[Federal Register Volume 81, Number 91 (Wednesday, May 11, 2016)]
[Notices]
[Page 29332]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11049]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0778]


Agency Information Collection (Disability Benefits 
Questionnaires--Group 3) 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. 3501-21), 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 June 10, 2016.

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-
0778'' 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) 632-7492 or email 
[email protected]. Please refer to ``OMB Control No. 2900-
0778'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Disability Benefits Questionnaires (Group 3).
    OMB Control Number: 2900-0778.
    Type of Review: Revision of a currently approved collection.
    Abstract: The VA Form 21-0960 series is 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.
    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 February 17, 2016, at pages 8129 and 8130.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 77,500.
    Estimated Average Burden per Respondent:
    i. VAF 21-0960C-5--30 minutes
    ii. VAF 21-0960C-8--15 minutes
    iii. VAF 21-0960C-9--45 minutes
    iv. VAF 21-0960G-1--15 minutes
    v. VAF 21-0960G-2--15 minutes
    vi. VAF 21-0960G-3--15 minutes
    vii. VAF 21-0960G-4--15 minutes
    viii. VAF 21-0960G-5--30 minutes
    ix. VAF 21-0960G-6--15 minutes
    x. VAF 21-0960G-7--15 minutes
    xi. VAF 21-0960G-8--15 minutes
    xii. VAF 21-0960H-2--15 minutes
    xiii. VAF 21-0960K-1--15 minutes
    xiv. VAF 21-0960K-2--30 minutes
    xv. VAF 21-0960L-2--15 minutes
    xvi. VAF 21-0960M-11--15 minutes
    xvii. VAF 21-0960N-1--15 minutes
    Frequency of Response: One time.
    Estimated Number of Respondents: 250,000.

    By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records 
Management, Department of Veterans Affairs.
[FR Doc. 2016-11049 Filed 5-10-16; 8:45 am]
 BILLING CODE 8320-01-P