30-day FRN

30-Day FRN - 2900-0808 (2017).pdf

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

30-day FRN

OMB: 2900-0808

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Federal Register / Vol. 82, No. 43 / Tuesday, March 7, 2017 / Notices
Connection for Post-Traumatic Stress
Disorder (PTSD) Secondary to Personal
Assault (VA Form 21–0781a).
OMB Control Number: 2900–0659.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Forms 21–0781 and
21–0781a are used to gather specific
information about in-service stressors,
so VA can assist claimants in obtaining
credible supporting evidence that the
claimed stressors occurred. In-service
stressors reported by veterans must be
verifiable. VA cannot thoroughly
research military records and other
sources of information for credible
supporting evidence unless the veteran
provides VA with specific information
about the in-service stressors. The forms
request information that is necessary to
conduct meaningful research of records.
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 81 FR
241 on December 15, 2016, pages 90922
and 90923.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 17,780.
Estimated Average Burden per
Respondent: 70 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
15,240.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2017–04429 Filed 3–6–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0404]

Agency Information Collection
Activity: Application for Increased
Compensation Based on
Unemployability (VA Form 21–8940)
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.

sradovich on DSK3GMQ082PROD with NOTICES

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

SUMMARY:

VerDate Sep<11>2014

16:01 Mar 06, 2017

Jkt 241001

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
extension of a currently approved
collection, and allow 60 days for public
comment in response to the notice.
VA Form 21–8940 is used by veterans
to apply for increased VA disability
compensation based on the inability to
secure or follow a substantially gainful
occupation due to service connected
disabilities. Without the information,
entitlement to individual
unemployability benefits could not be
determined.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before May 8, 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. 2900–0404’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
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: Veteran’s Application for
Increased Compensation Based on
Unemployability (VA Form 8940).
OMB Control Number: 2900–0404.

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12913

Type of Review: Extension of an
approved collection.
Abstract: VA Form 21–8940 is used
by veterans to apply for increased VA
disability compensation based on the
inability to secure or follow a
substantially gainful occupation due to
service connected disabilities. Without
the information, entitlement to
individual unemployability benefits
could not be determined.
Affected Public: Individuals or
households.
Estimated Annual Burden: 18,000
hours.
Estimated Average Burden per
Respondent: 45 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
24,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2017–04346 Filed 3–6–17; 8:45 am]
BILLING CODE 8320–01–P

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

Agency Information Collection Activity
Under OMB Review: (Back
(Thoracolumbar Spine) Conditions
Disability Benefits Questionnaire (VA
Form 21–0960M–14)
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, 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.
DATES: Comments must be submitted on
or before April 6, 2017.
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
SUMMARY:

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12914

Federal Register / Vol. 82, No. 43 / Tuesday, March 7, 2017 / Notices

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. 2900–0808’’ in any
correspondence.

1995, 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.

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

SUPPLEMENTARY INFORMATION:

DATES:

Comments must be submitted on
or before April 6, 2017.

[OMB Control No. 2900–0655]

Control No. 2900–0808’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:

Title: (Back (Thoracolumbar Spine)
Conditions Disability Benefits
Questionnaire (VA Form 21–0960M–
14).
OMB Control Number: 2900–0808.
Type of Review: Extension of a
currently 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.
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 Vol. 81,
No. 250, Thursday, December 29, 2016,
page 96202.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 37,500.
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. 2017–04423 Filed 3–6–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS

sradovich on DSK3GMQ082PROD with NOTICES

[OMB Control No. 2900–0810]

Agency Information Collection Activity
Under OMB Review: (Foot Conditions
Including Flatfoot (Pes Planus)
Disability Benefits Questionnaire (VA
Form 21–0960M–6)
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of

SUMMARY:

VerDate Sep<11>2014

16:01 Mar 06, 2017

Jkt 241001

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. 2900–0810’’ in any
correspondence.

ADDRESSES:

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. 2900–0810’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

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 a
currently 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.
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 Vol. 81,
No. 250, Thursday, December 29, 2016,
pages 96201 and 96202.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 40,000.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
80,000.

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Fmt 4703

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[FR Doc. 2017–04424 Filed 3–6–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS

Agency Information Collection Activity
Under OMB Review (Residency
Verification Report—Veterans and
Survivors (FL 21–914))
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 April 6, 2017.
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. 2900–0655’’ in any
correspondence.
DATES:

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. 2900–0655’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

Title: Residency Verification Report—
Veterans and Survivors (FL 21–914).
OMB Control Number: 2900–0655.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form Letter 21–914
gathers the information necessary to

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