30-Day FRN (2900-0781, Group 4 DBQs)

2016-11048, 30-Day FRN, Group 4 DBQs.pdf

Disability Benefits Questionnaires (Group 4)

30-Day FRN (2900-0781, Group 4 DBQs)

OMB: 2900-0781

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Federal Register / Vol. 81, No. 91 / Wednesday, May 11, 2016 / Notices

release from active duty will be
refunded on the date of the participant’s
discharge or release from active duty or
within 60 days of receipt of notice by
the Secretary of the participant’s
discharge or disenrollment. Refunds
may be made earlier in instances of
hardship or other good reasons.
Participants who stop their enrollment
from the program after discharge or
release from active duty, contributions
will be refunded within 60 days of the
receipt of their application.
Affected Public: Individuals or
households.
Estimated Annual Burden: 77 hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
461.
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. 2016–11051 Filed 5–10–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0781]

Proposed Information Collection
(Disability Benefits Questionnaire
(Group 4)) 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. 3501–21), this notice
announces that the Veterans Benefits
Administration, 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 and it
includes the actual data collection
instrument.

SUMMARY:

Comments must be submitted on
or before June 10, 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

mstockstill on DSK3G9T082PROD with NOTICES

DATES:

VerDate Sep<11>2014

17:20 May 10, 2016

Jkt 238001

Control No. 2900–0781’’ in any
correspondence.

DEPARTMENT OF VETERANS
AFFAIRS

FOR FURTHER INFORMATION CONTACT:

[OMB Control No. 2900–2016]

Cynthia Harvey-Pryor, 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. 2900–0781’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

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.
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. 2016–11048 Filed 5–10–16; 8:45 am]
BILLING CODE 8320–01–P

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Agency Information Collection
(Application for Accrued Amounts Due
a Deceased Beneficiary, VA Form 21P–
601) 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 June 10, 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. 2900–0216’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor, Enterprise
Records Service (005R1B), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420,
(202) 461–5870 or email [email protected]. Please refer to ‘‘OMB
Control No. 2900–0216.’’
SUPPLEMENTARY INFORMATION:
Title: Application for Accrued
Amounts Due a Deceased Beneficiary,
VA Form 21P–601
OMB Control Number: 2900–0216.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21P–601 is used to
gather the information necessary to
determine a claimant’s entitlement to
accrued benefits. Accrued benefits are
amounts of VA benefits due, but unpaid,
to a beneficiary at the time of his or her
death. Benefits are paid to eligible
survivors based on the priority
described in 38 U.S.C. 5121(a). When
there are no eligible survivors entitled to
accrued benefits based on their
relationship to the deceased beneficiary,
the person or persons who bore the
SUMMARY:

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