Proposed Information Collection (Disability Benefits Questionnaires-Group 3) Activity: Comment Request, 21429-21430 [2011-9156]

Download as PDF Federal Register / Vol. 76, No. 73 / Friday, April 15, 2011 / Notices of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information. Approved: April 5, 2011. Yvette B. Lawrence, IRS Reports Clearance Officer. [FR Doc. 2011–8763 Filed 4–14–11; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Regulation Project Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. AGENCY: The Department of the Treasury, as part of its effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104–13 (44 U.S.C. 3506(c)(2)(A)). The IRS is soliciting comments concerning information collection requirements related to changes with respect to prizes and awards and employee achievement awards. SUMMARY: Written comments should be received on or before June 14, 2011 to be assured of consideration. ADDRESSES: Direct all written comments to Yvette B. Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of regulation should be directed to Joel Goldberger, (202) 927–9368, Internal Revenue Service, Room 6129, 1111 Constitution Avenue, NW., Washington, DC 20224, or through the Internet at Joel.P.Goldberger@irs.gov. SUPPLEMENTARY INFORMATION: Title: Changes With Respect to Prizes and Awards and Employee Achievement Awards. OMB Number: 1545–1100. srobinson on DSKHWCL6B1PROD with NOTICES DATES: VerDate Mar<15>2010 16:58 Apr 14, 2011 Jkt 223001 Regulation Project Number: REG– 209106–89. Abstract: This regulation requires recipients of prizes and awards to maintain records to determine whether a qualifying designation has been made in accordance with section 74(b)(3) of the Internal Revenue Code. The affected public is prize and award recipients who seek to exclude the cost of a qualifying prize or award. Current Actions: There is no change to this existing regulation. Type of Review: Extension of a currently approved collection. Affected Public: Individuals or households. Estimated Number of Respondents: 5,100. Estimated Time per Respondent: 15 minutes. Estimated Total Annual Burden Hours: 1,275. The following paragraph applies to all of the collections of information covered by this notice: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection of information displays a valid OMB control number. Books or records relating to a collection of information must be retained as long as their contents may become material in the administration of any internal revenue law. Generally, tax returns and tax return information are confidential, as required by 26 U.S.C. 6103. Request for Comments: Comments submitted in response to this notice will be summarized and/or included in the request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information. Approved: April 5, 2011. Yvette B. Lawrence, IRS Reports Clearance Officer. [FR Doc. 2011–9018 Filed 4–14–11; 8:45 am] BILLING CODE 4830–01–P PO 00000 Frm 00112 Fmt 4703 Sfmt 4703 21429 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–New (DBQs—Group 3)] Proposed Information Collection (Disability Benefits Questionnaires— Group 3) 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 new collection 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 June 14, 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 (20M33), 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–New (DBQs— Group 3)’’ 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; SUMMARY: E:\FR\FM\15APN1.SGM 15APN1 21430 Federal Register / Vol. 76, No. 73 / Friday, April 15, 2011 / Notices (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 srobinson on DSKHWCL6B1PROD with NOTICES a. Central Nervous System and Neuromusculo Diseases, Disability Benefits Questionnaire, VA Form 21– 0960C–5. b. Headaches (Including Migraine Headaches), Disability Benefits