[Federal Register Volume 80, Number 229 (Monday, November 30, 2015)]
[Notices]
[Page 74838]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-30280]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0090]


Agency Information Collection (Application for Voluntary Service 
VA Form 10-7055 and Associated Internet Application)

AGENCY: Veterans Health 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 Health 
Administration (VHA), 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 and includes the actual data collection instrument.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before December 30, 2015.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov, or to Office of Information and Regulatory 
Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 
17th St. NW., Washington, DC 20503 or sent through electronic mail to 
[email protected]. Please refer to ``OMB Control No. 2900-
0090 (Application for Voluntary Service VA Form 10-7055 and Associated 
Internet Application)'' in any correspondence. During the comment 
period, comments may be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0090'' in 
any correspondence.

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.

SUPPLEMENTARY INFORMATION:
    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).
    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 at 80 FR 46105 on August 3, 2015.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 8,000 burden hours.
    Estimated Average Burden per Respondent: 15 minutes.
    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. 2015-30280 Filed 11-27-15; 8:45 am]
 BILLING CODE 8320-01-P