9424 Federal Register / Vol. 86, No. 28 / Friday, February 12, 2021 / Notices 

personal information provided. Please 

see the Privacy Act heading below. 

Docket: For access to the docket to 

read background documents or 

comments received, go to http://

www.regulations.gov, and follow the 

online instructions for accessing the 

dockets, or go to the street address listed 

above. 

Privacy Act: In accordance with 5 

U.S.C. 553(c), DOT solicits comments 

from the public to better inform its 

rulemaking process. DOT posts these 

comments, without edit, including any 

personal information the commenter 

provides, to www.regulations.gov, as 

described in the system of records 

notice (DOT/ALL–14 FDMS), which can 

be reviewed at www.dot.gov/privacy. 

Public Participation: The Federal 

eRulemaking Portal is available 24 

hours each day, 365 days each year. You 

can obtain electronic submission and 

retrieval help and guidelines under the 

‘‘help’’ section of the Federal 

eRulemaking Portal website. If you want 

us to notify you that we received your 

comments, please include a selfaddressed, stamped envelope or 

postcard, or print the acknowledgement 

page that appears after submitting 

comments online. Comments received 

after the comment closing date will be 

included in the docket and will be 

considered to the extent practicable. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Dora Tambo-Gonzales, Office of 

Registration, Licensing and Insurance 

Division, Department of Transportation, 

Federal Motor Carrier Safety 

Administration, West Building 6th 

Floor, 1200 New Jersey Avenue SE, 

Washington, DC 20590. Telephone: 

202–366–2577; email: 

dora.tambo.gonzales@dot.gov. 

SUPPLEMENTARY INFORMATION: 

Background: Title 49 U.S.C. 13902(c) 

contains basic licensing procedures for 

registering foreign (Mexico-based) motor 

carriers to operate across the U.S.- 

Mexico international border into the 

United States. 49 CFR pt. 368 contains 

the regulations that require foreign 

(Mexico-based) motor carriers to apply 

to the FMCSA for a Certificate of 

Registration to provide interstate 

transportation in municipalities in the 

United States on the U.S.-Mexico 

international border or within the 

commercial zones of such 

municipalities as defined in 49 U.S.C. 

13902(c)(4)(A). The FMCSA carries out 

this registration program under 

authority delegated by the Secretary of 

Transportation. 

Foreign (Mexico-based) motor carriers 

use Form OP–2 to apply for Certificate 

of Registration authority with the 

FMCSA. The form requests information 

on the foreign motor carrier’s name, 

address, U.S. DOT Number, form of 

business (e.g., corporation, sole 

proprietorship, partnership), locations 

where the applicant plans to operate, 

types of registration requested (e.g., forhire motor carrier, household goods 

carrier, motor private carrier), 

insurance, safety certifications, 

household goods arbitration 

certifications, and compliance 

certifications. 

Title: Application for Certificate of 

Registration for Foreign Motor Carriers 

and Foreign Motor Private Carriers. 

OMB Control Number: 2126–0019. 

Type of Request: Renewal of a 

currently-approved information 

collection. 

Respondents: Foreign motor carriers. 

Estimated Number of Respondents: 

31. 

Estimated Time per Response: 1.5 

hours to complete or update Form OP– 

2. 

Expiration Date: October 31, 2021. 

Frequency of Response: Occasionally. 

Estimated Total Annual Burden: 47 

hours [31 responses × 11⁄2 hours to 

complete Form OP–2 = 47 hours]. 

Public Comments Invited: You are 

asked to comment on any aspect of this 

information collection, including: (1) 

Whether the proposed collection is 

necessary for the performance of 

FMCSA’s functions; (2) the accuracy of 

the estimated burden; (3) ways for 

FMCSA to enhance the quality, 

usefulness, and clarity of the collected 

information; and (4) ways that the 

burden could be minimized without 

reducing the quality of the collected 

information. The agency will summarize 

or include your comments in the request 

for OMB’s clearance of this information 

collection. 

Issued under the authority of 49 CFR 

1.87. 

Thomas P. Keane, 

Associate Administrator, Office of Research 

and Registration. 

[FR Doc. 2021–02851 Filed 2–11–21; 8:45 am] 

BILLING CODE 4910–EX–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0556] 

Agency Information Collection Activity 

Under OMB Review: VA Advance 

Directive: Durable Power of Attorney 

for Health Care and Living Will 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act (PRA) of 

1995, this notice announces that the 

Veterans Health Administration, 

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: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. Refer to ‘‘OMB Control 

No. 2900–0556.’’ 

FOR FURTHER INFORMATION CONTACT: 

Maribel Aponte, Office of Enterprise 

and Integration, Data Governance 

Analytics (008), 1717 H Street NW, 

Washington, DC 20006, (202) 266–4688 

or email maribel.aponte@va.gov. Please 

refer to ‘‘OMB Control No. 2900–0556’’ 

in any correspondence. 

SUPPLEMENTARY INFORMATION: 

Authority: 44 U.S.C. 3501–21. 

Title: VA Advance Directive: Durable 

Power of Attorney for Health Care and 

Living Will, VA Form 10–0137. 

OMB Control Number: 2900–0556. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: Section 7331 of title 38, 

United States Code (U.S.C.), requires, in 

relevant part, that the Secretary of 

Veterans Affairs, upon the 

recommendation of the Under Secretary 

for Health, prescribe regulations to 

ensure, to the maximum extent 

practicable, that all Department of 

Veterans Affairs (VA) patient care be 

carried out only with the full and 

informed consent of the patient, or in 

appropriate cases, a representative 

thereof. Based on VA’s interpretation of 

this statute and our mandate in 38 

U.S.C. 7301(b) to provide a complete 

medical and hospital service, we 

recognize that patients with decisionmaking capacity have the right to state 

their treatment preferences in a VA or 

other valid advance directive. 

