30-day FRN

2900-NEW (21-0960M-16)(30-day).pdf

Wrist Conditions Disability Benefits Questionnaire (21-0960M-16)

30-day FRN

OMB: 2900-0805

Document [pdf]
Download: pdf | pdf
Federal Register / Vol. 78, No. 221 / Friday, November 15, 2013 / Notices
(b) the accuracy of the agency’s estimate
of the burden of the collection of
information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information.
Approved: October 30, 2013.
Yvette Lawrence,
OMB Reports Clearance Officer.
[FR Doc. 2013–27329 Filed 11–14–13; 8:45 am]
BILLING CODE 4830–01–P

DEPARTMENT OF VETERANS
AFFAIRS
Proposed Information Collection
(Annual Certification of Veteran Status
and Veteran-Relatives) Activity:
Comment Request
Veterans Benefits
Administration, Department of Veterans
Affairs.

AGENCY:

ACTION:

Notice.

The Veterans Benefits
Administration (VBA) 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 proposed
revision of a currently approved
collection, and allow 60 days for public
comment in response to the notice. This
notice solicits comments on information
needed to identify and properly protect
VA benefit records.

SUMMARY:

Written comments and
recommendations on the proposed
collection of information should be
received on or before January 14, 2014.

DATES:

Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Nancy J. Kessinger, Veterans Benefits
Administration (20M35), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420 or email
[email protected]. Please refer to
‘‘OMB Control No. 2900–0654’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.

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FOR FURTHER INFORMATION CONTACT:

Nancy J. Kessinger at (202) 632–8924 or
FAX (202) 632–8925.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–3521), Federal agencies must
obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. This request for comment is
being made pursuant to Section
3506(c)(2)(A) of the PRA.
With respect to the following
collection of information, VBA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VBA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VBA’s estimate of the
burden of the proposed collection of
information; (3) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Title: Annual Certification of Veteran
Status and Veteran-Relatives, VA Form
20–0344.
OMB Control Number: 2900–0654.
Type of Review: Revision of a
currently approved collection.
Abstract: VBA employees, non-VBA
employees in VBA space and Veteran
Service Organization employees who
have access to VA’s benefit records
complete VA Form 20–0344. These
individuals are required to provide
personal identifying information on
themselves and any veteran relatives, in
order for VA to identify and protect
benefit records. VA uses the information
collected to determine which benefit
records require special handling to
guard against fraud, conflict of interest,
improper influence etc., by VA and nonVA employees.
Affected Public: Individuals or
households.
Estimated Annual Burden: 5,834
hours.
Estimated Average Burden per
Respondent: 25 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
14,000.
Dated: November 12, 2013.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2013–27411 Filed 11–14–13; 8:45 am]
BILLING CODE 8320–01–P

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

Agency Information Collection (Wrist
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 (Wrist
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 (Wrist Conditions Disability
Benefits Questionnaire)’’.
SUPPLEMENTARY INFORMATION: Title:
Wrist Conditions Disability Benefits
Questionnaire, VA Form 21–0960M–16.
OMB Control Number: 2900–NEW
(Wrist Conditions Disability Benefits
Questionnaire).
Type of Review: New data collection.
Abstract: The VA Form 21–0960M–
16, Wrist 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. VA
will gather medical information related
SUMMARY:

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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

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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:

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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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