94-13052. Information Collection Under OMB Review: Application for Voluntary Service, VA Form 10-7055

[Federal Register Volume 59, Number 102 (Friday, May 27, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-13052]


[[Page Unknown]]

[Federal Register: May 27, 1994]


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DEPARTMENT OF VETERANS AFFAIRS
 

Information Collection Under OMB Review: Application for 
Voluntary Service, VA Form 10-7055

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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    The Department of Veterans Affairs has submitted to OMB the 
following proposal for the collection of information under the 
provisions of the Paperwork Reduction Act (44 U.S.C. chapter 35). This 
document lists the following information: (1) The title of the 
information collection, and the Department form number(s), if 
applicable; (2) a description of the need and its use; (3) who will be 
required or asked to respond; (4) an estimate of the total annual 
reporting hours, and recordkeeping burden, if applicable; (5) the 
estimated average burden hours per respondent; (6) the frequency of 
response; and (7) an estimated number of respondents.

ADDRESSES: Copies of the proposed information collection and supporting 
documents may be obtained from Ann Bickoff, Veterans Health 
Administration (161B4), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420 [phone].
    Comments and questions about the items on the list should be 
directed to VA's OMB Desk Officer, Joseph Lackey, NEOB, room 3002, 
Washington, DC 20503, [phone]. Do not send requests for benefits 
to this address.

DATES: Comments on the information collection should be directed to the 
OMB Desk Officer June 27, 1994.

    Dated: May 12, 1994.

    By Direction of the Secretary.
B. Michael Berger,
Director, Records Management Service.

Reinstatement

    1. Application for Voluntary Service, VA Form 10-7055.
    2. The form is used to assist personnel of both voluntary 
organizations and VA in the selection, screening and placement of 
volunteers in the nationwide VA Voluntary Service Program.
    3. Individuals or households.
    4. 7,500 hours.
    5. 15 minutes.
    6. One time.
    7. 30,000 respondents.

[FR Doc. 94-13052 Filed 5-26-94; 8:45 am]
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