Questionnaire, VA Form 21–0960C–8. c. Multiple Sclerosis (MS), Disability Benefits Questionnaire, VA Form 21– 0960C–9. d. Esophageal Disorders (Including GERD), Disability Benefits Questionnaire, VA Form 21–0960G–1. e. Gallbladder and Pancreas Conditions, Disability Benefits Questionnaire, VA Form 21–0960G–2. f. Intestinal Disorders (Other Than Surgical or Infectious) (Including Irritable Bowel Syndrome, Crohn’s Disease, Ulcerative Colitis, and Diverticulitis) Disability Benefits Questionnaire, VA Form 21–0960G–3. g. Intestines Surgical and/or Infectious Intestinal Disorders (Bowel Resection, Colostomy, Ileostomy, Bacterial and Parasitic Infections) Disability Benefits Questionnaire, VA Form 21–0960G–4. h. Hepatitis, Cirrhosis and Other Liver Conditions, Disability Benefits Questionnaire, VA Form 21–0960G–5. i. Peritoneal Adhesions Disability Benefits Questionnaire, VA Form 21– 0960G–6. j. Stomach and Duodenal Conditions (Not Including GERD or Esophageal Disorders) Disability Benefits Questionnaire, VA Form 21–0960G–7. VerDate Mar<15>2010 16:58 Apr 14, 2011 Jkt 223001 k. Rectum and Anus Disability Benefits Questionnaire, VA Form 21– 0960H–2. l. Breast Conditions and Disorders Disability Benefits Questionnaire, VA Form 21–0960K–1. m. Gynecological Conditions Disability Benefits Questionnaire, VA Form 21–0960K–2. n. Sleep Apnea Disability Benefits Questionnaire, VA Form 21–0960L–2. o. Arthritis Disability Benefits Questionnaire, VA Form 21–0960M–3. p. Osteomyelitis Disability Benefits Questionnaire, VA Form 21–0960M–11. q. Ear Conditions (Including Vestibular and Infectious) Disability Benefits Questionnaire, VA Form 21– 0960N–1. OMB Control Number: 2900–New (DBQs—Group 3). Type of Review: New collection. Abstract: Data collected on VA Form 21–0960 series will be used to obtain information from claimant’s treating physician that is necessary to adjudicate a claim for disability benefits. Affected Public: Individuals or households. Estimated Annual Burden a. VA Form 21–0960C–5—5,000. b. VA Form 21–0960C–8—3,750. c. VA Form 21–0960C–9—7,500. d. VA Form 21–0960G–1—10,000. e. VA Form 21–0960G–2—1,250. f. VA Form 21–0960G–3—1,250. g. VA Form 21–0960G–4—1,250. h. VA Form 21–0960G–5—5,000. i. VA Form 21–0960G–6—1,250. j. VA Form 21–0960G–7—2,500. k. VA Form 21–0960H–2—2,500. l. VA Form 21–0960K–1—7,500. m. VA Form 21–0960K–2—10,000. n. VA Form 21–0960L–2—1,250. o. VA Form 21–0960M–3—25,000. p. VA Form 21–0960M–11—10,000. q. VA Form 21–0960N–1—6,250. Estimated Average Burden per Respondent PO 00000 a. VA Form 21–0960C–5—30 minutes. Frm 00113 Fmt 4703 Sfmt 9990 b. VA Form 21–0960C–8—15 minutes. c. VA Form 21–0960C–9—45 minutes. d. VA Form 21–0960G–1—15 minutes. e. VA Form 21–0960G–2—15 minutes. f. VA Form 21–0960G–3—15 minutes. g. VA Form 21–0960G–4—15 minutes. h. VA Form 21–0960G–5—30 minutes. i. VA Form 21–0960G–6—15 minutes. j. VA Form 21–0960G–7—15 minutes. k. VA Form 21–0960H–2—15 minutes. l. VA Form 21–0960K–1—15 minutes. m. VA Form 21–0960K–2—30 minutes. n. VA Form 21–0960L–2—15 minutes. o. VA Form 21–0960M–3—15 minutes. p. VA Form 21–0960M–11—15 minutes. q. VA Form 21–0960N–1—15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents a. VA Form 21–0960C–5—10,000. b. VA Form 21–0960C–8—15,000. c. VA Form 21–0960C–9—10,000. d. VA Form 21–0960G–1—40,000. e. VA Form 21–0960G–2—5,000. f. VA Form 21–0960G–3—5,000. g. VA Form 21–0960G–4—5,000. h. VA Form 21–0960G–5—10,000. i. VA Form 21–0960G–6—5,000. j. VA Form 21–0960G–7—10,000. k. VA Form 21–0960H–2—10,000. l. VA Form 21–0960K–1—30,000. m. VA Form 21–0960K–2—20,000. n. VA Form 21–0960L2—5,000. o. VA Form 21–0960M–3—100,000. p. VA Form 21–0960N–11—40,000. q. VA Form 21–0960N–1—25,000. Dated: April 8, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–9156 Filed 4–14–11; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\15APN1.SGM 15APN1

