30-day FRN

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Ankle Conditions Disability Benefits Questionnaire (21-0960M-2)

30-day FRN

OMB: 2900-0806

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Federal Register / Vol. 78, No. 221 / Friday, November 15, 2013 / Notices

www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–NEW (Foot (including
flatfeet (pes planus)) Conditions
Disability Benefits Questionnaire)’’ 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 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
NEW (Foot (including flatfeet (pes
planus)) Conditions Disability Benefits
Questionnaire)’’.
SUPPLEMENTARY INFORMATION:
Title: Foot (including flatfeet (pes
planus)) Conditions Disability Benefits
Questionnaire, VA Form 21–0960M–5
and 21–0960M–6.
OMB Control Number: 2900–NEW
(Foot (including flatfeet (pes planus))
Conditions Disability Benefits
Questionnaire).
Type of Review: New data collection.
Abstract: The VA Form 21–0960M–6,
Foot (including flatfeet (pes planus))
Conditions Disability Benefits
Questionnaire, will be used for
disability compensation or pension
claims which require an examination
and/or receiving private medical
evidence that may potentially be
sufficient for rating purposes.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 40,000.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
80,000.
Dated: November 12, 2013.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2013–27396 Filed 11–14–13; 8:45 am]
BILLING CODE 8320–01–P

emcdonald on DSK67QTVN1PROD with NOTICES

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–NEW]

Agency Information Collection (Ankle
Conditions Disability Benefits
Questionnaire) Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.

AGENCY:

VerDate Mar<15>2010

16:58 Nov 14, 2013

Jkt 232001

ACTION:

Notice.

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.
DATES: Comments must be submitted on
or before December 16, 2013.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900—NEW (Ankle
Conditions Disability Benefits
Questionnaire)’’ 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 or email [email protected].
Please refer to ‘‘OMB Control No.
2900—NEW (Ankle Conditions
Disability Benefits Questionnaire)’’.
SUPPLEMENTARY INFORMATION:
Title: Ankle Conditions Disability
Benefits Questionnaire, VA Form 21–
0960M–2.
OMB Control Number: 2900—NEW
(Ankle Conditions Disability Benefits
Questionnaire).
Type of Review: New data collection.
Abstract: VA Form 21–0960M–2 will
be used to gather necessary information
from a claimant’s treating physician
regarding the results of medical
examinations. VA will gather medical
information related to the claimant that
is necessary to adjudicate the claim for
VA disability benefits. This form will
gather information related to the
claimants’ diagnosis of an ankle
condition.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 15,000.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
30,000.
SUMMARY:

Dated: November 12, 2013.

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By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2013–27401 Filed 11–14–13; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–NEW]

Proposed Information Collection
(Veterans Transportation Service Data
Collection); Activity: Comment
Request
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

The Veterans Health
Administration (VHA), Department of
Veterans Affairs (VA), 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 new
collection, and allow 60 days for public
comment in response to the notice. This
notice solicits comments on the
information needed to evaluate the
Veterans Transportation Service Data
Collection program to ensure Veterans,
Servicemembers, beneficiaries,
caregivers and other persons receive
timely and reliable transportation for
the purpose of examination, treatment
and care.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before January 14, 2014.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov; or to
Audrey Revere, Veterans Health
Administration (10B4), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420; or email:
[email protected]. Please refer to
‘‘OMB Control No. 2900–NEW (Veterans
Transportation Service Data
Collection)’’ in any correspondence.
During the comment period, comments
may be viewed online through the
FDMS.
FOR FURTHER INFORMATION CONTACT:
Audrey Revere at (202) 461–5604 or
FAX (202) 495–5397.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
SUMMARY:

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