VA Form 10–0137, VA Advance 

Directive: Durable Power of Attorney for 

Health Care and Living Will, is the VA 

recognized legal document that permits 

VA patients to designate a health care 

agent and/or specify preferences for 

Federal Register / Vol. 86, No. 28 / Friday, February 12, 2021 / Notices 9425 

future health care. The VA Advance 

Directive is invoked if a patient becomes 

unable to make health care decisions for 

himself or herself. Use of the VA 

Advance Directive is specified in VHA 

Handbook 1004.02, Advance Care 

Planning and Management of Advance 

Directives. Veterans’ rights to designate 

a health care agent and specify health 

care preferences in advance are codified 

in 38 CFR 17.32. This regulation also 

obligates VA to recognize advance 

directives and to use the information 

contained therein when health care 

decisions must be made for a patient 

that has lost decision making capacity. 

VA Form 10–0137 (both English and 

Spanish-English language versions) has 

a current OMB Paperwork Reduction 

Act (PRA) clearance under OMB Control 

Number 2900–0556. In addition, 2900– 

0556 now includes the collection of a 

‘‘Close Personal Friend Statement’’ for 

incapacitated Veterans who have not 

completed an Advance Directive and are 

in need of health care. When a Veteran 

is incapacitated and does not have an 

Advance Directive, the VA regulations 

allow a statement to be submitted from 

a ‘‘Close Personal Friend’’ who will be 

responsible for making health care 

decisions on behalf of the Veteran. It is 

estimated that 300 such statements will 

be collected annually. VA seeks to 

renew the PRA clearance for the 

information collection under OMB 

Control Number 2900–0556. 

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 85 FR 

196 on October 8, 2020, pages 63661. 

VA Form 10–0137 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 171,811 

hours. 

Estimated Average Burden per 

Respondent: 30 minutes. 

Frequency of Response: Once 

annually. 

Estimated Number of Respondents: 

343,622. 

Close Personal Friend Statement 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 50 hours. 

Estimated Average Burden per 

Respondent: 10 minutes. 

Frequency of Response: Once 

annually. 

Estimated Number of Respondents: 

300. 

By direction of the Secretary. 

Maribel Aponte, 

VA PRA Clearance Officer, Office of 

Enterprise and Integration, Data Governance 

Analytics, Department of Veterans Affairs. 

[FR Doc. 2021–02853 Filed 2–11–21; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0091] 

Agency Information Collection Activity 

Under OMB Review: VA Health 

Benefits: Application, Update, and 

Hardship Determination 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act (PRA) of 

1995, this notice announces that the 

Veterans Health Administration, 

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: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. Refer to ‘‘OMB Control 

No. 2900–0091. 

FOR FURTHER INFORMATION CONTACT: 

Maribel Aponte, Office of Enterprise 

and Integration, Data Governance 

Analytics (008), 1717 H Street NW, 

Washington, DC 20006, (202) 266–4688 

or email maribel.aponte@va.gov. Please 

refer to ‘‘OMB Control No. 2900–0091’’ 

in any correspondence. 

SUPPLEMENTARY INFORMATION: 

Authority: 44 U.S.C. 3501–21. 

Title: VA Health Benefits: 

Application, Update, and Hardship 

Determination, VA Forms 10–10EZ, 10– 

10EZR and 10–10HS. 

OMB Control Number: 2900–0091. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: Title 38 U.S.C. Chapter 17 

authorizes VA to provide hospital care, 

medical services, domiciliary care, and 

nursing home care to eligible Veterans. 

Title 38 U.S.C. 1705 requires VA to 

design, establish, and operate a system 

of annual patient enrollment in 

accordance with a series of stipulated 

priorities. Title 38 U.S.C. 1722 

establishes eligibility assessment 

procedures for cost-free VA medical 

care, based on income levels, which 

determines whether nonserviceconnected and 0% service-connected 

non-compensable Veterans are able to 

defray the necessary expenses of care for 

nonservice-connected conditions. 

Further, when the Veteran projects that 

his or her attributable income for the 

current calendar year would be 

substantially below the applicable 

income thresholds, the Veteran would 

be considered unable to defray the 

expenses of care and VA may exempt 

the Veteran from the requirement to pay 

copayments for hospital or outpatient 

care. 

This collection of information is 

required to properly administer health 

benefits to eligible Veterans. 

a. VA Form 10–10EZ, Application for 

Health Benefits, is used to collect 

Veteran information during the initial 

application process for VA medical care, 

nursing home, domiciliary, dental 

benefits, etc. 

b. VA Form 10–10EZR, Health 

Benefits Update Form, is used to update 

a Veteran’s personal information, such 

as marital status, address, health 

insurance and financial information, for 

renewal of health benefits. 

c. VA Form 10–10HS, Request for 

Hardship Determination, is used to 

collect information from Veterans who 

are in a copay required status for 

hospital care and medical services, but 

due to a loss of income project their 

income for the current year will be 

substantially below the VA means test 

limits. 

These forms collect information to 

enroll a Veteran for health benefits, 

establish basic eligibility, identify 3rd 

party health insurance coverage, 

identify prescription copayment, 

provide for income verification, and 

serve as a mechanism to make changes 

upon admission for benefits or yearly 

financial updates. 

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 85 FR 

209 on October 28, 2020, pages 68418 

and 68419.