[Federal Register Volume 77, Number 71 (Thursday, April 12, 2012)]
[Notices]
[Page 22068]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-8800]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0165]


Proposed Information Collection (Financial Status Report) 
Activity: Comment Request

AGENCY: Office of Management, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: The Office of Management (OM), 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 the 
notice. This notice solicits comments on information needed to 
determine a claimant's financial status.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before June 11, 2012.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Dawn M. Eggers, VA Debt Management Center, Bishop Henry Whipple 
Federal Building, P.O. Box 11930, St. Paul, MN 55111-0930 or email to: 
[email protected]. Please refer to ``OMB Control No. 2900-0165'' in 
any correspondence. During the comment period, comments may be viewed 
online through FDMS.

FOR FURTHER INFORMATION CONTACT: Dawn M. Eggers at (612) 713-6361 or 
FAX (612) 970-5687.

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, OM invites 
comments on: (1) Whether the proposed collection of information is 
necessary for the proper performance of OM's functions, including 
whether the information will have practical utility; (2) the accuracy 
of OM'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.
    Title: Financial Status Report, VA Form 5655.
    OMB Control Number: 2900-0165.
    Type of Review: Extension of a currently approved collection.
    Abstract: Claimants complete VA Form 5655 to report their financial 
status. VA uses the data collected to determine the claimant's 
eligibility for a waiver of collection, setup a payment plan or for the 
acceptance of a compromise offer on their VA benefit debt.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 57,155 hours.
    Estimated Average Burden per Respondent: 1 hour.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 57,155.

    Dated: April 9, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-8800 Filed 4-11-12; 8:45 am]
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