82 FR 8567 - Agency Information Collection Activity: (Application and Training Agreement for Apprenticeship and On-the-Job Training Programs) (VA Form 22-8864; 22-8865))

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 16 (January 26, 2017)

Page Range		8567-8568
FR Document		2017-01748

The Veterans Benefits Administration (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information 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 extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to determine that training programs (Apprenticeship and On-the-Job Training) and agreements meet the statutory requirements for approval.

Federal Register, Volume 82 Issue 16 (Thursday, January 26, 2017)

[Federal Register Volume 82, Number 16 (Thursday, January 26, 2017)]
[Notices]
[Pages 8567-8568]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-01748]


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

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0342]


Agency Information Collection Activity: (Application and Training 
Agreement for Apprenticeship and On-the-Job Training Programs) (VA Form 
22-8864; 22-8865))

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs (VA), is announcing an opportunity for public comment 
on the proposed collection of certain information 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 extension 
of a currently approved collection, and allow 60 days for public 
comment in response to the notice. This notice solicits comments on 
information needed to determine that training programs (Apprenticeship 
and On-the-Job Training) and agreements meet the statutory requirements 
for approval.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before March 27, 2017.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email to [email protected]. Please refer to ``OMB Control 
No. 2900-0342'' in any correspondence. During the comment period, 
comments may be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or FAX (202) 632-8925.

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, VBA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VBA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VBA'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.
    Title: Application and Training Agreement for Apprenticeship and 
On-the-Job Training Programs, VA Form 22-8864; 22-8865.
    OMB Control Number: 2900-0342.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Forms 22-8864 and 22-8865 are used to collect 
information from employers and trainees to ensure that training 
programs (Apprenticeship and On-the-Job Training) and

[[Page 8568]]

agreements meet the statutory requirements for approval.
    Affected Public: Individuals or household or small businesses/other 
small entities.
    Estimated Annual Burden: 19,535 hours.
    Estimated Average Burden per Respondent: 75 minutes.
    Frequency of Response: Once.
    Estimated Number of Respondents: 15,628.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Agency Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-01748 Filed 1-25-17; 8:45 am]
BILLING CODE 8320-01-P

