[Federal Register Volume 81, Number 109 (Tuesday, June 7, 2016)]
[Notices]
[Pages 36659-36660]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-13391]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0652]
Proposed Information Collection (Request for Nursing Home
Information in Connection With Claim for Aid and Attendance (VA Form
21-0779)); 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 each proposed revision of
a currently approved collection, and allow 60 days for public comment
in response to the notice.
VA Form 21-0779 is used to gather the necessary information to
determine eligibility for pension and aid and attendance benefits based
on nursing home status. The form also requests information regarding
Medicaid status and nursing home care charges, so VA can determine the
proper rate of payment.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before August 8, 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. 2900-0652'' 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: Request for Nursing Home Information in Connection with
Claim for Aid and Attendance (VA Form 21-0779).
OMB Control Number: 2900-0652.
Type of Review: Revision of an approved collection.
Abstract: VA Form 21-0779 is used to gather the necessary
information to
[[Page 36660]]
determine eligibility for pension and aid and attendance benefits based
on nursing home status. The form also requests information regarding
Medicaid status and nursing home care charges, so VA can determine the
proper rate of payment.
Affected Public: Individuals or households.
Estimated Annual Burden: 10,188 hours.
Estimated Average Burden per Respondent: 10 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 61,125.
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. 2016-13391 Filed 6-6-16; 8:45 am]
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