30-Day FRN (2900-0806)

30-Day FRN (2900-0806).pdf

Ankle Conditions Disability Benefits Questionnaire (VA Form 21-0960M-2)

30-Day FRN (2900-0806)

OMB: 2900-0806

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Federal Register / Vol. 82, No. 156 / Tuesday, August 15, 2017 / Notices
collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Authority: 38 U.S.C. 1542.

Title: Information from Remarried
Widow/er (VA Form 21P–4103).
OMB Control Number: 2900–0038.
Type of Review: Revision of a
Currently Approved Collection.
Abstract: 38 U.S.C. 1542 authorizes
VA to pay Pension benefits to the
surviving dependent children of a
deceased Veteran if said children are
not in the custody of a surviving spouse
eligible for Pension benefits under 38
U.S.C. 1541, subject to certain annual
income limitations, as well as net worth
limitations set forth in 38 U.S.C. 1543.
38 U.S.C. 1503 governs determinations
with respect to annual income under 38
U.S.C. Chapter 15.
VBA uses VA Form 21P–4103 to
collect the income and net worth
information necessary to determine the
eligibility to Pension benefits of the
surviving dependent children of a
deceased Veteran after an eligible
surviving spouse remarries, which
terminates the surviving spouse’s
eligibility to benefits. VBA uses the
information to determine eligibility to,
and the amount of, any monetary
benefits due to the surviving dependent
children of the deceased Veteran.
Affected Public: Individuals and
households.
Estimated Annual Burden: 333 hours.
Estimated Average Burden per
Respondent: 20 minutes.
Frequency of Response: Once.
Estimated Number of Respondents:
1,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Quality and Compliance, Department of
Veterans Affairs.
[FR Doc. 2017–17180 Filed 8–14–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS

mstockstill on DSK30JT082PROD with NOTICES

[OMB Control No. 2900–0806]

Agency Information Collection Activity
Under OMB Review: Ankle Conditions
Disability Benefits Questionnaire
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of

SUMMARY:

VerDate Sep<11>2014

17:15 Aug 14, 2017

Jkt 241001

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 September 14, 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. 2900–0806’’ 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. 2900–0806’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:
Title: Ankle Conditions Disability
Benefits Questionnaire (VA Form 21–
0960M–2).
OMB Control Number: 2900–0806.
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–2, Ankle Conditions
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of an ankle
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 12702 and
12703.
Affected Public: Individuals or
Households.

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Estimated Annual Burden: 15,000.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
30,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Quality and Compliance, Department of
Veterans Affairs.
[FR Doc. 2017–17184 Filed 8–14–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0658]

Agency Information Collection
Activity: Lender’s Staff Appraisal
Reviewer Application
Loan Guaranty Service,
Department of Veterans Affairs.
ACTION: Notice.
AGENCY:

Loan Guaranty Service,
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 extension of a
currently approved collection, and
allow 60 days for public comment in
response to the notice.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before October 16, 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. 2900–0658’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Nancy J. Kessinger at (202) 632–8924 or
fax (202) 632–8925.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995, 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
SUMMARY:

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