30-Day FRN - 2900-0660 (2014)

38674

Federal Register / Vol. 79, No. 130 / Tuesday, July 8, 2014 / Notices

Comments must be submitted on
or before August 7, 2014.
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. 2900–0776’’ in any
correspondence.
DATES:

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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–
0776.’’
Titles:
a. Arteries and Veins Conditions
(Vascular Diseases including Varicose
Veins) Disability Benefits
Questionnaire, VA Form 21–0960A–2.
b. Hypertension Disability Benefits
Questionnaire, VA Form 21–0960A–3.
c. Non-Ischemic Heart Disease
(including Arrhythmias and Surgery,
Disability Benefits Questionnaire, VA
Form 21–0960A–4.
d. Diabetic Peripheral Neuropathy
(Diabetic Sensory-Motor Peripheral
Neuropathy), Disability Benefits
Questionnaire, VA Form 21–0960C–4.
e. Diabetes Mellitus Disability
Benefits Questionnaire, VA Form 21–
0960E–1.
f. Scar/Disfigurement Disability
Benefits Questionnaire, VA Form 21–
0960F–1.
g. Skin Diseases Disability Benefits
Questionnaire, VA Form 21–0960F–2.
h. Amputations Disability Benefits
Questionnaire, VA Form 21–0960M–1.
i. Muscle Injuries Disability Benefits
Questionnaire, VA Form 21–0960M–10.
j. Temporomandibular Joint (TMJ)
Conditions Disability Benefits
Questionnaire, VA Form 21–0960M–15.
k. Eye Conditions Disability Benefits
Questionnaire, VA Form 21–0960N–2.
OMB Control Number: 2900–0776.
Type of Review: Revision of a
Currently Approved Collection.
Abstract: Data collected on VA Form
21–0960 series will be used obtain
information from claimants treating
physician that is necessary to adjudicate
a claim for disability benefits.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period

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soliciting comments on this collection
of information was published on
January 17, 2014, at pages 3275–3276.
Affected Public: Individuals or
households.
Estimated Annual Burden:
a. VA Form 21–0960A–2—10,000.
b. VA Form 21–0960A–3—12,500.
c. VA Form 21–0960A–4—10,000.
d. VA Form 21–0960C–4—37,500.
e. VA Form 21–0960E–1—18,750.
f. VA Form 21–0960F–1– 6,250.
g. VA Form 21–0960F–2—6,250.
h. VA Form 21–0960M–1—12,500.
i. VA Form 21–0960M–10—15,000.
j. VA Form 21–0960M–15—3,750.
k. VA Form 21–0960N–2—30,000.
Estimated Average Burden Per
Respondent:
a. VA Form 21–0960A–2—30
minutes.
b. VA Form 21–0960A–3—15
minutes.
c. VA Form 21–0960A–4—30
minutes.
d. VA Form 21–0960C–4—30
minutes.
e. VA Form 21–0960E–1—15 minutes.
f. VA Form 21–0960F–1—15 minutes.
g. VA Form 21–0960F–2—15 minutes.
h. VA Form 21–0960M–1—30
minutes.
i. VA Form 21–0960M–10—30
minutes.
j. VA Form 21–0960M–15—15
minutes.
k. VA Form 21–0960N–2—45
minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
a. VA Form 21–0960A–2—20,000.
b. VA Form 21–0960A–3—50,000.
c. VA Form 21–0960A–4—20,000.
d. VA Form 21–0960C–4—75,000.
e. VA Form 21–0960E–1—75,000.
f. VA Form 21–0960F–1—25,000.
g. VA Form 21–0960F–2—25,000.
h. VA Form 21–0960M–1—25,000.
i. VA Form 21–0960M–10—30,000.
j. VA Form 21–0960M–15—15,000.
k. VA Form 21–0960N–2—40,000.
Dated: July 1, 2014.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–15791 Filed 7–7–14; 8:45 am]
BILLING CODE 8320–01–P

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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0660]

Agency Information Collection
(Request for Contact Information)
Activity 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 August 7, 2014.
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. 2900–0660’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
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–
0660’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Request for Contact Information,
VA Form 21–30.
OMB Control Number: 2900–0660.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21–30 is used to
locate individuals when contact
information cannot be obtained by other
means or when travel funds may be
significantly impacted in cases where an
individual resides in a remote location
and is not home during the day or when
visited. VA uses the data collected
determine whether a fiduciary of a
beneficiary is properly executing his or
her duties.
SUMMARY:

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Federal Register / Vol. 79, No. 130 / Tuesday, July 8, 2014 / Notices

tkelley on DSK3SPTVN1PROD with NOTICES

An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published on
January 16, 2014, at page 2945.

VerDate Mar<15>2010

16:48 Jul 07, 2014

Jkt 232001

Affected Public: Individuals or
households.
Estimated Annual Burden: 1,250
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents:
5,000.

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38675

Dated: July 1, 2014.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2014–15786 Filed 7–7–14; 8:45 am]
BILLING CODE 8320–01–P

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