2900-0776, 30-Day FRN (Group 2 DBQs)

2017-25592, 30-Day FRN (Group 2 DBQs).pdf

Disability Benefits Questionnaires (Group 2)

2900-0776, 30-Day FRN (Group 2 DBQs)

OMB: 2900-0776

Document [pdf]
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56332

Federal Register / Vol. 82, No. 227 / Tuesday, November 28, 2017 / Notices

Committee name
Veterans’ Advisory Committee on Rehabilitation.
Advisory Committee on
Women Veterans.

Committee description
Provides advice to the Secretary on the rehabilitation needs of disabled Veterans and
the administration of VA’s rehabilitation programs.
Provides advice to the Secretary on the needs of women Veterans regarding health
care, rehabilitation benefits, compensation, outreach, and other programs administered by VA.

FOR FURTHER INFORMATION CONTACT:

Jeffrey Moragne, Committee
Management Office, Department of
Veterans Affairs, Advisory Committee
Management Office (00AC), 810
Vermont Avenue NW., Washington, DC
20420; telephone (202) 266–4660; or
email at [email protected]. To
view a copy of a VA Federal advisory
committee charter, visit http://
www.va.gov/advisory.
Dated: November 22, 2017.
Jelessa M. Burney,
Federal Advisory Committee Management
Officer.
[FR Doc. 2017–25630 Filed 11–27–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS

Agency Information Collection Activity
Under OMB Review: Artery and Vein
Conditions (Vascular Diseases
Including Varicose Veins) Disability
Benefits Questionnaire, Hypertension
Disability Benefits Questionnaire, NonIschemic Heart Disease (Including
Arrhythmias and Surgery) Disability
Benefits Questionnaire, Diabetic
Peripheral Neuropathy (Diabetic
Sensory-Motor Peripheral Neuropathy)
Disability Benefits Questionnaire,
Diabetes Mellitus Disability Benefits
Questionnaire, Scars/Disfigurement
Disability Benefits Questionnaire, Skin
Diseases Disability Benefits
Questionnaire, Amputations Disability
Benefits Questionnaire, Muscles
Injuries Disability Benefits
Questionnaire, Temporomandibular
Joint (TMJ) Conditions Disability
Benefits Questionnaire, Eye
Conditions Disability Benefits
Questionnaire
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.

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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

SUMMARY:

19:51 Nov 27, 2017

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.
Comments must be submitted on
or before December 28, 2017.

DATES:

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. 2900–0776’’ in any
correspondence.

ADDRESSES:

FOR FURTHER INFORMATION CONTACT:

[OMB Control No. 2900–0776]

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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. 2900–0776’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

Authority: 44 U.S.C. 3501–21.

Title: Artery and Vein Conditions
(Vascular Diseases Including Varicose
Veins) Disability Benefits Questionnaire
(VA Form 21–0960A–2), Hypertension
Disability Benefits Questionnaire (VA
Form 21–0960A–3), Non-Ischemic Heart
Disease (Including Arrhythmias and
Surgery) Disability Benefits
Questionnaire (VA Form 21–0960A–4),
Diabetic Peripheral Neuropathy
(Diabetic Sensory-Motor Peripheral
Neuropathy) Disability Benefits
Questionnaire (VA Form 21–0960C–4),
Diabetes Mellitus Disability Benefits
Questionnaire (VA Form 21–0960E–1),
Scars/Disfigurement Disability Benefits
Questionnaire (VA Form 21–0960F–1),
Skin Diseases Disability Benefits
Questionnaire (VA Form 21–0960F–2),
Amputations Disability Benefits
Questionnaire (VA Form 21–0960M–1),
Muscles Injuries Disability Benefits
Questionnaire (VA Form 21–0960M–
10), Temporomandibular Joint (TMJ)
Conditions Disability Benefits
Questionnaire (VA Form 21–0960M–

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September 25, 2017.
September 29, 2017.

15), Eye Conditions Disability Benefits
Questionnaire (VA Form 21–0960N–2)
OMB Control Number: 2900–0776.
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
21–0960A–2, Artery and Vein
Conditions vascular diseases including
varicose veins) Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
arteries, veins, and/or peripheral
vascular disease; VAF 21–0960A–3,
Hypertension, Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
hypertension; VAF 21–0960A–4, Nonischemic Heart Disease (including
Arrhythmias and Surgery) Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of any non-ischemic heart
disease; VAF 21–0960C–4, Diabetic
Peripheral Neuropathy (diabetic
sensory-motor peripheral neuropathy)
Disability Benefits Questionnaire will
gather information related to the
claimant’s diagnosis of a diabetic
sensory-motor peripheral neuropathy
condition; VAF 21–0960E–1, Diabetes
Mellitus Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
diabetes mellitus; VAF 21–0960F–1,
Scars/Disfigurement Disability Benefits
Questionnaire will gather information
related to the claimant’s diagnosis of
any scars or disfigurement; VAF 21–
0960F–2, Skin Diseases Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of any skin disease. VAF 21–
0960M–1, Amputations Disability
Benefits Questionnaire, will gather
information related to the claimant’s
amputations; VAF 21–0960M–10,
Muscle Injuries Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of a
muscle injury disability. VAF 21–

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Federal Register / Vol. 82, No. 227 / Tuesday, November 28, 2017 / Notices
0960M–15, Temporomandibular Joint
(TMJ) Conditions Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
temporomandibular joint dysfunction or
TMJ. VAF 21–0960N–2, Eye Conditions
Disability Benefits Questionnaire will
gather information related to the
claimant’s diagnosis of an eye
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
79 on April 26, 2017, pages 19311 and
19312.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 162,500.
Estimated Average Burden per
Respondent: 25 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
400,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Quality, Privacy and Risk, Department of
Veterans Affairs.
[FR Doc. 2017–25592 Filed 11–27–17; 8:45 am]

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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0711]

Agency Information Collection Activity
Under OMB Review: VBA Loan
Guaranty Service Lender Satisfaction
Survey
Loan Guaranty Service,
Department of Veterans Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, this notice announces that the
Loan Guaranty Service, 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 December 28, 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. 2900–0711’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor, Office of Quality,
Privacy and Risk (OQPR), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 461–
SUMMARY:

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5870 or email cynthia.harvey-pryor@
va.gov. Please refer to ‘‘OMB Control
No. 2900–0711’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: Public Law 104–13; 44 U.S.C.
3501–3521.

Title: VBA Loan Guaranty Service
Lender Satisfaction Survey.
OMB Control Number: 2900–0711.
Type of Review: Extension of a
currently approved collection.
Abstract: As part of the agency’s
continuing commitment to improve the
services provided to veterans, VA will
conduct the VBA Loan Guaranty Service
Lender Satisfaction Survey. The
proposed effort will measure lender
satisfaction with the various aspects of
the VA Home Loan Guaranty program.
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
38760 on August 15, 2017, pages 38760–
38761.
Affected Public: Private sector.
Estimated Annual Burden: 69 hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
275.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Quality, Privacy and Risk, Department of
Veterans Affairs.
[FR Doc. 2017–25591 Filed 11–27–17; 8:45 am]
BILLING CODE 8320–01–P

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