Justification for revision

Supplementary document for ROCIS (Group 3) - 151250DEC.doc

Disability Benefits Questionnaires (Group 3)

Justification for revision

OMB: 2900-0778

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OMB Number 2900-0778


GROUP 3



Central Nervous System and Neuromuscular Diseases DBQ:

VA Form 21-0960C-5

The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.





Intestinal Disorders (Other Than Surgical or Infectious) (Including Irritable Bowel Syndrome, Crohn’s Disease, Ulcerative Colitis, And Diverticulitis) DBQ

VA Form 21-0960G-3

The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.



Intestinal Surgery (Bowel Resection, Colostomy, Iliostomy) DBQ

VA Form 21-0960G-4

The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.



Hepatitis, Cirrhosis and Other Liver Conditions DBQ:

VA Form 21-0960G-5

The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.



Peritoneal Adhesions DBQ:

VA Form 21-0960G-6

The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.



Stomach and Duodenal Conditions (Not Including Gerd or Esophageal Disorders) DBQ:

VA Form 21-0960G-7

The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.



Infectious Intestinal Disorders (Including Bacterial and Parasitic Infections) DBQ:

VA Form 21-0960G-8

The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.




Rectum and Anus DBQ:

VA Form 21-09601H-2

The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.


Non-degenerative Arthritis DBQ:

VA Form 21-0960M-3


The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.



EAR CONDITIONS: DBQ:

VA Form 21-0960N-1


The burden hours have not changed.


The changes request essentially the same information, that is, the changes are typographical changes, structural organization changes, merely clarifying in nature, or changes to instructions/notes.


File Typeapplication/msword
Authorcapthern
Last Modified Bycapthern
File Modified2011-12-15
File Created2011-12-15

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