[Federal Register Volume 76, Number 26 (Tuesday, February 8, 2011)]
[Notices]
[Pages 6844-6845]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-2713]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0028]


Agency Information Collection (Application of Service 
Representative for Placement on Mailing List) Activity Under OMB Review

AGENCY: Office of Information and Technology, 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. 3501-21), this notice announces that the Office of 
Information and Technology, 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: Comments must be submitted on or before March 10, 2011.

ADDRESSES: Submit written comments on the collection of information 
through http://www.Regulations.gov or to VA's OMB Desk Officer, OMB 
Human Resources and Housing Branch, New Executive Office Building, Room 
10235, Washington, DC 20503 (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0028'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., Washington, DC 20420, (202) 461-7485, FAX (202) 461-0966 or e-mail 
[email protected]. Please refer to ``OMB Control No. 2900-0028.

SUPPLEMENTARY INFORMATION:

Titles

    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215.
    b. Request for and Consent to Release of Information from 
Claimant's Records, VA Form 3288.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70-2.
    d. 38 CFR 1.519(A) Lists of Names and Addresses.
    OMB Control Number: 2900-0028.
    Type of Review: Extension of a currently approved collection.

Abstracts

    a. VA operates an outreach services program to ensure veterans and 
beneficiaries have information about benefits and services to which 
they may be entitled. To support the program, VA distributes copies of 
publications to Veterans Service Organizations' representatives to be 
used in rendering services and representation of veterans, their 
spouses and dependents. Service organizations complete VA Form 3215 to 
request placement on a mailing list for specific VA publications.
    b. Veterans or beneficiaries complete VA Form 3288 to provide VA 
with a written consent to release his or her records or information to 
third parties such as insurance companies, physicians and other 
individuals.
    c. VA Form Letter 70-2 is used to obtain additional information 
from a correspondent when the incoming correspondence does not provide 
sufficient information to identify a veteran. VA personnel use the 
information to identify the veteran, determine the location of a 
specific file, and to accomplish the action requested by the 
correspondent such as processing a benefit claim or file material in 
the individual's claims folder.
    d. Title 38 U.S.C. 5701(f)(1) authorized the disclosure of names or 
addresses, or both of present or former members of the Armed Forces 
and/or their beneficiaries to nonprofit organizations (including 
members of Congress) to notify veterans of Title 38 benefits and to 
provide assistance to veterans in obtaining these benefits. This 
release includes VA's Outreach Program for the purpose of advising 
veterans of non-VA Federal State and local benefits and programs.
    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

[[Page 6845]]

control number. The Federal Register Notice with a 60-day comment 
period soliciting comments on this collection of information was 
published on November 24, 2010, at pages 71795-71796.
    Affected Public: Individuals or households.

Estimated Annual Burden

    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215--25 hours.
    b. Request for and Consent to Release of Information from 
Claimant's Records, VA Form 3288--18,875 hours.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70-2--3,750 hours.
    d. 38 CFR 1.519(A) Lists of Names and Addresses--50 hours.

Estimated Average Burden per Respondent

    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215--10 minutes.
    b. Request for and Consent to Release of Information from 
Claimant's Records, VA Form 3288--7.5 minutes.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70-2--5 minutes.
    d. 38 CFR 1.519(A) Lists of Names and Addresses--60 minutes.
    Frequency of Response: On occasion.

Estimated Number of Respondents

    a. Application of Service Representative for Placement on Mailing 
List, VA Form 3215--150.
    b. Request for and Consent to Release of Information from 
Claimant's Records, VA Form 3288--151,000.
    c. Request to Correspondent for Identifying Information, VA Form 
Letter 70-2--45,000.
    d. 38 CFR 1.519(A) Lists of Names and Addresses--50.

    Dated: February 3, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-2713 Filed 2-7-11; 8:45 am]
BILLING CODE 8320-01-P