Federal Fiduciary's Account

Forms and Documents

Document Name	Status
Form VA Form 21-4706b Federal Fiduciary's Account Form	Modified
Justification_Statement_VA_FORM_21-4706b (clean copy).docx Supporting Statement A	2014-03-31

IC Document Collections

IC ID	Document Title	Status
28106	Federal Fiduciary's Account Form	Modified

ICR Details

OMB Control No: 2900-0017	ICR Reference No: 201311-2900-005
Status: Historical Inactive	Previous ICR Reference No: 201205-2900-004
Agency/Subagency: VA	Agency Tracking No: 2900-0017 VBA-P&F-DB
Title: Federal Fiduciary's Account
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 04/07/2014
	Date Received in OIRA: 11/14/2013
Terms of Clearance: The information collection requirements associated with this proposed rule are not approved at this time. The agency will respond to any public comments and resubmit at the final rule stage.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved	07/31/2016
Responses	31,512	0	31,512
Time Burden (Hours)	29,566	0	29,566
Cost Burden (Dollars)	0	0	0

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Abstract: VA Form 21-4706b, are used to gather information necessary to determine the accounting of the veteran's compensation or pension funds spent and/or saved by his fiduciary appointment. Without this information, VA would be unable to determine if the veteran's fiduciary is properly using the funds for this benefit according to VA law.

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Authorizing Statute(s): PL: Pub.L. 108 - 454 502-504 Name of Law: Veterans Benefits Improvement Act of 2004
   US Code: 38 USC 5502 Name of Law: Payments to and supervision of fiduciaries
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AO53	Proposed rulemaking	79 FR 430	01/03/2014

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Federal Fiduciary's Account	VA Form 21-4706b	Federal Fiduciary's Account

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: VA is issuing a new regulation which explicitly requires disclosure of accountings to beneficiaries upon request.

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Annual Cost to Federal Government: $1,094,191

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/14/2013

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