2900-AO41 DESIGNEE FOR PATIENT PERSONAL PROPERTY

ICR 201410-2900-006

OMB: 2900-0817

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2014-11-17
IC Document Collections
IC ID
Document
Title
Status
211131 Modified
ICR Details
2900-0817 201410-2900-006
Historical Active 201404-2900-004
VA
2900-AO41 DESIGNEE FOR PATIENT PERSONAL PROPERTY
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/24/2014
Retrieve Notice of Action (NOA) 10/10/2014
  Inventory as of this Action Requested Previously Approved
11/30/2017 36 Months From Approved
718,000 0 0
35,900 0 0
0 0 0

The Department of Veterans Affairs (VA) proposes to amend its regulation that governs a competent veteran's designation of a person to receive the veteran's funds and personal effects in the event that such veteran were to die while in a VA medical facility. The proposed rule would eliminate reference to obsolete VA forms, clarify the role of a VA fiduciary for an incompetent veteran-patient, as well as restructure the current regulation for ease of readability.

US Code: 38 USC 8502 Name of Law: null
  
None

2900-AO41 Final or interim final rulemaking 79 FR 68127 11/14/2014

  78 FR 63139 10/23/2013
No

1
IC Title Form No. Form Name
DESIGNEE FOR PATIENT PERSONAL PROPERTY 10-10118 DESIGNEE FOR PATIENT PERSONAL PROPERTY

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 718,000 0 0 718,000 0 0
Annual Time Burden (Hours) 35,900 0 0 35,900 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
No
AO41 is a change in the regulation adding an ICR and increasing burden.

$1,206,240
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@va.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/10/2014


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