[Federal Register Volume 89, Number 130 (Monday, July 8, 2024)]
[Notices]
[Page 56024]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-14847]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0858]


Agency Information Collection Activity Under OMB Review: 
Authorization and Consent To Release Information to VA, General Release 
for Medical Provider Information to VA

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, 
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, and it 
includes the actual data collection instrument.

DATES: Comments and recommendations for the proposed information 
collection should be sent within 30 days of publication of this notice 
by clicking on the following link www.reginfo.gov/public/do/PRAMain, 
select ``Currently under Review--Open for Public Comments'', then 
search the list for the information collection by Title or ``OMB 
Control No. 2900-0858.''

FOR FURTHER INFORMATION CONTACT: 
    VA PRA information: Maribel Aponte, 202-461-8900, 
[email protected].

SUPPLEMENTARY INFORMATION: 
    Title: Authorization and Consent to Release Information to VA (VA 
Form 21-4142), General Release for Medical Provider Information to VA 
(VA Form 21-4142a).
    OMB Control Number: 2900-0858 https://www.reginfo.gov/public/do/PRASearch.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-4142 is used to authorize the disclosure of 
information to the VA and VA Form 21-4142a is used to gather the 
necessary information to request medical provider information to the 
VA. Without the information solicited by these forms, VA would be 
unable to determine eligibility, and benefits would not be properly 
paid. No changes have been made to these forms. The respondent burden 
has increased due to the estimated number of receivables averaged over 
the past year.
    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 89 FR 35308, May 1, 2024.
    Affected Public: Individuals and households.
    Estimated Annual Burden: 36,687 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 440,246 per year.
    Authority: 44 U.S.C. 3501 et seq.

Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data 
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2024-14847 Filed 7-5-24; 8:45 am]
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