Cemetery

AGENCY: National Cemetery Administration (NCA), Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: In compliance with Paperwork Reduction Act (PRA) of 1995, this 
notice announces that the National Cemetery Administration (NCA), 
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 17, 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 
oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
0222'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), (202) 461-5870 or email Cynthia.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900-0222'' in any 
correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: Public Law 104-13; U.S.C. 3501-21.
    Title: VA Form 40-1330, Claim for Standard Government Headstone or 
Marker, and VA Form 40-1330M, Claim for Government Medallion for 
Placement in a Private Cemetery.
    OMB Control Number: 2900-0222.
    Type of Review: Reinstatement of a previously approved collection.
     Abstract: The National Cemetery Administration (NCA) updated its 
current VA Form 40-1330 and VA Form 40-1330M. The original VA Form 40-
1330 and 40-1330M is a request for a Government-furnished headstone or 
marker, or medallion, respectively. The updates to the form include the 
following:
     Change to the Applicant Definition, who can apply for a 
Government headstone, marker or medallion;
     Information about the Presidential Memorial Certificate 
(PMC) program and the option to receive a PMC in addition to the 
headstone, marker or medallion;
     Changes in eligibility for a medallion, consistent with 
section 301 of Public Law 114-315;
     Addition of language that clarifies that ``mandatory'' and 
``optional'' inscription items are provided in English, and that 
``additional'' inscription items may be provided in English or non-
English text that consists of the Latin Alphabet or numbers;
     Addition of information on VA Form 40-1330 and VA Form 40-
1330M related to whether the Veteran was previously determined by VA to 
be eligible for burial, and related to whether the request is initial 
or for a replacement headstone or marker;
     Addition of ``Iraq'' and ``Afghanistan'' as indicators of 
``War Service,'' consistent with Public Law 114-315;
     Addition of Age at the Time of Death on VA Form 40-1330 
and VA Form 40-1330M; and
     Addition of demographic information for statistical 
reporting purposes only on VA Form 40-1330 and VA Form 40-1330M.
    An agency may not conduct or sponsor, and a person is not required 
to

[[Page 27550]]

respond t 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 FRN 17740 on April 12, 2017.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 88,643 Burden Hours.
    Estimated Average Burden per Respondent: 15 Minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 166,135.

    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. 2017-12379 Filed 6-14-17; 8:45 am]
 BILLING CODE 8320-01-P

