60-Day FRN (2900-0779), DBQs (Grp 1)

2017-07863, 60-Day FRN (2900-0779).pdf

Disability Benefits Questionnaires (Group 1)

60-Day FRN (2900-0779), DBQs (Grp 1)

OMB: 2900-0779

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18538

Federal Register / Vol. 82, No. 74 / Wednesday, April 19, 2017 / Notices

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. 2900–0802’’ in any
correspondence.
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. 2900–0802’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

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Authority: 44 U.S.C. 3501–21.

Title: Shoulder and Arm Conditions
Disability Benefits Questionnaire (VA
Form 21–0960M–12).
OMB Control Number: 2900–0802.
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. VA
Forms 21–0960M–12 is used to gather
information related to the claimant’s
diagnosis of a shoulder or arm
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
16, on January 26, 2017, page 8568.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 25,000.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
50,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise
Records Service, Office of Quality and
Compliance, Department of Veterans Affairs.
BILLING CODE 8320–01–P

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[OMB Control No. 2900–0809]

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

FOR FURTHER INFORMATION CONTACT:

[FR Doc. 2017–07865 Filed 4–18–17; 8:45 am]

DEPARTMENT OF VETERANS
AFFAIRS

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 May 19, 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. 2900–0809’’ 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. 2900–0809’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:

Authority: 44 U.S.C. 3501–21.

Title: Hand and Finger Conditions
Disability Benefits Questionnaire (VA
Form 21–0960M–7).
OMB Control Number: 2900–0809.
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

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which it will gather information. VAF
21–0960M–7, Hand and Finger
Conditions Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of a
hand or finger 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
43, on March 7, 2017, page 12912.
Affected Public: Individuals or
Households.
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, Enterprise
Records Service, Office of Quality and
Compliance, Department of Veterans Affairs.
[FR Doc. 2017–07864 Filed 4–18–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0779]

Agency Information Collection
Activity: Hematologic and Lymphatic
Conditions, Including Leukemia
Disability Benefits Questionnaire,
Amyotrophic Lateral Sclerosis (Lou
Gehrig’s Disease) Disability Benefits
Questionnaire, Peripheral Nerve
Conditions (Not Including Diabetic
Sensory-Motor Peripheral Neuropathy)
Disability Benefits Questionnaire,
Persian Gulf and Afghanistan
Infectious Diseases Disability Benefits
Questionnaire, Tuberculosis Disability
Benefits Questionnaire, Kidney
Conditions (Nephrology) Disability
Benefits Questionnaire, Male
Reproductive Organ Conditions
Disability Benefits Questionnaire,
Prostate Cancer Disability Benefits
Questionnaire, Eating Disorders
Disability Benefits Questionnaire,
Mental Disorders (Other Than PTSD
and Eating Disorders) Disability
Benefits Questionnaire, Review Post
Traumatic Stress Disorder (PTSD)
Disability Benefits Questionnaire
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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Federal Register / Vol. 82, No. 74 / Wednesday, April 19, 2017 / Notices
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
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
revision of a currently approved
collection, and allow 60 days for public
comment in response to the notice.
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–
0960B–2, Hematologic and Lymphatic
Conditions, Including Leukemia
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of any hematologic
or lymphatic condition; VAF 21–0960C–
2, Amyotrophic Lateral Sclerosis (Lou
Gehrig’s Disease) Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
amyotrophic lateral sclerosis; VAF 21–
0960C–10, Peripheral Nerve Conditions
(Not Including Diabetic Sensory-Motor
Peripheral neuropathy) Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of a peripheral nerve disorder;
VAF 21–0960I–1, Persian Gulf and
Afghanistan Infectious Diseases
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of an infectious
disease due to service in the Persian
Gulf or Afghanistan; VAF 210960–I–6,
Tuberculosis Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
tuberculosis; VAF 21–0960J–1, Kidney
Conditions (Nephrology) Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of kidney disease; VAF 21–
0960J–2, Male Reproductive Organ
Conditions Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of a
condition affecting the male
reproductive organ; VAF 21–0960J–3,
Prostate Cancer Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
prostate cancer; VAF 21–0960P–1,
Eating Disorders Disability Benefits

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SUMMARY:

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Questionnaire, will gather information
related to the claimant’s diagnosis of an
eating disorder; VAF 21–0960P–2,
Mental Disorders (other than PTSD and
Eating Disorders) Disability Benefits
Questionnaire will gather information
related to the claimant’s diagnosis of
any mental disorder with the exception
of PTSD; VAF 21–0960P–3, Review Post
Traumatic Stress Disorder (PTSD)
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of PTSD.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before June 19, 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. 2900–0779’’ 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, 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.
Authority: Public Law 104–13; 44
U.S.C. 3501–21.
Title: (Hematologic and Lymphatic
Conditions, Including Leukemia
Disability Benefits Questionnaire (VA
Form 21–0960B–2), Amyotrophic
Lateral Sclerosis (Lou Gehrig’s Disease)
Disability Benefits Questionnaire (VA

