[Federal Register Volume 81, Number 58 (Friday, March 25, 2016)]
[Notices]
[Pages 16282-16283]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-06735]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-NEW]
Proposed Information Collection (Alternate Signer Certification
(VA Form 21-0972)); Activity: Comment Request
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
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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 new collections, and
allow 60 days for public comment in response to the notice.
VA Form 21-0972 will be used to collect the alternate signer
information necessary for VA to accept benefit application forms signed
by individuals on behalf of Veterans and claimants. The information
collected will be used to contact the alternate signer for verification
purposes.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before May 24, 2016.
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--NEW (Alternate Signer Certification)'' 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: Alternate Signer Certification (VA Form 21-0972).
OMB Control Number: 2900--NEW.
Type of Review: New collection.
Abstract: VA Form 21-0972 will be used to collect the alternate
signer information necessary for VA to accept benefit application forms
signed by individuals on behalf of Veterans and
[[Page 16283]]
claimants. The information collected will be used to contact the
alternate signer for verification purposes.
Affected Public: Individuals or households.
Estimated Annual Burden: 1,250 hours.
Estimated Average Burden per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 5,000.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records
Management, Department of Veterans Affairs.
[FR Doc. 2016-06735 Filed 3-24-16; 8:45 am]
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