[Federal Register Volume 79, Number 137 (Thursday, July 17, 2014)]
[Notices]
[Pages 41743-41744]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-16751]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-New (DBQs--Group 1)]
Proposed Information Collection (Disability Benefits
Questionnaires--Group 1) 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 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 revision, and allow
60 days for public comment in response to the notice. This notice
solicits comments for information needed to obtain medical evidence to
adjudicate a claim for disability benefits.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before September 15, 2014.
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-New (DBQs--Group 1)'' in any correspondence. During the
comment period, comments may be viewed online through 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.
Titles:
a. Hematologic and Lymphatic Conditions, Including Leukemia
Disability Benefits Questionnaire, VA Form 21-0960B-2.
b. Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease) Disability
Benefits Questionnaire, VA Form 21-0960C-2.
c. Peripheral Nerve Conditions (Not Including Diabetic Sensory-
Motor Peripheral Neuropathy) Disability Benefits Questionnaire, VA Form
21-0960C-10.
d. Persian Gulf and Afghanistan Infectious Diseases Disability
Benefits Questionnaire, VA Form 21-0960I-1.
e. Tuberculosis Disability Benefits Questionnaire, VA Form 21-
0960I-6.
f. Kidney Conditions (Nephrology) Disability Benefits
Questionnaire, VA Form 21-0960J-1.
g. Male Reproductive Organ Conditions Disability Benefits
Questionnaire, VA Form 21-0960J-2.
h. Prostate Cancer Disability Benefits Questionnaire, VA Form 21-
0960J-3.
l. Eating Disorders Disability Benefits Questionnaire, VA Form 21-
0960P-1.
m. Mental Disorders (other than PTSD and Eating Disorders)
Disability Benefits Questionnaire, VA Form 21-0960P-2.
n. Review Post Traumatic Stress Disorder (PTSD) Disability Benefits
Questionnaire, VA Form 21-0960P-3.
OMB Control Number: 2900-New (DBQs--Group 1).
Type of Review: Revised collection.
Abstract: Data collected on VA Form 21-0960 series will be used
obtain
[[Page 41744]]
information from claimants treating physician that is necessary to
adjudicate a claim for disability benefits.
Affected Public: Individuals or households.
Estimated Annual Burden: 127,917 hours.
Estimated Average Burden per Respondent:
a. VA Form 21-0960B-2--15 minutes.
b. VA Form 21-0960C-2--30 minutes.
c. VA Form 21-0960C-10--45 minutes.
d. VA Form 21-0960I-1--15 minutes.
e. VA Form 21-0960I-6--30 minutes.
f. VA Form 21-0960J-1--30 minutes.
g. VA Form 21-0960J-2--15 minutes.
h. VA Form 21-0960J-3--15 minutes.
l. VA Form 21-0960P-1--15 minutes.
m. VA Form 21-0960P-2--30 minutes.
n. VA Form 21-0960P-3--30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: TOTAL: 307,000
a. VA Form 21-0960B-2--10,000.
b. VA Form 21-0960C-2--2,000.
c. VA Form 21-0960C-10--55,000.
d. VA Form 21-0960I-1--50,000.
e. VA Form 21-0960I-6--5,000.
f. VA Form 21-0960J-1--25,000.
g. VA Form 21-0960J-2--25,000.
h. VA Form 21-0960J-3--25,000.
i. VA Form 21-0960M-13--50,000.
j. VA Form 21-0960M-14--50,000.
k. VA Form 21-0960O-1--25,000.
l. VA Form 21-0960P-1--5,000.
m. VA Form 21-0960P-2--50,000.
n. VA Form 21-0960P-3--55,000.
Dated: July 11, 2014.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-16751 Filed 7-16-14; 8:45 am]
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