Federal Register / Vol. 82, No. 114 / Thursday, June 15, 2017 / Notices 27549 AUTHORITY FOR CONDUCTING THE MATCHING Rehabilitation and Employment electronic mail to oira_submission@ PROGRAM: Records—VA’’ (58 VA 21/22/28), a omb.eop.gov. Please refer to ‘‘OMB The Privacy Act, 5 U.S.C. 552a, and system of records that was first Control No. 2900–0222’’ in any 38 U.S.C. 5106 authorize VA to enter published at 41 FR 9294 (March 3, correspondence. into this CMA with SSA. 1976), last amended and republished in FOR FURTHER INFORMATION CONTACT: its entirety at 77 FR 42593 (July 19, Cynthia Harvey-Pryor, Enterprise PURPOSE(S): 2012). Records Service (005R1B), (202) 461– To re-establish a CMA with SSA for determining eligibility to continue to Signing Authority 5870 or email Cynthia.harvey-pryor@ receive benefits authorized by the va.gov. Please refer to ‘‘OMB Control The Secretary of Veterans Affairs, or Department of Veterans Affairs (VA). No. 2900–0222’’ in any correspondence. designee, approved this document and authorized the undersigned to sign and SUPPLEMENTARY INFORMATION: CATEGORIES OF INDIVIDUALS: Authority: Public Law 104–13; U.S.C. submit the document to the Office of the Veterans and beneficiaries who apply Federal Register for publication 3501–21. for VA income benefits. electronically as an official document of Title: VA Form 40–1330, Claim for the Department of Veterans Affairs. Gina Standard Government Headstone or CATEGORIES OF RECORDS: Marker, and VA Form 40–1330M, Claim S. Farrisee, Deputy Chief of Staff, VA will provide SSA with an Department of Veterans Affairs for Government Medallion for electronic file in a format defined by approved this document on May 4, 2017 Placement in a Private Cemetery. SSA that contains the necessary for publication. OMB Control Number: 2900–0222. identifying information for applicable Type of Review: Reinstatement of a beneficiaries and their dependents. Each Dated: June 7, 2017. previously approved collection. VA input file will contain variables Kathleen M. Manwell, Abstract: The National Cemetery such as: Social Security Number for Program Analyst, VA Privacy Service, Office Administration (NCA) updated its Primary Number Holder; Last Name; of Privacy and Records Management, current VA Form 40–1330 and VA Form First Name; Middle Name/Initial; Date Department of Veterans Affairs. 40–1330M. The original VA Form 40– of Birth (MMDDCCYY); Sex Code [FR Doc. 2017–12395 Filed 6–14–17; 8:45 am] 1330 and 40–1330M is a request for a (Blank); VA File Number; Agency Code BILLING CODE 8320–01–P Government-furnished headstone or ‘‘VA’’; Type of Benefit; Veteran with marker, or medallion, respectively. The Spouse Indicator; Payee Number; Type updates to the form include the of Record; Verified Payment Indicator; DEPARTMENT OF VETERANS following: Verification Indicator; Processing Code AFFAIRS • Change to the Applicant Definition, ‘‘212’’; Verification Account Number [OMB Control No. 2900–0222] who can apply for a Government (VAN); and Blanks, or Multiple Request headstone, marker or medallion; Code. SSA will match the file against Agency Information Collection Activity • Information about the Presidential the Enumeration System and MBR will Under Review: Proposed Information Memorial Certificate (PMC) program generate an output file with information Collection, Claim for Standard and the option to receive a PMC in on: Verification code; Death Indicator; Government Headstone or Marker and addition to the headstone, marker or Filler; Verification Code; Type of Claim for Government Medallion for medallion; Benefit—Retirement (R), Disability (D) Placement in a Private Cemetery • Changes in eligibility for a or Survivor (S); Monthly Benefit medallion, consistent with section 301 AGENCY: National Cemetery of Public Law 114–315; Credited (MBC); Monthly Benefit Administration (NCA), Department of • Addition of language that clarifies Payment (MBP); Medicare Deduction Veterans Affairs. that ‘‘mandatory’’ and ‘‘optional’’ (SMI–B); Effective Date of Monthly Social Security Payment ‘‘CCYYMM’’; ACTION: Notice. inscription items are provided in LAF Code (D=Deferred/withheld SUMMARY: In compliance with English, and that ‘‘additional’’ money), (E=Monies paid through the Paperwork Reduction Act (PRA) of inscription items may be provided in Railroad Board), (C=Current pay)) for 1995, this notice announces that the English or non-English text that consists each of VA’s records containing a National Cemetery Administration of the Latin Alphabet or numbers; verified SSN. (NCA), Department of Veterans Affairs • Addition of information on VA will submit the collection of Form 40–1330 and VA Form 40–1330M SYSTEM(S) OF RECORDS: related to whether the Veteran was information abstracted below to the SSA will disclose the necessary previously determined by VA to be Office of Management and Budget benefit information electronically from eligible for burial, and related to (OMB) for review and comment. The the files of the MBR, system of records whether the request is initial or for a PRA submission describes the nature of number 60–0090, last fully published at replacement headstone or marker; the information collection and its 71 FR 1826 (January 11, 2006), amended • Addition of ‘‘Iraq’’ and expected cost and burden and it at 72 FR 69723 (December 10, 2007), ‘‘Afghanistan’’ as indicators of ‘‘War includes the actual data collection and at 78 FR 40542 (July 5, 2013). SSA Service,’’ consistent with Public Law instrument. will disclose SSN verification 114–315; information from the Enumeration DATES: Comments must be submitted on • Addition of Age at the Time of or before July 17, 2017. pmangrum on DSK3GDR082PROD with NOTICES System, system of records number 60– Death on VA Form 40–1330 and VA 0058, last fully published at 75 FR ADDRESSES: Submit written comments Form 40–1330M; and 82121 (December 29, 2010), amended at on the collection of information through • Addition of demographic 78 FR 40542 (July 5, 2013), and at 79 FR www.Regulations.gov; or to Office of information for statistical reporting 8780 (February 13, 2014). Information and Regulatory Affairs, purposes only on VA Form 40–1330 and VA records involved in this match are Office of Management and Budget, Attn: VA Form 40–1330M. in ‘‘VA Compensation, Pension, VA Desk Officer; 725 17th St. NW., An agency may not conduct or Education, and Vocational Washington, DC 20503 or sent through sponsor, and a person is not required to VerDate Sep<11>2014 14:10 Jun 14, 2017 Jkt 241001 PO 00000 Frm 00088 Fmt 4703 Sfmt 4703 E:\FR\FM\15JNN1.SGM 15JNN1

27550 Federal Register / Vol. 82, No. 114 / Thursday, June 15, 2017 / Notices respond t a collection of information Affected Public: Individuals or By direction of the Secretary. unless it displays a currently valid OMB Households. Cynthia Harvey-Pryor, control number. The Federal Register Estimated Annual Burden: 88,643 Department Clearance Officer, Enterprise Notice with a 60-day comment period Burden Hours. Records Service, Office of Quality and soliciting comments on this collection Estimated Average Burden per Compliance, Department of Veterans Affairs. of information was published at 82 FRN Respondent: 15 Minutes. [FR Doc. 2017–12379 Filed 6–14–17; 8:45 am] Frequency of Response: One-time. 17740 on April 12, 2017. BILLING CODE 8320–01–P Estimated Number of Respondents: 166,135. pmangrum on DSK3GDR082PROD with NOTICES VerDate Sep<11>2014 14:10 Jun 14, 2017 Jkt 241001 PO 00000 Frm 00089 Fmt 4703 Sfmt 9990 E:\FR\FM\15JNN1.SGM 15JNN1


Document Created: 2017-06-15 01:03:46
Document Modified: 2017-06-15 01:03:46
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments must be submitted on or before July 17, 2017.
ContactCynthia Harvey-Pryor, Enterprise Records Service (005R1B), (202) 461-5870 or email Cynthia.harvey- [email protected] Please refer to ``OMB Control No. 2900-0222'' in any correspondence.
FR Citation82 FR 27549 
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