Federal Register / Vol. 82, No. 16 / Thursday, January 26, 2017 / Notices 8567

Veteran to verify the listed income on a. Mailed with Veterans’ Initial extension of a currently approved
the form as reported to IVD by IRS/SSA, Letters—HEC Form 200–1A—89,001 collection, and allow 60 days for public
to select the appropriate option on the hours comment in response to the notice. This
form relating to the household income, b. Mailed with Spouses’ Initial notice solicits comments on information
attest to out of pocket medical expenses, Letters—HEC Form 220–1—28,530 needed to determine that training
attest to sale of primary home real estate hours programs (Apprenticeship and On-the-
and attest to separation from spouse for c. Mailed to Veterans When Job Training) and agreements meet the
the income year under the Income Necessary—HEC Form 340–1—1,701 statutory requirements for approval.
Verification Division’s review. The hours DATES: Written comments and
Veteran’s signature is required on page d. Mailed to Veterans When recommendations on the proposed
2 of HEC Form 200–1A. If the Veteran Necessary—Checklist—761 hours collection of information should be
has medical/health limitations that does Estimated Average Burden per received on or before March 27, 2017.
not enable the Veteran to physically Respondent:
ADDRESSES: Submit written comments
sign the form with a wet signature, the a. Mailed with Veterans’ Initial
on the collection of information through
Veteran must mark an ‘‘X’’ to designate Letters—HEC Form 200–1A—30
Federal Docket Management System
a signature; two witnesses must verify minutes
(FDMS) at www.Regulations.gov or to
the ‘‘X’’ as the Veteran’s signature. HEC, b. Mailed with Spouses’ Initial
Nancy J. Kessinger, Veterans Benefits
IVD will use the completed HEC Form Letters—HEC Form 220–1—20 minutes
Administration (20M33), Department of
200–1A to assist in verifying the c. Mailed to Veterans When
Veterans Affairs, 810 Vermont Avenue
Veteran’s correct gross household Necessary—HEC Form 340–1—15
NW., Washington, DC 20420 or email to
income to ensure the Veteran is placed minutes
nancy.kessinger@va.gov. Please refer to
in the correct priority group for health d. Mailed to Veterans When
‘‘OMB Control No. 2900–0342’’ in any
care. Necessary—Checklist—761—15 minutes
correspondence. During the comment
The HEC, IVD uses HEC Form 220–1 Frequency of Response: Annually.
period, comments may be viewed online
(Spouse’s Income Verification Estimated Annual Responses:
through the FDMS.
Response) to collect income verification a. Mailed with Veterans’ Initial
Letters—HEC Form 200–1A—178,002 FOR FURTHER INFORMATION CONTACT:
information, as applicable, from the
b. Mailed with Spouses’ Initial Nancy J. Kessinger at (202) 632–8924 or
Veteran’s spouse by requesting the
Letters—HEC Form 220–1—85,590 FAX (202) 632–8925.
spouse to verify the listed income on the
form as reported to IVD by IRS/SSA, c. Mailed to Veterans When SUPPLEMENTARY INFORMATION: Under the
report any additional income not Necessary—HEC Form 340–1—6,805 PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
reported by IRS/SSA and sign and date d. Mailed to Veterans When 3501–21), Federal agencies must obtain
the form. If the spouse has medical/ Necessary—Checklist—761—3,044 approval from the Office of Management
health limitations that does not enable By direction of the Secretary. and Budget (OMB) for each collection of
the spouse to physically sign the form Cynthia Harvey-Pryor,
information they conduct or sponsor.
with a wet signature, the spouse must This request for comment is being made
Program Specialist, Office of Privacy and
mark an ‘‘X’’ to designate a signature; Records Management, Department of
pursuant to Section 3506(c)(2)(A) of the
two witnesses must verify the ‘‘X’’ as Veterans Affairs. PRA.
the Veteran’s signature. HEC, IVD will [FR Doc. 2017–01753 Filed 1–25–17; 8:45 am]
With respect to the following
use the completed HEC Form 220–1 to collection of information, VBA invites
BILLING CODE 8320–01–P
assist in verifying the Veteran’s correct comments on: (1) Whether the proposed
gross household income to ensure the collection of information is necessary
Veteran is placed in the correct priority DEPARTMENT OF VETERANS for the proper performance of VBA’s
group for health care. AFFAIRS functions, including whether the
The HEC, IVD uses the HEC Form information will have practical utility;
[OMB Control No. 2900–0342] (2) the accuracy of VBA’s estimate of the
340–1 (Declaration of Representative)
for the Veteran and the spouse (if burden of the proposed collection of
Agency Information Collection information; (3) ways to enhance the
applicable) to appoint a representative, Activity: (Application and Training
authorizing HEC, IVD to release quality, utility, and clarity of the
Agreement for Apprenticeship and On- information to be collected; and (4)
information to a designated appointee the-Job Training Programs) (VA Form
for a specific income year. Such ways to minimize the burden of the
22–8864; 22–8865)) collection of information on
information includes confidential
federal tax information, other income, AGENCY: Veterans Benefits respondents, including through the use
and medical benefits eligibility related Administration, Department of Veterans of automated collection techniques or
information. The Veteran and spouse (if Affairs. the use of other forms of information
applicable) must sign and date the form. ACTION: Notice.
technology.
Title: Application and Training
The HEC, IVD uses the HEC Income Agreement for Apprenticeship and On-
SUMMARY: The Veterans Benefits
Verification—Additional Information the-Job Training Programs, VA Form
Administration (VBA), Department of
Checklist to request from the Veteran 22–8864; 22–8865.
Veterans Affairs (VA), is announcing an
any additional information needed to OMB Control Number: 2900–0342.
opportunity for public comment on the
jstallworth on DSK7TPTVN1PROD with NOTICES

adjudicate the Income Verification case. Type of Review: Revision of a
proposed collection of certain
The Veteran providing the requested currently approved collection.
information by the agency. Under the
information usually results in the best
Paperwork Reduction Act (PRA) of Abstract: VA Forms 22–8864 and 22–
interest to the Veteran.
1995, Federal agencies are required to 8865 are used to collect information
Affected Public: Individuals or publish notice in the Federal Register from employers and trainees to ensure
households. concerning each proposed collection of that training programs (Apprenticeship
Estimated Annual Burden: information, including each proposed and On-the-Job Training) and

VerDate Sep<11>2014 15:10 Jan 25, 2017 Jkt 241001 PO 00000 Frm 00065 Fmt 4703 Sfmt 4703 E:\FR\FM\26JAN1.SGM 26JAN1

