[Federal Register Volume 78, Number 111 (Monday, June 10, 2013)]
[Notices]
[Page 34708]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-13688]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900--NEW]
Proposed Information Collection (Ankle Conditions Disability
Benefits Questionnaire) Activity: Comment Request
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
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SUMMARY: The Veterans Benefits Administration (VBA), Department of
Veterans Affairs (VA) is announcing an opportunity for public comment
on the proposed collection of 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 new collection, and
allow 60 days for public comment in response to the notice. This notice
solicits comments on information needed to a claimant's diagnosis of an
ankle condition.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before August 9, 2013.
ADDRESSES: Submit written comments on the collection of information
through Federal Docket Management System (FDMS), www.Regulations.gov;
or to Nancy J. Kessinger, Veterans Benefits Administration (20M35),
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC
20420 or email: [email protected]. Please refer to ``OMB Control
No. 2900--NEW (Ankle Conditions Disability Benefits Questionnaire)'' 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 (Pub. L. 104-13; 44
U.S.C. 3501-3521), 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.
Title: Ankle Conditions Disability Benefits Questionnaire, VA Form
21-0960M-2.
OMB Control Number: 2900--NEW (Ankle Conditions Disability Benefits
Questionnaire).
Type of Review: New data collection.
Abstract: VA Form 21-0960M-2 will be used to gather necessary
information from a claimant's treating physician regarding the results
of medical examinations. VA will gather medical information related to
the claimant that is necessary to adjudicate the claim for VA
disability benefits. This form will gather information related to the
claimants' diagnosis of an ankle condition.
Affected Public: Individuals or households.
Estimated Annual Burden: 15,000 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 30,000.
Dated: June 5, 2013.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Enterprise Records Service, Office of Information
Security, Office of Information and Technology, U.S. Department of
Veterans Affairs.
[FR Doc. 2013-13688 Filed 6-7-13; 8:45 am]
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