2900-0778, 60-Day FRN, (Group 3 DBQs)

Federal Register / Vol. 81, No. 31 / Wednesday, February 17, 2016 / Notices
or other diseases of the nose, throat,
larynx, or pharynx; VAF 21–0960Q–1,
Chronic Fatigue Syndrome Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of chronic fatigue syndrome.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before April 18, 2016.
ADDRESSES: 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 (20M33), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420 or email to
[email protected]. Please refer to
‘‘OMB Control No. 2900–0781’’ in any
correspondence.

asabaliauskas on DSK5VPTVN1PROD with NOTICES

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.
3501–21), 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: Disability Benefits
Questionnaires (Group 4).
OMB Control Number: 2900–0781.
Type of Review: Revision of a
currently approved collection.
Abstract: The VA Form 21–0960
series 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.
Affected Public: Individuals or
households.
Estimated Annual Burden: 53,750.

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Estimated Average Burden per
Respondent
i. VAF 21–0960C–3—30 minutes
ii. VAF 21–0960C–6—15 minutes
iii. VAF 21–0960C–7—15 minutes
iv. VAF 21–0960C–11—15 minutes
v. VAF 21–0960D–1—15 minutes
vi. VAF 21–0960E–2—15 minutes
vii. VAF 21–0960E–3—15 minutes
viii. VAF 21–0960H–1—15 minutes
ix. VAF 21–0960I–2—15 minutes
x. VAF 21–0960I–3—15 minutes
xi. VAF 21–0960I–4—30 minutes
xii. VAF 21–0960I–5—15 minutes
xiii. VAF 21–0960J–4—15 minutes
xiv. VAF 21–0960L–1—30 minutes
xv. VAF 21–0960N–3—15 minutes
xvi. VAF 21–0960N–4—30 minutes
xvii. VAF 21–0960Q–1—15 minutes
Frequency of Response: One time.
Estimated Number of Respondents:
160,000.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2016–03206 Filed 2–16–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0778]

Proposed Information Collection
(Disability Benefits Questionnaire
(Group 3)); Activity: Comment Request
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

The Veterans Benefits
Administration (VBA), Department of
Veterans Affairs (VA), 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.
The VA Form 21–0960 series 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. The DBQ title
will include the name of the specific
disability for which it will gather

SUMMARY:

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8129

information. VAF 21–0960C–5, Central
Nervous System and Neuromusculo
Diseases Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of a
central nervous system disease; VAF
21–0960C–8, Headaches (Including
Migraine Headaches) Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
headaches; VAF 21–0960C–9, Multiple
Sclerosis (MS) Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
multiple sclerosis; VAF 21–0960G–1,
Esophageal Disorders (including GERD,
Hiatal Hernia, and Other Esophageal
Disorders) Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
any esophageal disorders; VAF 21–
0960G–2, Gall Bladder and Pancreas
Conditions Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
any gall bladder and pancreas
condition; VAF 21–0960G–3, Intestinal
Conditions (Other than Surgical or
Infectious) Including Irritable Bowel
Syndrome, Crohn’s Disease, Ulcerative
Colitis, and Diverticulitis Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of any intestinal conditions
unrelated to surgery or infection; VAF
21–0960G–4, Infectious Intestinal
Disorders (including Bacterial and
Parasitic Infections) Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
any infectious intestinal condition; VAF
21–0960G–5, Hepatitis, Cirrhosis and
other Liver Conditions Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of any liver condition; VAF
21–0960G–6, Peritoneal Adhesions
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of peritoneal
adhesions; VAF 21–0960G–7, Stomach
and Duodenum Conditions (Not
Including GERD or Esophageal
Disorders) Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
any stomach or duodenum conditions;
VAF 21–0960G–8, Intestinal Surgery
(Bowel Resection, Colostomy,
Ileostomy) Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
any surgical intestinal condition; VAF
21–0960H–2, Rectum and Anus
Conditions (Including Hemorrhoids)
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of any rectum or

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Federal Register / Vol. 81, No. 31 / Wednesday, February 17, 2016 / Notices

anus condition, which includes
hemorrhoids; VAF 21–0960K–1 Breast
Conditions and Disorders Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of a breast condition or
disorder; VAF 21–0960K–2
Gynecological Conditions Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of a gynecological condition;
VAF 21–0960L–2, Sleep Apnea
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of sleep apnea;
VAF 21–0960M–11, Osteomyelitis
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of osteomyelitis;
VAF 21–0960N–1, Ear Conditions
(Including Vestibular and Infectious)
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of an ear disease.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before April 18, 2016.
ADDRESSES: 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 (20M33), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420 or email to
[email protected]. Please refer to
‘‘OMB Control No. 2900–0778’’ in any
correspondence.

asabaliauskas on DSK5VPTVN1PROD with NOTICES

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.
3501–21), 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

VerDate Sep<11>2014

19:05 Feb 16, 2016

Jkt 238001

the use of other forms of information
technology.
Title: Disability Benefits
Questionnaires (Group 3).
OMB Control Number: 2900–0778.
Type of Review: Revision of a
currently approved collection.
Abstract: The VA Form 21–0960
series 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.
Affected Public: Individuals or
households.
Estimated Annual Burden: 77,500.
Estimated Average Burden per
Respondent
i. VAF 21–0960C–5—30 minutes
ii. VAF 21–0960C–8—15 minutes
iii. VAF 21–0960C–9—45 minutes
iv. VAF 21–0960G–1—15 minutes
v. VAF 21–0960G–2—15 minutes
vi. VAF 21–0960G–3—15 minutes
vii. VAF 21–0960G–4—15 minutes
viii. VAF 21–0960G–5—30 minutes
ix. VAF 21–0960G–6—15 minutes
x. VAF 21–0960G–7—15 minutes
xi. VAF 21–0960G–8—15 minutes
xii. VAF 21–0960H–2—15 minutes
xiii. VAF 21–0960K–1—15 minutes
xiv. VAF 21–0960K–2—30 minutes
xv. VAF 21–0960L–2—15 minutes
xvi. VAF 21–0960M–11—15 minutes
xvii. VAF 21–0960N–1—15 minutes
Frequency of Response: One time.
Estimated Number of Respondents:
250,000.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2016–03207 Filed 2–16–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0745]

Agency Information Collection
(Application for Fee or Roster
Personnel Designation) 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

SUMMARY:

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Fmt 4703

Sfmt 4703

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 March 18, 2016.
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. 2900–0745’’ 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–
0745.’’
SUPPLEMENTARY INFORMATION:
Title: Request for Certificate of
Veteran Status.
OMB Control Number: 2900–0745.
Type of Review: Revision of a
currently approved collection.
Abstract: Applicants complete VA
form 26–8621a to apply for a position as
a designate fee appraiser or compliance
inspector. VA will use the data collected
to determine the applicant’s experience
in the real estate valuation field.
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 at 80 FR
63879 on October 21, 2015.
Title: Request for Certificate of
Veteran Status.
OMB Control Number: 2900–0745.
Type of Review: Revision of a
currently approved collection.
Abstract: Applicants complete VA
form 26–8621a to apply for a position as
a designate fee appraiser or compliance
inspector. VA will use the data collected
to determine the applicant’s experience
in the real estate valuation field.
Affected Public: Individuals or
households.
Estimated Annual Burden: 4 hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: One-time.

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