Agency Information Collection (Application for Change of Permanent Plan (Medical)) Activity Under OMB Review

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0179]

Agency Information Collection (Application for Change of Permanent Plan (Medical)) 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.

DATES:

Comments must be submitted on or before April 25, 2011.

ADDRESSES:

Submit written comments on the collection of information through

http://www.Regulations.gov;

or to VA's OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503 (202) 395-7316. Please refer to “OMB Control No. 2900-0179” in any correspondence.

FOR FURTHER INFORMATION CONTACT:

Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461-7485, fax (202) 461-0966 or e-mail

denise.mclamb@va.gov.

Please refer to “OMB Control No. 2900-0179.”

SUPPLEMENTARY INFORMATION:

Title:

Application for Change of Permanent Plan (Medical) (Change to a policy with a lower reserve value), VA Form 29-1549.

OMB Control Number:

2900-0179.

Type of Review:

Extension of a currently approved collection.

Abstract:

The form is used by the insured to establish his/her eligibility to change insurance plans from a higher reserve to a lower reserve value.

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 January 14, 2011, at page 2757.

Affected Public:

Individuals or households.

Estimated Annual Burden:

14 hours.

Estimated Average Burden per Respondent:

30 minutes.

Frequency of Response:

On occasion.

Estimated Number of Respondents:

28.

Dated: March 21, 2011.

By direction of the Secretary.

Denise McLamb,

Program Analyst, Enterprise Records Service.

[FR Doc. 2011-7034 Filed 3-24-11; 8:45 am]

BILLING CODE 8320-01-P