60-Day FRN Draft (2900-0858), VAF21-4142, 4142a

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Federal Register / Vol. 89, No. 85 / Wednesday, May 1, 2024 / Notices

Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20420, (202) 266–4688
or email maribel.aponte@va.gov.
Please refer to ‘‘OMB Control No.
2900–0101’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: Information is requested by
this form under the authority of 38
U.S.C. 1506, regulatory authority is
found in 38 CFR 3.277.
Title: Eligibility Verification Reports
(EVRs) VA Forms: 21P–0510, 21P–0510
(Spanish), 21P–0512S–1, 21P–0512S–1
(Spanish), VA Form 21P–0512V–1, 21P–
0513–1, 21P–0513–1 (Spanish), 21P–
0514–1, 21P–0514–1(Spanish), 21P–
0516–1, 21P–0516–1 (Spanish), 21P–
0517–1, 21P–0517 (Spanish), 21P–0518–
1, 21P–0518–1 (Spanish), 21P–0519C–1,
21P–0519C–1 (Spanish), 21P–0519S–1,
21P–0519S–1 (Spanish).
OMB Control Number: 2900–0101.
Type of Review: Extension of a
previously approved collection.
Abstract: A claimant’s eligibility for
Pension is determined, in part, by
countable family income and net worth.
Any individual who has applied for, or
receives, VA Pension or Parents’
Dependency and Indemnity
Compensation (DIC) must promptly
notify the VA in writing of any change
in entitlement factors. VBA uses
Eligibility Verification Reports (EVRs) to
receive income and net worth
information from Pension and Parents
DIC claimants and beneficiaries to
evaluate eligibility for benefits. The
reported information can result in
increased or decreased benefits.
Typically, the claimants and
beneficiaries utilize the form to notify
the VA of changes in income and net
worth, though the forms could be used
to reopen a claim for benefits in limited
circumstances. This is a request for an
extension of the EVR collections with
no substantive changes.
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 89 FR
14154 on Monday, February 26, 2024,
pages 14154 and 14155.
Affected Public: Individuals or
households.
Estimated Annual Burden: 34,500
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
69,000.

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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. 2024–09392 Filed 4–30–24; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0858]

Agency Information Collection Activity
Under OMB Review: Authorization and
Consent To Release Information to the
Department of Veterans Affairs (VA),
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 July 1, 2024.
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), 810 Vermont Ave. 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: Public Law 104–191
(‘‘HIPAA’’), 42 U.S.C. 290dd–242, 38
CFR part 2, 45 CFR parts 160 and 164.
Title: Authorization and Consent to
Release Information to the Department
of Veterans Affairs (VA) (VA Form 21–
4142), 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. No
changes have been made to these forms.
The respondent burden has increased
due to the estimated number of
receivables averaged over the past year.
Affected Public: Individuals and
households.
Estimated Annual Burden: 36,687
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
440,246 per year.
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. 2024–09336 Filed 4–30–24; 8:45 am]
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