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18539

Form 21–0960C–2), Peripheral Nerve
Conditions (Not Including Diabetic
Sensory-Motor Peripheral Neuropathy)
Disability Benefits Questionnaire (VA
Form 21–0960C–10), Persian Gulf and
Afghanistan Infectious Diseases
Disability Benefits Questionnaire (VA
Form 21–0960I–1), Tuberculosis
Disability Benefits Questionnaire (VA
Form 21–0960I–6), Kidney Conditions
(Nephrology) Disability Benefits
Questionnaire (VA Form 21–0960J–1),
Male Reproductive Organ Conditions
Disability Benefits Questionnaire (VA
Form 21–0960J–2), Prostate Cancer
Disability Benefits Questionnaire (VA
Form 21–0960J–3), Eating Disorders
Disability Benefits Questionnaire (VA
Form 21–0960P–1), Mental Disorders
(other than PTSD and Eating Disorders)
Disability Benefits Questionnaire (VA
Form 21–0960P–2), Review Post
Traumatic Stress Disorder (PTSD)
Disability Benefits Questionnaire (VA
Form 21–0960P–3))
OMB Control Number: 2900–0779.
Type of Review: Extension of an
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
21–0960B–2, Hematologic and
Lymphatic Conditions, Including
Leukemia Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
any hematologic or lymphatic
condition; VAF 21–0960C–2,
Amyotrophic Lateral Sclerosis (Lou
Gehrig’s Disease) Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
amyotrophic lateral sclerosis; VAF 21–
0960C–10, Peripheral Nerve Conditions
(Not Including Diabetic Sensory-Motor
Peripheral neuropathy) Disability
Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of a peripheral nerve disorder;
VAF 21–0960I–1, Persian Gulf and
Afghanistan Infectious Diseases
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of an infectious
disease due to service in the Persian
Gulf or Afghanistan; VAF 210960–I–6,
Tuberculosis Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
tuberculosis; VAF 21–0960J–1, Kidney
Conditions (Nephrology) Disability

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18540

Federal Register / Vol. 82, No. 74 / Wednesday, April 19, 2017 / Notices

Benefits Questionnaire, will gather
information related to the claimant’s
diagnosis of kidney disease; VAF 21–
0960J–2, Male Reproductive Organ
Conditions Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of a
condition affecting the male
reproductive organ; VAF 21–0960J–3,
Prostate Cancer Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of
prostate cancer; VAF 21–0960P–1,
Eating Disorders Disability Benefits
Questionnaire, will gather information
related to the claimant’s diagnosis of an
eating disorder; VAF 21–0960P–2,
Mental Disorders (other than PTSD and
Eating Disorders) Disability Benefits
Questionnaire will gather information
related to the claimant’s diagnosis of
any mental disorder with the exception
of PTSD; VAF 21–0960P–3, Review Post
Traumatic Stress Disorder (PTSD)
Disability Benefits Questionnaire, will
gather information related to the
claimant’s diagnosis of PTSD.
Affected Public: Individuals or
households.
Estimated Annual Burden: 127,917.
Estimated Average Burden per
Respondent: 25 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
307,000.
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. 2017–07863 Filed 4–18–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS

National Cemetery
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
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

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Willie Lewis, National Cemetery
Administration (NCA), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 461–
4242 or email [email protected].
SUPPLEMENTARY INFORMATION:
Title: Gravesite Reservation
Questionnaire (2-year).
OMB Control Number: 2900–0546.
Type of Review: Revision of a
currently approved collection.
Abstract: The information is needed
to determine if individuals holding
gravesite set-asides wish to retain their
set-aside or their wish to relinquish it.
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.
Affected Public: Individual or House
Holds.
Estimated Annual Burden: 4,166
hours.
Estimated Average Burden per
Respondent: 10 minutes each.
Frequency of Response: One-time.
Estimated Number of Respondents:
25,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise
Records Service, Office of Quality and
Compliance, Department of Veterans Affairs.

Agency Information Collection
Activity: Gravesite Reservation
Questionnaire

VerDate Sep<11>2014

FOR FURTHER INFORMATION CONTACT:

Authority: 44 U.S.C. 3501–3521.

[OMB Control No. 2900–0546]

SUMMARY:

expected cost and burden; it includes
the actual data collection instrument.
DATES: Comments must be submitted on
or before June 19, 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. 2900–0546 in any
correspondence.

[FR Doc. 2017–07859 Filed 4–18–17; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0253]

Agency Information Collection Activity
Under OMB Review: Non-Supervised
Lender’s Nomination and
Recommendation of Credit Underwriter
Veterans Benefits
Administration, Department of Veterans
Affairs.

AGENCY:

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ACTION:

Notice.

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 May 19, 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. 2900–0253’’ 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. 2900–0253.’’
SUPPLEMENTARY INFORMATION:
SUMMARY:

Authority: 44 U.S.C. 3501–3521.

Title: Nonsupervised Lender’s
Nomination and Recommendation of
Credit Underwriter.
OMB Control Number: 2900–0253.
Type of Review: Extension of a
currently approved collection.
Abstract: The standards established
by the Secretary require that a lender
have a qualified underwriter review all
loans to be closed on an automatic basis
to determine that the loan meets VA’s
credit underwriting standards. To
determine if the lender’s nominee is
qualified to make such a determination,
VA has developed VA Form 26–8736a
which contains information that VA
considers crucial to the evaluation of
the underwriter’s experience. This form
will be completed by the lender and the
lender’s nominee for underwriter and
then submitted to VA for approval.
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
Page 8564 on January 26, 2017.

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