[Federal Register Volume 81, Number 58 (Friday, March 25, 2016)]
[Notices]
[Pages 16282-16283]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-06735]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Proposed Information Collection (Alternate Signer Certification 
(VA Form 21-0972)); Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Benefits Administration (VBA), 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 new collections, and 
allow 60 days for public comment in response to the notice.
    VA Form 21-0972 will be used to collect the alternate signer 
information necessary for VA to accept benefit application forms signed 
by individuals on behalf of Veterans and claimants. The information 
collected will be used to contact the alternate signer for verification 
purposes.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before May 24, 2016.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email to [email protected]. Please refer to ``OMB Control 
No. 2900--NEW (Alternate Signer Certification)'' in any correspondence. 
During the comment period, comments may be viewed online through the 
FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or FAX (202) 632-8925.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-21), 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, VBA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VBA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VBA'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: Alternate Signer Certification (VA Form 21-0972).
    OMB Control Number: 2900--NEW.
    Type of Review: New collection.
    Abstract: VA Form 21-0972 will be used to collect the alternate 
signer information necessary for VA to accept benefit application forms 
signed by individuals on behalf of Veterans and

[[Page 16283]]

claimants. The information collected will be used to contact the 
alternate signer for verification purposes.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,250 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 5,000.

    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. 2016-06735 Filed 3-24-16; 8:45 am]
 BILLING CODE 8320-01-P