[Federal Register Volume 78, Number 211 (Thursday, October 31, 2013)]
[Notices]
[Page 65450]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-25940]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Agency Information Collection (Non-Degenerative Arthritis 
(Including Inflammatory, Autoimmune, Crystalline and Infectious 
Arthritis) and Dysbaric Osteonecrosis Disability Benefits 
Questionnaire) Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-3521), 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 December 2, 2013.

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 
[email protected]. Please refer to ``OMB Control No. 2900-
NEW (Non-Degenerative Arthritis (including inflammatory, autoimmune, 
crystalline and infectious arthritis) and Dysbaric Osteonecrosis 
Disability Benefits Questionnaire)'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492 or email 
[email protected]. Please refer to ``OMB Control No. 2900-NEW 
(Non-Degenerative Arthritis (including inflammatory, autoimmune, 
crystalline and infectious arthritis) and Dysbaric Osteonecrosis 
Disability Benefits Questionnaire).''

SUPPLEMENTARY INFORMATION:
    Title: Non-Degenerative Arthritis (including inflammatory, 
autoimmune, crystalline and infectious arthritis) and Dysbaric 
Osteonecrosis Disability Benefits Questionnaire, VA Form 21-0960M-3.
    OMB Control Number: 2900-NEW (Non-Degenerative Arthritis (including 
inflammatory, autoimmune, crystalline and infectious arthritis) and 
Dysbaric Osteonecrosis Disability Benefits Questionnaire).
    Type of Review: New data collection.
    Abstract: The VA Form 21-0960M-3, Non-Degenerative Arthritis 
(including inflammatory, autoimmune, crystalline and infectious 
arthritis) and Dysbaric Osteonecrosis Disability Benefits Questionnaire 
will be used for disability compensation or pension claims which 
require an examination and/or receiving private medical evidence that 
may potentially be sufficient for rating purposes. The form will be 
used to gather necessary information from a claimant's treating 
physician regarding the results of medical examinations and related to 
the claimant's diagnosis of a non-degenerative arthritis or 
osteonecrosis condition. VA will gather medical information related to 
the claimant that is necessary to adjudicate the claim for VA 
disability benefits.
    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 on June 17, 2013, at pages 36305-36306.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 25,000.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 100,000.

    Dated: October 28, 2013.
    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2013-25940 Filed 10-30-13; 8:45 am]
BILLING CODE 8320-01-P