60-Day FRN (2900-0858)

2021-05458, 60-Day FRN (VAF21-4142 series).pdf

Authorization to Disclose Information to the VA (VA Form 21-4142), General Release of Medical Provider Information to the VA (VA Form 21-4142a)

60-Day FRN (2900-0858)

OMB: 2900-0858

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Federal Register / Vol. 86, No. 50 / Wednesday, March 17, 2021 / Notices
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.
Authority: 38 U.S.C. 5307.
Title: Information Regarding
Apportionment of Beneficiary’s Award
(VA Form 21–0788).
OMB Control Number: 2900–0666.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21–0788 is used to
collect the information that is necessary
to determine whether an apportionment
may be authorized and the reasonable
amount that may be awarded. Without
this collection of information, VA
would be unable to properly authorize
apportionments of compensation and
pension benefits.
No substantive changes have been
made to this form. The respondent
burden has decreased due to the
estimated number of receivables
averaged over the past two years.
Affected Public: Individuals and
households.
Estimated Annual Burden: 1,606
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Once.
Estimated Number of Respondents:
3,211.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2021–05483 Filed 3–16–21; 8:45 am]

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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0858]

Agency Information Collection
Activity: Authorization and Consent To
Release Information to the Department
of Veterans Affairs (VA), and General
Release for Medical Provider
Information to the Department of
Veterans Affairs (VA)
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

Veterans Benefits
Administration, 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.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before May 17, 2021.
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
nancy.kessinger@va.gov. Please refer to
‘‘OMB Control No. 2900–0858’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 1717 H Street NW,
Washington, DC 20006, (202) 266–4688
or email maribel.aponte@va.gov. Please
refer to ‘‘OMB Control No. 2900–0858’’
in any correspondence.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995, Federal agencies must
obtain approval from the Office of
SUMMARY:

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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.
Authority: 38 U.S.C. 5101(a)(1).
Title: Authorization and Consent to
Release Information to the Department
of Veterans Affairs (VA) (VA Form 21–
4142), and General Release for Medical
Provider Information to the Department
of Veterans Affairs (VA) (VA Form 21–
4142a).
OMB Control Number: 2900–0858.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21–4142 is used to
authorize the disclosure of information
to the VA and VA Form 21–4142a is
used to gather the necessary information
to request medical provider information
to the VA. Without the information
solicited by these forms, VA would be
unable to determine eligibility, and
benefits would not be properly paid.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 10,616.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
127,397.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2021–05458 Filed 3–16–21; 8:45 am]
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