30-Day FRN (2900-0805)

30-Day FRN (2900-0805).pdf

Wrist Conditions Disability Benefits Questionnaire (VA Form 21-0960M-16)

30-Day FRN (2900-0805)

OMB: 2900-0805

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Federal Register / Vol. 82, No. 94 / Wednesday, May 17, 2017 / Notices
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. 2900–0458’’ 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. 2900–0458’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–21.
Title: Certification of School
Attendance or Termination (VA Form
21–8960 & 21–8960–1)
OMB Control Number: 2900–0458.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Forms 21–8960 & 21–
8960–1 are used to gather the necessary
information to determine continued
benefit entitlement to or for a child
between the ages of 18 and 23 who is
attending school.
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
19 on January 31, 2017, page 8891.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 11,667.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
70,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise
Records Service, Office of Quality and
Compliance, Department of Veterans Affairs.
[FR Doc. 2017–09947 Filed 5–16–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS

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[OMB Control No. 2900–0576]

Agency Information Collection Activity
Under OMB Review: Certification of
Affirmation of Enrollment Agreement
Correspondence Course
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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In compliance with the
Paperwork Reduction Act (PRA) of
1995, 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 16, 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. 2900–0576’’ in any
correspondence.
SUMMARY:

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. 2900–0576’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

Authority: 44 U.S.C. 3501–3521; 38
U.S.C. 3686(b).
Title: Certification of Affirmation of
Enrollment Agreement Correspondence
Course (VA Form 22–1999c).
OMB Control Number: 2900–0576.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 22–1999c is used
to pay education benefits for
correspondence training. This
information allows VA to determine if
the claimant has been informed of the
5 day reflection period required by law.
VA can pay education benefits, the
claimant must affirm in writing the
enrollment agreement for the
correspondence course after the
expiration of 5 full days after the date
that he or she signed the
correspondence contract. Accordingly,
VA Form 22–1999c, Certificate of
Affirmation of Enrollment Agreement of
Correspondence Course was developed
to assist with this statutory requirement.
The claimant either affirms the
agreement or destroys this form. The
claimant then notifies the
correspondence school of this decision.
If the agreement is affirmed, the
claimant enters a date no later than the

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seventh day after the date the agreement
was signed, signs the form, and then the
claimant sends the completed form to
the correspondence school. The
correspondence school’s Certifying
Official attaches an enrollment
certification to VA Form 22–1999c and
sends both forms to VA for processing.
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
16 on January 26, 2017, page 8568.
Affected Public: Institutions of Higher
Learning.
Estimated Annual Burden: 22 hours.
Estimated Average Burden per
Respondent: 3 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
445.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise
Records Service, Office of Quality and
Compliance, Department of Veterans Affairs.
[FR Doc. 2017–09948 Filed 5–16–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0805]

Agency Information Collection Activity
Under OMB Review: Wrist Conditions
Disability Benefits Questionnaire
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 June 16, 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.,
SUMMARY:

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22724

Federal Register / Vol. 82, No. 94 / Wednesday, May 17, 2017 / Notices

Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0805’’ 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. 2900–0805’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

nlaroche on DSK30NT082PROD with NOTICES

Authority: 44 U.S.C. 3501–21.
Title: Wrist Conditions Disability
Benefits Questionnaire (VA Form 21–
0960M–16).
OMB Control Number: 2900–0805.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 21–0960 series is
used to gather necessary information
from a claimant’s treating physician
regarding the results of medical
examinations. VA gathers medical
information related to the claimant that
is necessary to adjudicate the claim for
VA disability benefits. The Disability
Benefit Questionnaire title will include
the name of the specific disability for
which it will gather information. VAF
21–0960M–16, Wrist Conditions
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of a wrist
condition.
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
42, on March 6, 2017, pages 12703 and
12704.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 20,000.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
40,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise
Records Service, Office of Quality and
Compliance, Department of Veterans Affairs.
[FR Doc. 2017–09950 Filed 5–16–17; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0222]

Agency Information Collection Activity
Under Review: Proposed Information
Collection, Claim for Standard
Government Headstone or Marker and
Claim for Government Medallion for
Placement in a Private Cemetery
National Cemetery
Administration (NCA), Department of
Veterans Affairs.
ACTION: Notice.
AGENCY:

In compliance with
Paperwork Reduction Act (PRA) 0f
1995, this notice announces that the
National Cemetery Administration
(NCA), 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 16, 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. 2900–0222’’ in any
correspondence.
DATES:

FOR FURTHER INFORMATION CONTACT:

Cynthia Harvey-Pryor, Enterprise
Records Service (005R1B), (202)461–
5870 or email Cynthia.harvey-pryor@
va.gov. Please refer to ‘‘OMB Control
No. 2900–0222’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: Public Law 104–13; U.S.C.
3501–21.
Title: VA Form 40–1330, Claim for
Standard Government Headstone or
Marker, and VA Form 40–1330M, Claim
for Government Medallion for
Placement in a Private Cemetery.
OMB Control Number: 2900–0222.
Type of Review: Reinstatement of a
previously approved collection.
Abstract: The National Cemetery
Administration (NCA) updated its
current VA Form 40–1330 and VA Form
40–1330M. The original VA Form 40–
1330 and 40–1330M is a request for a
Government-furnished headstone or
marker, or medallion, respectively. The

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updates to the form include the
following:
• Change to the Applicant Definition,
who can apply for a Government
headstone, marker or medallion;
• Information about the Presidential
Memorial Certificate (PMC) program
and the option to receive a PMC in
addition to the headstone, marker or
medallion;
• Changes in eligibility for a
medallion, consistent with section 301
of Public Law 114–315;
• Addition of language that clarifies
that ‘‘mandatory’’ and ‘‘optional’’
inscription items are provided in
English, and that ‘‘additional’’
inscription items may be provided in
English or non-English text that consists
of the Latin Alphabet or numbers;
• Addition of information on VA
Form 40–1330 and VA Form 40–1330M
related to whether the Veteran was
previously determined by VA to be
eligible for burial, and related to
whether the request is initial or for a
replacement headstone or marker;
• Addition of ‘‘Iraq’’ and
‘‘Afghanistan’’ as indicators of ‘‘War
Service,’’ consistent with Public Law
114–315;
• Addition of Age at the Time of
Death on VA Form 40–1330 and VA
Form 40–1330M; and
• Addition of demographic
information for statistical reporting
purposes only on VA Form 40–1330 and
VA Form 40–1330M.
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 FRN
17740 on April 12, 2017.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 88,643
Burden Hours.
Estimated Average Burden per
Respondent: 15 Minutes.
Frequency of Response: One-time.
Estimated Number of Respondents:
166,135.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise
Records Service, Office of Quality and
Compliance, Department of Veterans Affairs.
[FR Doc. 2017–09946 Filed 5–16–17; 8:45 am]
BILLING CODE 8320–01–P

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