[Federal Register Volume 80, Number 148 (Monday, August 3, 2015)]
[Notices]
[Pages 46105-46106]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-18922]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0090]


Proposed Information Collection (Application for Voluntary 
Service VA Form 10-7055 and Associated Internet Application) ; 
Activity: Comment Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Health Administration (VHA), 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 revised collection, 
and allow 60 days for public comment in response to the notice. This 
notice solicits comments on the information needed for Veterans, 
Veteran Representatives and health care providers to request 
reimbursement from the federal government for emergency services at a 
private institution.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before October 2, 2015.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov; 
or Audrey Revere, Office of Regulatory and Administrative Affairs, 
Veterans Health Administration (10B4), Department of Veterans Affairs, 
810 Vermont Avenue NW., Washington, DC 20420 or email: 
[email protected]. Please refer to ``OMB Control No. 2900-0090'' in 
any correspondence. During the comment period, comments may be viewed 
online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Audrey Revere at (202) 461-5694.

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, VHA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VHA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VHA'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: Application for Voluntary Service VA Form 10-7055 and 
Associated Internet Application.
    OMB Control Number: 2900-0090.
    Type of Review: Revision.
    Abstract: This application (VA Form 10-7055 and the associated web 
form) will be here-in-after referred to as the form. The form is used 
to assist personnel of volunteer organizations, which recruit 
volunteers from their membership, and the Department of Veterans 
Affairs (VA) in the selection, screening and placement of volunteers in 
the nationwide VA Voluntary Service program. The volunteer program 
supplements the medical care and treatment of veteran patients in all 
VA medical centers. This form is necessary to assist in determining the 
suitability and placement of potential volunteers. The information is 
collected under the authority of 38 U.S.C. 7405(a).
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 8,000 burden hours.
    Estimated Average Burden per Respondent: 15 minutes.

[[Page 46106]]

    Frequency of Response: Annually.
    Estimated Number of Respondents: 32,000.

    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. 2015-18922 Filed 7-31-15; 8:45 am]
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