8568 Federal Register / Vol. 82, No. 16 / Thursday, January 26, 2017 / Notices

agreements meet the statutory period, comments may be viewed online DEPARTMENT OF VETERANS
requirements for approval. through the FDMS. AFFAIRS
Affected Public: Individuals or
FOR FURTHER INFORMATION CONTACT: [OMB Control No. 2900–0576]
household or small businesses/other
small entities. Nancy J. Kessinger at (202) 632–8924 or
FAX (202) 632–8925. Agency Information Collection
Estimated Annual Burden: 19,535 Activity: Certification of Affirmation of
hours. SUPPLEMENTARY INFORMATION: Enrollment Agreement
Estimated Average Burden per Correspondence Course (VA Form 22–
Respondent: 75 minutes. Under the PRA of 1995 (Public Law
104–13; 44 U.S.C. 3501–21), Federal 1999c)
Frequency of Response: Once.
Estimated Number of Respondents: agencies must obtain approval from the AGENCY: Veterans Benefits
15,628. Office of Management and Budget Administration, Department of Veterans
(OMB) for each collection of Affairs.
By direction of the Secretary.
information they conduct or sponsor. ACTION: Notice.
Cynthia Harvey-Pryor,
This request for comment is being made
Agency Clearance Officer, Office of Privacy SUMMARY: The Veterans Benefits
pursuant to Section 3506(c)(2)(A) of the
and Records Management, Department of
PRA. Administration (VBA), Department of
Veterans Affairs.
With respect to the following Veterans Affairs (VA), is announcing an
[FR Doc. 2017–01748 Filed 1–25–17; 8:45 am]
opportunity for public comment on the
BILLING CODE 8320–01–P collection of information, VBA invites
proposed collection of certain
comments on: (1) Whether the proposed
information by the agency. Under the
collection of information is necessary Paperwork Reduction Act (PRA) of
DEPARTMENT OF VETERANS for the proper performance of VBA’s 1995, Federal agencies are required to
AFFAIRS functions, including whether the publish notice in the Federal Register
[OMB Control No. 2900–0802] information will have practical utility; concerning each proposed collection of
(2) the accuracy of VBA’s estimate of the information, including each proposed
Agency Information Collection burden of the proposed collection of revision of a currently approved
Activity: Shoulder and Arm Conditions information; (3) ways to enhance the collection, and allow 60 days for public
Disability Benefits Questionnaire (VA quality, utility, and clarity of the comment in response to the notice. This
Form 21–0960M–12) information to be collected; and (4) notice solicits comments on information
AGENCY: Veterans Benefits ways to minimize the burden of the needed to determine a claimant’s
Administration, Department of Veterans collection of information on entitlement to educational assistance.
Affairs. respondents, including through the use DATES: Written comments and
ACTION: Notice.
of automated collection techniques or recommendations on the proposed
the use of other forms of information collection of information should be
SUMMARY: The Veterans Benefits technology. received on or before March 27, 2017.
Administration (VBA), Department of Title: (Shoulder and Arm Conditions ADDRESSES: Submit written comments
Veterans Affairs (VA), is announcing an Disability Benefits Questionnaire (VA on the collection of information through
opportunity for public comment on the Form 21–0960M–12). Federal Docket Management System
proposed collection of certain (FDMS) at www.Regulations.gov or to
information by the agency. Under the OMB Control Number: 2900–0802. Nancy J. Kessinger, Veterans Benefits
Paperwork Reduction Act (PRA) of Type of Review: Extension of an Administration (20M33), Department of
1995, Federal agencies are required to approved collection. Veterans Affairs, 810 Vermont Avenue
publish notice in the Federal Register Abstract: VA Forms 21–0960M–12 is NW., Washington, DC 20420 or email to
concerning each proposed collection of used to gather necessary information nancy.kessinger@va.gov. Please refer to
information, including each proposed from a claimant’s treating physician ‘‘OMB Control No. 2900–0576’’ in any
revision of a currently approved correspondence. During the comment
regarding the results of medical
collection, and allow 60 days for public period, comments may be viewed online
examinations.
comment in response to the notice. through the FDMS.
VA Forms 21–0960M–12 is used to Affected Public: Individuals or FOR FURTHER INFORMATION CONTACT:
gather necessary information from a households. Nancy J. Kessinger at (202) 632–8924 or
claimant’s treating physician regarding Estimated Annual Burden: 25,000 FAX (202) 632–8925.
the results of medical examinations. hours. SUPPLEMENTARY INFORMATION: Under the
DATES: Written comments and PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
Estimated Average Burden per
recommendations on the proposed Respondent: 30 minutes. 3501–21), Federal agencies must obtain
collection of information should be approval from the Office of Management
received on or before March 27, 2017. Frequency of Response: One time.
and Budget (OMB) for each collection of
ADDRESSES: Submit written comments Estimated Number of Respondents: information they conduct or sponsor.
on the collection of information through 50,000 per year. This request for comment is being made
Federal Docket Management System By direction of the Secretary. pursuant to Section 3506(c)(2)(A) of the
(FDMS) at www.Regulations.gov or to PRA.
jstallworth on DSK7TPTVN1PROD with NOTICES

Cynthia Harvey-Pryor,
Nancy J. Kessinger, Veterans Benefits With respect to the following
Administration (20M33), Department of Department Clearance Officer, Office of collection of information, VBA invites
Veterans Affairs, 810 Vermont Avenue Privacy and Records Management, comments on: (1) Whether the proposed
Department of Veterans Affairs.
NW., Washington, DC 20420 or email to collection of information is necessary
[FR Doc. 2017–01751 Filed 1–25–17; 8:45 am]
nancy.kessinger@va.gov. Please refer to for the proper performance of VBA’s
‘‘OMB Control No. 2900–0802’’ in any BILLING CODE 8320–01–P functions, including whether the
correspondence. During the comment information will have practical utility;

VerDate Sep<11>2014 15:10 Jan 25, 2017 Jkt 241001 PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 E:\FR\FM\26JAN1.SGM 26JAN1

Document Created: 2017-01-26 00:04:45
Document Modified: 2017-01-26 00:04:45

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 March 27, 2017.
Contact		Nancy J. Kessinger at (202) 632-8924 or FAX (202) 632-8925.
FR Citation		82 FR 8567