Agency Information Collection (Alternate Signer Certification) Activity Under OMB Review

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]

Agency Information Collection (Alternate Signer Certification) 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. 3501-21), 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 July 7, 2016.

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-NEW” in any correspondence.

FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-5870 or email,

cynthia.harvey-pryor@va.gov.

Please refer to “OMB Control No. 2900-NEW” in any correspondence.

SUPPLEMENTARY INFORMATION:

Title:

Alternate Signer Certification.

OMB Control Number:

2900-NEW.

Type of Review:

New collection.

Abstract:

VA Form 21-0972 will be used to collect the alternate signer information necessary for VA to accept benefit application forms signed by individuals on behalf of Veterans and claimants. The information collected will be used to contact the alternate signer for verification purposes.

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 81 FR 58 on March 25, 2016, pages 16282 and 16283.

Affected Public:

Individuals or Households.

Estimated Annual Burden:

1,250.

Estimated Average Burden per Respondent:

15 minutes.

Frequency of Response:

One time.

Estimated Number of Respondents:

5,000.

By direction of the Secretary.

Kathleen M. Manwell,

Program Analyst, VA Privacy Service, Office of Privacy and Records Management, Department of Veterans Affairs.

[FR Doc. 2016-13395 Filed 6-6-16; 8:45 am]

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