[Federal Register Volume 77, Number 203 (Friday, October 19, 2012)]
[Notices]
[Pages 64383-64384]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-25755]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0090]


Agency Information Collection (Application for Voluntary Service) 
Activities Under OMB Review

AGENCY: Veterans Health Administration, 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. 3501-21), this notice

[[Page 64384]]

announces that the Veterans Health Administration (VHA), 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 includes the actual 
data collection instrument.

DATES: Comments must be submitted on or before November 19, 2012.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov; or to VA's OMB Desk Officer, OMB Human 
Resources and Housing Branch, New Executive Office Building, Room 
10235, Washington, DC 20503, (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0090'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492, fax (202) 632-7583 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0090.''

SUPPLEMENTARY INFORMATION: 
    Title: Application for Voluntary Service, VA Form 10-7055.
    OMB Control Number: 2900-0090.
    Type of Review: Extension of a currently approved collection.
    Abstract: Individuals expressing interest in volunteering at a VA 
medical center complete VA Form 10-7055 to request placement in the 
nationwide VA Voluntary Service Program. VA will use the data collected 
to place applicants in assignments most suitable to their special 
skills and abilities.
    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 August 1, 2012 at page 45718.
    Affected Public: Individuals or Households.
    Estimated Total Annual Burden: 8,000 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 32,000.

    Dated: October 15, 2012.

    By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy and Management, Office of 
the General Counsel, Department of Veterans Affairs.
[FR Doc. 2012-25755 Filed 10-18-12; 8:45 am]
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