30-day FRN

2900-NEW (21-0960M-7)(30-day).pdf

Hand and Finger Conditions Disability Benefits Questionnaire (21-0960M-7)

30-day FRN

OMB: 2900-0809

Document [pdf]
Download: pdf | pdf
Federal Register / Vol. 78, No. 221 / Friday, November 15, 2013 / Notices
Frequency of Response: On occasion.
Estimated Number of Respondents:
30,000.

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

Agency Information Collection (Hand
and Finger Conditions Disability
Benefits Questionnaire) Under OMB
Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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 (Hand and
Finger 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 (Hand and Finger Conditions
Disability Benefits Questionnaire)’’.
SUPPLEMENTARY INFORMATION:
Title: Hand and Finger Conditions
Disability Benefits Questionnaire, VA
Form 21–0960M–7.
OMB Control Number: 2900–NEW
(Hand and Finger Conditions Disability
Benefits Questionnaire).
Type of Review: New data collection.
Abstract: VA Form 21–0960M–7 will
be used for disability compensation or
pension claims which require an
examination and/or receiving private
medical evident that may potentially be
sufficient for rating purposes.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 15,000.
Estimated Average Burden per
Respondent: 30 minutes.

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SUMMARY:

VerDate Mar<15>2010

16:58 Nov 14, 2013

Jkt 232001

Dated: November 12, 2013.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2013–27407 Filed 11–14–13; 8:45 am]
BILLING CODE 8320–01–P

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

Agency Information Collection (Elbow
and Forearm Conditions Disability
Benefits Questionnaire) Under OMB
Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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 (Elbow and
Forearm 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 (Elbow and Forearm Conditions
Disability Benefits Questionnaire)’’.
SUPPLEMENTARY INFORMATION:
Title: Elbow and Forearm Conditions
Disability Benefits Questionnaire, VA
Form 21–0960M–4.
SUMMARY:

PO 00000

Frm 00098

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68907

OMB Control Number: 2900–NEW
(Elbow and Forearm Conditions
Disability Benefits Questionnaire).
Type of Review: New data collection.
Abstract: The VA Form 21–0960M–4,
Elbow and Forearm 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. The
form will be used to gather necessary
information from a claimant’s treating
physician regarding the results of
medical examinations and related to the
claimant’s diagnosis of an elbow or
forearm condition. VA will gather
medical information related to the
claimant that is necessary to adjudicate
the claim for VA disability benefits.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 10,000.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
20,000.
Dated: November 12, 2013.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2013–27408 Filed 11–14–13; 8:45 am]
BILLING CODE 8320–01–P

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

Agency Information Collection (Foot
(Including Flatfeet (pes planus))
Conditions Disability Benefits
Questionnaire) Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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
SUMMARY:

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