[Federal Register Volume 81, Number 109 (Tuesday, June 7, 2016)]
[Notices]
[Pages 36659-36660]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-13391]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0652]


Proposed Information Collection (Request for Nursing Home 
Information in Connection With Claim for Aid and Attendance (VA Form 
21-0779)); 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 each proposed revision of 
a currently approved collection, and allow 60 days for public comment 
in response to the notice.
    VA Form 21-0779 is used to gather the necessary information to 
determine eligibility for pension and aid and attendance benefits based 
on nursing home status. The form also requests information regarding 
Medicaid status and nursing home care charges, so VA can determine the 
proper rate of payment.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 8, 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. 2900-0652'' 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: Request for Nursing Home Information in Connection with 
Claim for Aid and Attendance (VA Form 21-0779).
    OMB Control Number: 2900-0652.
    Type of Review: Revision of an approved collection.
    Abstract: VA Form 21-0779 is used to gather the necessary 
information to

[[Page 36660]]

determine eligibility for pension and aid and attendance benefits based 
on nursing home status. The form also requests information regarding 
Medicaid status and nursing home care charges, so VA can determine the 
proper rate of payment.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 10,188 hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 61,125.

    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. 2016-13391 Filed 6-6-16; 8:45 am]
 BILLING CODE 8320-01-P