DEPARTMENT OF VETERANS AFFAIRS Billing Code 8320-01
[OMB Control No. 2900-0017]
Agency Information Collection (Supplement to VA Forms 21P-4706b, 21P-4706c and 21-4718a Activity under OMB Review
AGENCY: Veterans Benefits Administration, Department of Veterans Affairs
ACTION: Notice.
SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Veterans Benefits Administration (VBA), 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; it includes the actual data collection instrument.
DATE: Comments must be submitted on or before [Insert date 30 days after date of publication in the FEDERAL REGISTER].
ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW, Washington, DC 20503 or sent through electronic mail to oira_submission@omb.eop.gov. Please refer to “OMB Control No. 2900-0094” 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 or e-mail crystal.rennie@va.gov. Please refer to “OMB Control No. 2900-0094.”
SUPPLEMENTAL INFORMATION:
Title: Supplement to VA Forms 21P-4706b, 21P-4706c and 21-4718a
OMB Control Number: 2900-0017.
Type of Review: Revision and extension of a currently approved collection.
Abstract: VA maintains supervision of the distribution and use of VA benefits
paid to fiduciaries on behalf of VA claimants who are incompetent, a minor, or under legal disability. The forms are used to verify beneficiaries’ deposit remaining at a financial institution against a fiduciary’s accounting. The following forms will be used to ensure claimants’ benefits payments are administered properly.
(a) VA Forms 21P-4706b and 4706c are used by estate to determine proper usage of benefits paid to fiduciaries. The 21P–4706b are both necessary to conform to requirement of various State courts.
(b) VA Form 21–4718a—Fiduciaries are required to obtain certifications that the balances remaining on deposit in financial institutions as shown on accountings are correct. Certifying official at a financial institution completing the form must affix the institution’s official seal or stamp. The data collected is used to appoint an appropriate fiduciary for a VA beneficiary and to prevent fiduciaries from supplying false certification, embezzling funds, and possibly prevent and/or identify fraud, waste and abuse of government funds paid to fiduciaries on behalf of VA beneficiaries.
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 June 12, 2014, at page 33812-33813.
Affected Public: Individuals or households.
Estimated Annual Burden: 17,850
(a) 21P-4706b: 12,600
(b) 21P-4706c: 3,500
(c) 21-4718a: 1,750
Average Total Burden: 11,667
Estimated Average Burden Per Respondent:
(a) 21P-4706b: 27 minutes
(b) 21P-4706c: 30 minutes
(c) 21-4718: 3 minutes
Average Total Burden Per Respondent: 20 minutes
Frequency of Response: Annually.
Estimated Number of Respondents: 35,000.
DATED: XX, XX, 2015
By direction of the Secretary:
____________________________
Crystal Rennie,
Department Clearance Officer,
Department of Veterans Affairs
| File Type | application/msword |
| File Title | DEPARTMENT OF VETERANS AFFAIRS |
| Author | Ron Taylor |
| Last Modified By | Bohr, Gina, VBAVACO |
| File Modified | 2015-05-12 |
| File Created | 2015-02-20 |