30-day FRN

2900-NEW (21-0960M-8)(30-day).pdf

Hip and Thigh Conditions Disability Benefits Questionnaire (21-0960M-8)

30-day FRN

OMB: 2900-0811

Document [pdf]
Download: pdf | pdf
68906

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

to the claimant that is necessary to
adjudicate the claim for VA disability
benefits. Lastly, this form will gather
information related to the claimant’s
diagnosis of a wrist condition.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 20,000.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
40,000.
Dated: November 12, 2013.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2013–27395 Filed 11–14–13; 8:45 am]
BILLING CODE 8320–01–P

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

Agency Information Collection (Back
(Thoracolumbar Spine) 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 (Back
(Thoracolumbar Spine) Conditions
Disability Benefits Questionnaire)’’ in
any correspondence.
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue

emcdonald on DSK67QTVN1PROD with NOTICES

SUMMARY:

VerDate Mar<15>2010

16:58 Nov 14, 2013

Jkt 232001

NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
NEW (Back (Thoracolumbar Spine)
Conditions Disability Benefits
Questionnaire)’’.
SUPPLEMENTARY INFORMATION:

Title: (Back (Thoracolumbar Spine)
Conditions Disability Benefits
Questionnaire), VA Form 21–0960M–14.
OMB Control Number: 2900–NEW
(Back (Thoracolumbar Spine)
Conditions Disability Benefits
Questionnaire).
Type of Review: New data collection.
Abstract: The VA Form 21–0960M–
14, Back (Thoracolumbar Spine)
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 a Thoracolumbar
spine 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: 37,500.
Estimated Average Burden per
Respondent: 45 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
50,000.
Dated: November 12, 2013.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2013–27356 Filed 11–14–13; 8:45 am]
BILLING CODE 8320–01–P

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

Agency Information Collection (Hip
and Thigh 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

SUMMARY:

PO 00000

Frm 00097

Fmt 4703

Sfmt 9990

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 (Back (Hip and
Thigh 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 (Hip and Thigh Conditions
Disability Benefits Questionnaire’’.
SUPPLEMENTARY INFORMATION:
Title: Hip and Thigh Conditions
Disability Benefits Questionnaire, VA
Form 21–0960M–8.
OMB Control Number: 2900–NEW
(Hip and Thigh Conditions Disability
Benefits Questionnaire).
Type of Review: New data collection.
Abstract: The form 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. VA Form 21–0960M–8, Hip
and Thigh Conditions Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of a
hand or finger condition.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 25,000.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
50,000.
Dated: November 12, 2013.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2013–27393 Filed 11–14–13; 8:45 am]
BILLING CODE 8320–01–P

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