60-Day FRN (2900-0811)

2016-31316, 60-Day FRN (2900-0811).pdf

Hip and Thigh Conditions Disability Benefits Questionnaire (21-0960M-8)

60-Day FRN (2900-0811)

OMB: 2900-0811

Document [pdf]
Download: pdf | pdf
Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Notices
Title: (Elbow and Forearm Conditions
Disability Benefits Questionnaire (VA
Form 21–0960M–4)).
OMB Control Number: 2900–0812.
Type of Review: Extension of an
approved collection.
Abstract: VA Forms 21–0960M–4 is
used to gather necessary information
from a claimant’s treating physician
regarding the results of medical
examinations.
Affected Public: Individuals or
households.
Estimated Annual Burden: 10,000
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
20,000.

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. 2900–0811’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.

[FR Doc. 2016–31317 Filed 12–27–16; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0811]

Agency Information Collection
Activity: (Hip and Thigh Conditions
Disability Benefits Questionnaire (VA
Form 21–0960M–8))
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

The Veterans Benefits
Administration (VBA), Department of
Veterans Affairs (VA), is announcing an

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Written comments and
recommendations on the proposed
collection of information should be
received on or before February 27, 2017.

DATES:

ADDRESSES:

By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Privacy and Records Management,
Department of Veterans Affairs.

SUMMARY:

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.
VA Forms 21–0960M–8 is used to
gather necessary information from a
claimant’s treating physician regarding
the results of medical examinations.

FOR FURTHER INFORMATION CONTACT:

Nancy J. Kessinger at (202) 632–8924 or
FAX (202) 632–8925.
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.

SUPPLEMENTARY INFORMATION:

PO 00000

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95735

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: (Hip and Thigh Conditions
Disability Benefits Questionnaire (VA
Form 21–0960M–8)).
OMB Control Number: 2900–0811.
Type of Review: Extension of an
approved collection.
Abstract: VA Forms 21–0960M–8 is
used to gather necessary information
from a claimant’s treating physician
regarding the results of medical
examinations.
Affected Public: Individuals or
households.
Estimated Annual Burden: 25,000
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
50,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2016–31316 Filed 12–27–16; 8:45 am]
BILLING CODE 8320–01–P

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