60-day FRN

60-day FRN 2900-0808.pdf

Back (Thoracolumbar Spine)Conditions Disability Benefits Questionnaire (VA Form 21-0960M-14)

60-day FRN

OMB: 2900-0808

Document [pdf]
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96202

Federal Register / Vol. 81, No. 250 / Thursday, December 29, 2016 / Notices

NW., Washington, DC 20420 or email to
[email protected]. Please refer to
‘‘OMB Control No. 2900–0810’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.

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

FOR FURTHER INFORMATION CONTACT:

BILLING CODE 8320–01–P

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.
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: (Foot Conditions Including
Flatfoot (Pes Planus) Disability Benefits
Questionnaire (VA Form 21–0960M–6).
OMB Control Number: 2900–0810.
Type of Review: Extension of an
approved collection.
Abstract: VA Forms 21–0960M–6 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: 40,000
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
80,000.

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SUPPLEMENTARY INFORMATION:

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18:41 Dec 28, 2016

Jkt 241001

[FR Doc. 2016–31459 Filed 12–28–16; 8:45 am]

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0808]

Agency Information Collection
Activity: Back (Thoracolumbar Spine)
Conditions Disability Benefits
Questionnaire (VA Form 21–0960M–14)
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.
VA Forms 21–0960M–14 is used to
gather necessary information from a
claimant’s treating physician regarding
the results of medical examinations.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before February 27, 2017.
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. 2900–0808’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
SUMMARY:

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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: Back (Thoracolumbar Spine)
Conditions Disability Benefits
Questionnaire (VA Form 21–0960M–
14).
OMB Control Number: 2900–0808.
Type of Review: Extension of an
approved collection.
Abstract: VA Forms 21–0960M–14 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: 37,500
hours.
Estimated Average Burden Per
Respondent: 45 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. 2016–31458 Filed 12–28–16; 8:45 am]
BILLING CODE 8320–01–P

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