[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]
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