Proposed Information Collection (Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) and Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault) Activity: Comment Request, 2755-2756 [2011-779]

Download as PDF Federal Register / Vol. 76, No. 10 / Friday, January 14, 2011 / Notices its expected cost and burden; it includes the actual data collection instrument. DEPARTMENT OF VETERANS AFFAIRS Comments must be submitted on or before February 14, 2011. [OMB Control No. 2900–0059] DATES: Submit written comments on the collection of information through http://www.Regulations.gov; or to VA’s OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503 (202) 395–7316. Please refer to ‘‘OMB Control No. 2900– 0159’’ in any correspondence. ADDRESSES: FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461– 7485, fax (202) 273–0443 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0159.’’ mstockstill on DSKH9S0YB1PROD with NOTICES SUPPLEMENTARY INFORMATION: Title: Matured Endowment Notification, VA Form 29–5767. OMB Control Number: 2900–0159. Type of Review: Extension of a currently approved collection. Abstract: VA Form 29–5767 is used to notify the insured that his or her endowment policy has matured. The form also request that the insured elect whether he or she prefer to receive the proceeds in monthly installment or in a combination of cash and monthly installment and to designate a beneficiary(ies) to receive the remaining proceeds. 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 November 4, 2010, at pages 68039– 68040. Estimated Annual Burden: 2,867 hours. Estimated Average Burden per Respondent: 20 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 8,600. Dated: January 11, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–777 Filed 1–13–11; 8:45 am] BILLING CODE 8320–01–P VerDate Mar<15>2010 17:03 Jan 13, 2011 Jkt 223001 Proposed Information Collection (Statement of Person Claiming To Have Stood in Relation of a Parent) Activity: Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 proposed extension of a currently approved collection and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to determine a claimant’s who stood in relation of parents to a deceased veteran eligibility for death benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before March 15, 2011. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at http://www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0059’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 461–9769 or FAX (202) 275–5947. 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 SUMMARY: PO 00000 Frm 00111 Fmt 4703 Sfmt 4703 2755 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: Statement of Person Claiming to Have Stood in Relation of a Parent, VA Form 21–524. OMB Control Number: 2900–0059. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–524 is used to gather information from claimants seeking service-connected death benefits as persons who stood in the relationship of the natural parent of a deceased veteran. The information is used to determine the claimant’s eligibility for such benefits. Affected Public: Individuals or households. Estimated Annual Burden: 800 hours. Estimated Average Burden per Respondent: 2 hours. Frequency of Response: One–time. Estimated Number of Respondents: 400. Dated: January 11, 2011. By direction of the Secretary: Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–778 Filed 1–13–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0659] Proposed Information Collection (Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) and Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault) Activity: Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 SUMMARY: E:\FR\FM\14JAN1.SGM 14JAN1 mstockstill on DSKH9S0YB1PROD with NOTICES 2756 Federal Register / Vol. 76, No. 10 / Friday, January 14, 2011 / Notices 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 extension of a currently approved collection and allow 60 days for public comment in response to the notice. This notice solicits comments for information needed to obtain evidence to substantiate claims for service connection post-traumatic stress disorder (PTSD). DATES: Written comments and recommendations on the proposed collection of information should be received on or before March 15, 2011. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at http://www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0659’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 461–9769 or FAX (202) 275–5947. 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. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD), VA Form 21– 0781. b. Statement in Support of Claim for Service Connection for Post-Traumatic VerDate Mar<15>2010 17:03 Jan 13, 2011 Jkt 223001 Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 21–0781a. OMB Control Number: 2900–0659. Type of Review: Extension of a currently approved collection. Abstract: Veterans seeking compensation for post-traumatic stress disorder and need VA’s assistance in obtaining evidence from military records and other sources to substantiate their claims of in-service stressors must complete VA Forms 21– 0781 and 21–0791a. Veterans who did not serve in combat or were not a prisoner of war and are claiming compensation for post-traumatic stress disorder due to in-service stressors, he or she must provide credible supporting evidence that the claimed in-service stressor occurred. Affected Public: Individuals or households. Estimated Annual Burden: a. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD), VA Form 21– 0781—16,800 hours. b. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 21–0781a— 980 hours. Estimated Average Burden per Respondent: a. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD), VA Form 21– 0781—70 minutes. b. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 21–0781a— 70 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD), VA Form 21– 0781—14,400. b. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 21–0781a— 840. Dated: January 11, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–779 Filed 1–13–11; 8:45 am] BILLING CODE 8320–01–P PO 00000 Frm 00112 Fmt 4703 Sfmt 4703 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0149] Agency Information Collection (Application for Conversion) (Government Life Insurance) Activity Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 February 14, 2011. ADDRESSES: Submit written comments on the collection of information through http://www.Regulations.gov; or to VA’s OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503 (202) 395–7316. Please refer to ‘‘OMB Control No. 2900– 0149’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461– 7485, fax (202) 273–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0149.’’ SUPPLEMENTARY INFORMATION: Title: Application for Conversion (Government Life Insurance), VA Form 29–0152. OMB Control Number: 2900–0149. Type of Review: Extension of a currently approved collection. Abstract: VA Form 29–0152 is completed by insured veterans to convert his/her term insurance to a permanent plan of insurance. 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 November 4, 2010, at page 68036. Affected Public: Individuals or households. SUMMARY: E:\FR\FM\14JAN1.SGM 14JAN1

Agencies

[Federal Register Volume 76, Number 10 (Friday, January 14, 2011)]
[Notices]
[Pages 2755-2756]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-779]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0659]


Proposed Information Collection (Statement in Support of Claim 
for Service Connection for Post-Traumatic Stress Disorder (PTSD) and 
Statement in Support of Claim for Service Connection for Post-Traumatic 
Stress Disorder (PTSD) Secondary to Personal Assault) Activity: Comment 
Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

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

[[Page 2756]]

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 extension of a 
currently approved collection and allow 60 days for public comment in 
response to the notice. This notice solicits comments for information 
needed to obtain evidence to substantiate claims for service connection 
post-traumatic stress disorder (PTSD).

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before March 15, 2011.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at http://www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits 
Administration (20M35), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420 or e-mail to nancy.kessinger@va.gov. 
Please refer to ``OMB Control No. 2900-0659'' in any correspondence. 
During the comment period, comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 461-9769 
or FAX (202) 275-5947.

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. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD), VA Form 21-0781.
    b. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 
21-0781a.
    OMB Control Number: 2900-0659.
    Type of Review: Extension of a currently approved collection.
    Abstract: Veterans seeking compensation for post-traumatic stress 
disorder and need VA's assistance in obtaining evidence from military 
records and other sources to substantiate their claims of in-service 
stressors must complete VA Forms 21-0781 and 21-0791a. Veterans who did 
not serve in combat or were not a prisoner of war and are claiming 
compensation for post-traumatic stress disorder due to in-service 
stressors, he or she must provide credible supporting evidence that the 
claimed in-service stressor occurred.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD), VA Form 21-0781--16,800 hours.
    b. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 
21-0781a--980 hours.
    Estimated Average Burden per Respondent:
    a. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD), VA Form 21-0781--70 minutes.
    b. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 
21-0781a--70 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD), VA Form 21-0781--14,400.
    b. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 
21-0781a--840.

    Dated: January 11, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-779 Filed 1-13-11; 8:45 am]
BILLING CODE 8320-01-P