30-Day FRN (VAF 21-0985)

46614

Federal Register / Vol. 82, No. 192 / Thursday, October 5, 2017 / Notices

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

Agency Information Collection Activity
Under OMB Review: General Release
for Medical Provider Information to the
Department of Veterans Affairs (VA)
and Authorization and Consent To
Release Information to the Department
of Veterans Affairs
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 November 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–NEW’’ in any
correspondence.
SUMMARY:

FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, Enterprise
Records Service (005R1B), Department
of Veterans Affairs, 811 Vermont
Avenue NW., Washington, DC 20420,
(202) 461–5870 or email [email protected]. Please refer to ‘‘OMB
Control No. 2900–NEW’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

ethrower on DSK3G9T082PROD with NOTICES

Authority: 44 U.S.C. 3501–21.

Title: General Release for Medical
Provider Information to the Department
of Veterans Affairs (VA) (VA Form 21–
4142) and Authorization and Consent to
Release Information to the Department
of Veterans Affairs (VA Form 21–4142a).
OMB Control Number: 2900–NEW.
Type of Review: New collection.
Abstract: VA Forms 21–4142 will be
used to authorize the disclosure of
information to the VA and 21–4142a
will be used to gather the necessary

VerDate Sep<11>2014

19:52 Oct 04, 2017

Jkt 244001

information to request medical provider
information to the VA.
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 82 FR
125 on June 30, 2017, page 30004.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 11,033.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
132,400.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Quality, Privacy and Risk, Department of
Veterans Affairs.
[FR Doc. 2017–21433 Filed 10–4–17; 8:45 am]
BILLING CODE 8320–01–P

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

Agency Information Collection Activity
Under OMB Review: Decision Ready
Claims (DRC) Exam Review
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 November 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–NEW’’ in any
correspondence.
SUMMARY:

PO 00000

Frm 00139

Fmt 4703

Sfmt 4703

FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, Enterprise
Records Service (005R1B), Department
of Veterans Affairs, 811 Vermont
Avenue NW., Washington, DC 20420,
(202) 461–5870 or email [email protected]. Please refer to ‘‘OMB
Control No. 2900–NEW’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

Authority: 44 U.S.C. 3501–21.

Title: Decision Ready Claims (DRC)
Exam Review (VA Form 21–0985).
OMB Control Number: 2900–NEW.
Type of Review: New collection.
Abstract: VA Form 21–0985 will be
used to identify the condition(s) that a
veteran would like VA to schedule a
contract examination for in support of
his/her Decision Ready Claim.
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 82 FR
142 on July 26, 2017, pages 34748.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 2,500.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
10,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Quality, Privacy and Risk, Department of
Veterans Affairs.
[FR Doc. 2017–21432 Filed 10–4–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0666]

Agency Information Collection
Activity: Information Regarding
Apportionment of Beneficiary’s Award
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

Veterans Benefits
Administration, 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

SUMMARY:

E:\FR\FM\05OCN1.SGM

05OCN1