2011-10582. Proposed Information Collection (Supplemental Physical Examination Report); Comment Request

AGENCY:

Veterans Benefits Administration, Department of Veterans Affairs.

ACTION:

Notice.

SUMMARY:

The Veterans Benefits Administration (VBA), 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 extension of a currently approved collection, and allow 60 days for public comment in response to this notice. This notice solicits comments on information needed to determine a veteran's eligibility or reinstatement for Government Life insurance.

DATES:

Written comments and recommendations on the proposed collection of information should be received on or before July 1, 2011.

ADDRESSES:

Submit written comments on the collection of information through Federal Docket Management System (FDMS) at http://www.Regulations.gov;​; or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail [e-mail]. Please refer to “OMB Control No. 2900-0324” in any correspondence. During the comment period, comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT:

Nancy J. Kessinger at [phone] or FAX [phone].

SUPPLEMENTARY INFORMATION:

Under the PRA of 1995 (Pub. L. 104-13; 44 U.S.C. 3501-3521), Federal agencies must obtain approval from the Office of 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.

Titles:

a. Supplemental Physical Examination Report, VA Form 29-8146.

b. Attending Physician's Statement, VA Form 29-8158.

c. Supplemental Physical Examination Report (Diabetes—Physician's Report), VA Form 29-8160.

OMB Control Number: 2900-0324.

Type of Review: Extension of a currently approved collection.

Abstract: The forms are used to obtain information regarding the physical and/or mental condition of a veteran who has submitted an application for Government Life Insurance or reinstatement of eligibility for such insurance.

Affected Public: Individuals or households.

Estimated Annual Burden:

a. VA Form 29-8146—750 hours.

b. VA Form 29-8158—165 hours.

c. VA Form 29-8160—165 hours.

Estimated Average Burden per Respondent:

a. VA Form 29-8146—45 minutes.

b. VA Form 29-8158—45 minutes.

c. VA Form 29-8160—45 minutes.

Frequency of Response: On occasion.

Estimated Number of Respondents:

a. VA Form 29-8146—220.

b. VA Form 29-8158—1,000.

c. VA Form 29-8160—220.

Dated: April 27, 2011.

By direction of the Secretary.

Denise McLamb,

Program Analyst, Enterprise Records Service.