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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0090]

Agency Information Collection (Application for Voluntary Service) Activities Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-21), this noticeannounces that the Veterans Health Administration (VHA), 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 November 19, 2012.
ADDRESSES: Submit written comments on the collection of information throughwww.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. 2900-0090" in any correspondence.
FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492, fax (202) 632-7583 or emailcrystal.rennie@va.gov.Please refer to "OMB Control No. 2900-0090."
SUPPLEMENTARY INFORMATION:

Title:Application for Voluntary Service, VA Form 10-7055.

OMB Control Number:2900-0090.

Type of Review:Extension of a currently approved collection.

Abstract:Individuals expressing interest in volunteering at a VA medical center complete VA Form 10-7055 to request placement in the nationwide VA Voluntary Service Program. VA will use the data collected to place applicants in assignments most suitable to their special skills and abilities.

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. TheFederal RegisterNotice with a 60-day comment period soliciting comments on this collection of information was published on August 1, 2012 at page 45718.

Affected Public:Individuals or Households.

Estimated Total Annual Burden:8,000 hours.

Estimated Average Burden per Respondent:15 minutes.

Frequency of Response:One time.

Estimated Number of Respondents:32,000.

Dated: October 15, 2012.

By direction of the Secretary.

William F. Russo, Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs.