[Federal Register Volume 77, Number 127 (Monday, July 2, 2012)]
[Notices]
[Page 39343]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-16103]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0165]
Agency Information Collection (Financial Status Report)
Activities Under OMB Review
AGENCY: Office of Management, Department of Veterans Affairs.
ACTION: Notice.
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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501-3521), this notice announces that the Office of
Management, Department of Veterans Affairs, has submitted 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 August 1, 2012.
ADDRESSES: Submit written comments on the collection of information
through www.Regulations.gov or to VA's OMB Desk Officer, Office of
Information and Regulatory Affairs, New Executive Office Building, Room
10235, Washington, DC 20503 (202) 395-7316. Please refer to ``OMB
Control No. 2900-0165'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632-7479, FAX (202) 632-7634 or email
[email protected]. Please refer to ``OMB Control No. 2900-0165.''
SUPPLEMENTARY INFORMATION: Title: Financial Status Report, VA Form
5655.
OMB Control Number: 2900-0165.
Type of Review: Extension of a currently approved collection.
Abstract: Claimants complete VA Form 5655 to report their financial
status. VA uses the data collected to determine the claimant's
eligibility for a waiver of collection, setup a payment plan or for the
acceptance of a compromise offer on their VA benefit debt.
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 on April 12, 2012, at page 22068.
Affected Public: Individuals or households.
Estimated Annual Burden: 57,155 hours.
Estimated Average Burden Per Respondent: 1 hour.
Frequency of Response: On occasion.
Estimated Number of Respondents: 57,155.
Dated: June 27, 2012.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-16103 Filed 6-29-12; 8:45 am]
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