30-Day FRN (2900-0779)

30-Day FRN (2900-0779).pdf

Disability Benefits Questionnaires (Group 1)

30-Day FRN (2900-0779)

OMB: 2900-0779

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Federal Register / Vol. 79, No. 189 / Tuesday, September 30, 2014 / Notices
Dated: September 24, 2014.
Richard A. Peterson,
Deputy Director, United States Mint.
[FR Doc. 2014–23273 Filed 9–29–14; 8:45 am]
BILLING CODE P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0779]

Agency Information Collection
(Disability Benefits Questionnaires—
Group 1) 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 October 30, 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. 2900–0779’’ 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–
0779.’’
SUPPLEMENTARY INFORMATION:
Titles:
a. Hematologic and Lymphatic
Conditions, Including Leukemia
Disability Benefits Questionnaire, VA
Form 21–0960B–2.
b. Amyotrophic Lateral Sclerosis (Lou
Gehrig’s Disease) Disability Benefits
Questionnaire, VA Form 21–0960C–2.
c. Peripheral Nerve Conditions (Not
Including Diabetic Sensory-Motor
Peripheral Neuropathy) Disability
Benefits Questionnaire, VA Form 21–
0960C–10.

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d. Persian Gulf and Afghanistan
Infectious Diseases Disability Benefits
Questionnaire, VA Form 21–0960I–1.
e. Tuberculosis Disability Benefits
Questionnaire, VA Form 21–0960I–6.
f. Kidney Conditions (Nephrology)
Disability Benefits Questionnaire, VA
Form 21–0960J–1.
g. Male Reproductive Organ
Conditions Disability Benefits
Questionnaire, VA Form 21–0960J–2.
h. Prostate Cancer Disability Benefits
Questionnaire, VA Form 21–0960J–3.
l. Eating Disorders Disability Benefits
Questionnaire, VA Form 21–0960P–1.
m. Mental Disorders (other than PTSD
and Eating Disorders) Disability Benefits
Questionnaire, VA Form 21–0960P–2.
n. Review Post Traumatic Stress
Disorder (PTSD) Disability Benefits
Questionnaire, VA Form 21–0960P–3.
OMB Control Number: 2900–0779.
Type of Review: Revision.
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
soliciting comments on this collection
of information was published on July
17, 2014, at pages 41743–41744.
Affected Public: Individuals or
households.
Estimated Annual Burden: 127, 917.
Estimated Average Burden per
Respondent:
a. VA Form 21–0960B–2—15 minutes.
(a) b. VA Form 21–0960C–2—30
minutes.
(b) c. VA Form 21–0960C–10—45
minutes.
(c) d. VA Form 21–0960I–1—15
minutes.
(d) e. VA Form 21–0960I–6—30
minutes.
(e) f. VA Form 21–0960J–1—30
minutes.
(f) g. VA Form 21–0960J–2—15
minutes.
(g) h. VA Form 21–0960J–3—15
minutes.
(h) l. VA Form 21–0960P–1—15
minutes.
(i) m. VA Form 21–0960P–2—30
minutes.
(j) n. VA Form 21–0960P–3—30
minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
TOTAL: 307,000.
a. VA Form 21–0960B–2—10,000.
b. VA Form 21–0960C–2—2,000.
c. VA Form 21–0960C–10—55,000.

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d. VA Form 21–0960I–1—50,000.
e. VA Form 21–0960I–6—5,000.
f. VA Form 21–0960J–1—25,000.
g. VA Form 21–0960J–2—25,000.
h. VA Form 21–0960J–3—25,000.
i. VA Form 21–0960M–13—50,000.
j. VA Form 21–0960M–14—50,000.
k. VA Form 21–0960O–1—25,000.
l. VA Form 21–0960P–1—5,000.
m. VA Form 21–0960P–2—50,000.
n. VA Form 21–0960P–3—55,000.
Dated: September 25, 2014.
By direction of the Secretary:
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–23272 Filed 9–29–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0067]

Agency Information Collection
(Application for Automobile or other
Conveyance and Adaptive Equipment):
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 October 30, 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. 2900–0067’’ in any
correspondence.
SUMMARY:

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–
0067.’’

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