[Federal Register Volume 77, Number 178 (Thursday, September 13, 2012)]
[Notices]
[Pages 56714-56715]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-22491]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0017]


Agency Information Collection (Annual-Final Report and Account) 
Activities Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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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 October 15, 2012.

ADDRESSES: Submit written comments on the collection of information 
through www.regulations.gov or to VA's OMB Desk Officer, Office of 
Information and Regulatory Affairs, New Executive Office Building, Room 
10235, Washington, DC 20503, (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0017'' 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) 632-7479, Fax (202) 632-7583 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0017.''

SUPPLEMENTARY INFORMATION: Titles:
    a. Annual-Final Report and Account, VA Form 21-4706.
    b. Federal Fiduciary's Account, VA Form 21-4706b.
    c. Court Appointed Fiduciary's Account, VA Form 21-4706c.
    d. Account Book, VA Form 21-4718.
    e. Certificate of Balance on Deposit and Authorization to Disclose 
Financial Records (Pursuant to Title 38, U.S.C., Chapter 55 and Title 
12, U.S.C., Chapter 35), VA Form 21-4718a.
    OMB Control Number: 2900-0017.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA maintains supervision of the distribution and use of 
VA benefits paid to fiduciaries on behalf of VA claimants who are 
incompetent, a minor, or under legal disability. The forms are used to 
verify beneficiaries' deposit remaining at a financial institution 
against a fiduciary's accounting. The following forms will be used to 
ensure claimants' benefits payments are administered properly.
    a. VA Forms 21-4706, 4706b and 4706c are used by estate to 
determine proper usage of benefits paid to fiduciaries. The 21-4706 and 
21-4706b are both necessary to conform to requirement of various State 
courts.
    b. VA Form 21-4718 is provided to VA fiduciaries to submit 
accountings to either State courts or the VA. It is not a reporting 
form per se, but a vehicle to assist the fiduciary in accurately 
maintaining records of monies received and spent.
    c. VA Form 21-4718a--Fiduciaries are required to obtain 
certifications that

[[Page 56715]]

the balances remaining on deposit in financial institutions as shown on 
accountings are correct. Certifying official at a financial institution 
completing the form must affix the institution's official seal or 
stamp. The data collected is used to appoint an appropriate fiduciary 
for a VA beneficiary and to prevent fiduciaries from supplying false 
certification, embezzling funds, and possibly prevent and/or identify 
fraud, waste and abuse of government funds paid to fiduciaries on 
behalf of VA beneficiaries.
    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 July 2, 2012, at pages 39341-39342.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. Annual-Final Report and Account, VA Form 21-4706--1,100.
    b. Federal Fiduciary's Account, VA Form 21-4706b--6,300.
    c. Court Appointed Fiduciary's Account, VA Form 21-4706c--2,000.
    d. Account Book, VA Form 21-4718--20,000.
    e. Certificate of Balance on Deposit and Authorization to Disclose 
Financial Records, VA Form 21-4718a--166.
    Estimated Average Burden per Respondent:
    a. Annual-Final Report and Account, VA Form 21-4706--30 minutes.
    b. Federal Fiduciary's Accounts, VA Form 21-4706b--27 minutes.
    c. Court Appointed Fiduciary's Account, VA Form 21-4706c--30 
minutes.
    d. Account Book, VA Form 21-4718--2\1/2\ hours.
    e. Certificate of Balance on Deposit and Authorization to Disclose 
Financial Records, VA Form 21-4718a--3 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents:
    a. Annual-Final Report and Account, VA Form 21-4706--2,200.
    b. Federal Fiduciary's Accounts, VA Form 21-4706b--14,000.
    c. Court Appointed Fiduciary's Account, VA Form 21-4706c--4,000.
    d. Account Book, VA Form 21-4718--8,000.
    e. Certificate of Balance on Deposit and Authorization to Disclose 
Financial Records, VA Form 21-4718a--3,312.

    Dated: September 7, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-22491 Filed 9-12-12; 8:45 am]
BILLING CODE 8320-01-P