15190 Federal Register / Vol. 77, No. 50 / Wednesday, March 14, 2012 / Notices 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0205] 

Proposed Information Collection 

Activity; Comment Request: 

Applications and Appraisals for 

Employment for Title 38 Positions and 

Trainees 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: The Veterans Health 

Administration (VHA) 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 

extension of a currently approved 

collection, and allow 60 days for public 

comment in response to the notice. This 

notice solicits comments on information 

needed evaluate claimants’ qualification 

for employment in VA’s healthcare 

services. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before May 14, 2012. 

ADDRESSES: Submit written comments 

on the collection of information through 

Federal Docket Management System 

(FDMS) at www.Regulations.gov; or to 

Cynthia Harvey-Pryor, Veterans Health 

Administration (10P7BFP), Department 

of Veterans Affairs, 810 Vermont 

Avenue NW., Washington, DC 20420; or 

email: cynthia.harvey-pryor@va.gov. 

Please refer to ‘‘OMB Control No. 2900- 

0205’’ in any correspondence. During 

the comment period, comments may be 

viewed online through the FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Cynthia Harvey-Pryor, (202) 461–5870 

or Fax (202) 273–9381. 

SUPPLEMENTARY INFORMATION: Under the 

PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 

3501–3521), Federal agencies must 

obtain approval from 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, VHA invites 

comments on: (1) Whether the proposed 

collection of information is necessary 

for the proper performance of VHA’s 

functions, including whether the 

information will have practical utility; 

(2) the accuracy of VHA’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: Applications and Appraisals for 

Employment for Title 38 Positions and 

Trainees, VA Forms 10–2850, 2850a 

through d, and VA Form Letters 10– 

341a and b. 

OMB Control Number: 2900–0205. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: The data collected on VA 

Forms 10–2850, 2850a through d, and 

VA Form Letters 10–341a and b, will be 

used to evaluate an applicant’s 

qualification for employment with the 

VA, as well as their training, 

educational, and professional 

experiences. The data is necessary to 

determine the applicant’s suitability, 

grade level and clinical privileges. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden 

a. Application for Physicians, 

Dentists, Podiatrists and Optometrists, 

Chiropractors, VA Form 10–2850— 

7,450 hours. 

b. Application for Nurses and Nurse 

Anesthetists, VA Form 10–2850a— 

29,799 hours. 

c. Application for Residents, VA Form 

10–2850b—17,001 hours. 

d. Application for Associated Health 

Occupations, VA Form 10–2850c— 

9,933 hours. 

e. Application for Health Professions 

Trainees, VA Form 10–2850d—33,670 

hours. 

f. Appraisal of Applicant, VA Form 

Letter 10–341a—25,410 hours. 

g. Trainee Qualification and 

Credentials Verification Letter, VA Form 

Letter 10–341b—6,709 hours. 

Estimated Average Burden per 

Respondent 

a. Application for Physicians, 

Dentists, Podiatrists and Optometrists, 

Chiropractors, VA Form 10–2850—30 

minutes. 

b. Application for Nurses and Nurse 

Anesthetists, VA Form 10–2850a—30 

minutes. 

c. Application for Residents, VA Form 

10–2850b—30 minutes. 

d. Application for Associated Health 

Occupations, VA Form 10–2850c—30 

minutes. 

e. Application for Health Professions 

Trainees, VA Form 10–2850d—30 

minutes. 

f. Appraisal of Applicant, VA Form 

FL 10–341a—30 minutes. 

g. Trainee Qualification and 

Credentials Verification Letter, VA Form 

10–341b—5 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents 

a. Application for Physicians, 

Dentists, Podiatrists and Optometrists, 

Chiropractors, VA Form 10–2850— 

14,900. 

b. Application for Nurses and Nurse 

Anesthetists, VA Form 10–2850a— 

59,598. 

c. Application for Residents, VA Form 

10–2850b—34,003. 

d. Application for Associated Health 

Occupations, VA Form 10–2850c— 

19,866. 

e. Application for Health Professions 

Trainees, VA Form 10–2850d—67,341. 

f. Appraisal of Applicant, VA Form 

10–341a—50,820. 

g. Trainee Qualification and 

Credentials Verification Letter, VA Form 

10–341b—80,518. 

Dated: March 8, 2012. 

By direction of the Secretary. 

Denise McLamb, 

Program Analyst, Enterprise Records Service. 

[FR Doc. 2012–6099 Filed 3–13–12; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0679] 

Agency Information Collection Activity 

under OMB Review: Certification of 

Change or Correction of Name, 

Government Life Insurance 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act (PRA) of 1995 

(44 U.S.C. 3501–3521), 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; it includes 

the actual data collection instrument. 

DATE: Comments must be submitted on 

or before April 13, 2012. 

ADDRESSES: Submit written comments 

on the collection of information through 

www.Regulations.gov; or to VA’s OMB 

Desk Officer, OMB Human Resources 


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