30-Day FRN (2900-0652)

Federal Register / Vol. 85, No. 22 / Monday, February 3, 2020 / Notices
of automated collection techniques or
the use of other forms of information
technology.
Authority: Public Law 104–13; 44
U.S.C. 3501–3521.
Title: Financial Status Report.
OMB Control Number: 2900–0165.
Type of Review: Reinstatement of a
previously OMB approved collection.
Abstract: Claimants complete VA
Form 5655 to report their financial
status. VA uses the data collected to
determine the claimant’s eligibility for a
waiver of collection, setup a payment
plan or for the acceptance of a
compromise offer on their VA benefit
debt.
Affected Public: Individuals and
households.
Estimated Annual Burden: 116,151
hours.
Estimated Average Burden per
Respondent: 1 hour.
Frequency of Response: Annual.
Estimated Number of Respondents:
116,151.
By direction of the Secretary.
Danny S. Green,
Department Clearance Officer, Office of
Quality, Performance and Risk, Department
of Veterans Affairs.
[FR Doc. 2020–01913 Filed 1–31–20; 8:45 am]

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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0652]

Agency Information Collection Activity
Under OMB Review: Request for
Nursing Home Information in
Connection With Claim for Aid and
Attendance
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, this notice announces that the
Veterans Benefits Administration,
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 it includes the
actual data collection instrument.
DATES: Comments must be submitted on
or before March 4, 2020.
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. 2900–0652’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Danny S. Green, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 811 Vermont Avenue
NW, Washington, DC 20420, (202) 421–
1354 or email danny.green2@va.gov.
SUMMARY:

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Please refer to ‘‘OMB Control No. 2900–
0652’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–21.
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: Extension of a
currently approved collection.
Abstract: 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.
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 at 84 FR
234 on December 5, 2019 pages 66707
and 66708.
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.
Danny S. Green,
VA Clearance Officer, Office of Quality,
Performance and Risk (OQPR), Department
of Veterans Affairs.
[FR Doc. 2020–01941 Filed 1–31–20; 8:45 am]
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