Agencies

[Federal Register Volume 76, Number 73 (Friday, April 15, 2011)]
[Notices]
[Pages 21429-21430]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-9156]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (DBQs--Group 3)]


Proposed Information Collection (Disability Benefits 
Questionnaires--Group 3) 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 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 new 
collection 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 June 14, 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 (20M33), 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-New (DBQs--Group 3)'' 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;

[[Page 21430]]

(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. Central Nervous System and Neuromusculo Diseases, Disability 
Benefits Questionnaire, VA Form 21-0960C-5.
    b. Headaches (Including Migraine Headaches), Disability Benefits 
Questionnaire, VA Form 21-0960C-8.
    c. Multiple Sclerosis (MS), Disability Benefits Questionnaire, VA 
Form 21-0960C-9.
    d. Esophageal Disorders (Including GERD), Disability Benefits 
Questionnaire, VA Form 21-0960G-1.
    e. Gallbladder and Pancreas Conditions, Disability Benefits 
Questionnaire, VA Form 21-0960G-2.
    f. Intestinal Disorders (Other Than Surgical or Infectious) 
(Including Irritable Bowel Syndrome, Crohn's Disease, Ulcerative 
Colitis, and Diverticulitis) Disability Benefits Questionnaire, VA Form 
21-0960G-3.
    g. Intestines Surgical and/or Infectious Intestinal Disorders 
(Bowel Resection, Colostomy, Ileostomy, Bacterial and Parasitic 
Infections) Disability Benefits Questionnaire, VA Form 21-0960G-4.
    h. Hepatitis, Cirrhosis and Other Liver Conditions, Disability 
Benefits Questionnaire, VA Form 21-0960G-5.
    i. Peritoneal Adhesions Disability Benefits Questionnaire, VA Form 
21-0960G-6.
    j. Stomach and Duodenal Conditions (Not Including GERD or 
Esophageal Disorders) Disability Benefits Questionnaire, VA Form 21-
0960G-7.
    k. Rectum and Anus Disability Benefits Questionnaire, VA Form 21-
0960H-2.
    l. Breast Conditions and Disorders Disability Benefits 
Questionnaire, VA Form 21-0960K-1.
    m. Gynecological Conditions Disability Benefits Questionnaire, VA 
Form 21-0960K-2.
    n. Sleep Apnea Disability Benefits Questionnaire, VA Form 21-0960L-
2.
    o. Arthritis Disability Benefits Questionnaire, VA Form 21-0960M-3.
    p. Osteomyelitis Disability Benefits Questionnaire, VA Form 21-
0960M-11.
    q. Ear Conditions (Including Vestibular and Infectious) Disability 
Benefits Questionnaire, VA Form 21-0960N-1.
    OMB Control Number: 2900-New (DBQs--Group 3).
    Type of Review: New collection.
    Abstract: Data collected on VA Form 21-0960 series will be used to 
obtain information from claimant's treating physician that is necessary 
to adjudicate a claim for disability benefits.
    Affected Public: Individuals or households.

Estimated Annual Burden

    a. VA Form 21-0960C-5--5,000.
    b. VA Form 21-0960C-8--3,750.
    c. VA Form 21-0960C-9--7,500.
    d. VA Form 21-0960G-1--10,000.
    e. VA Form 21-0960G-2--1,250.
    f. VA Form 21-0960G-3--1,250.
    g. VA Form 21-0960G-4--1,250.
    h. VA Form 21-0960G-5--5,000.
    i. VA Form 21-0960G-6--1,250.
    j. VA Form 21-0960G-7--2,500.
    k. VA Form 21-0960H-2--2,500.
    l. VA Form 21-0960K-1--7,500.
    m. VA Form 21-0960K-2--10,000.
    n. VA Form 21-0960L-2--1,250.
    o. VA Form 21-0960M-3--25,000.
    p. VA Form 21-0960M-11--10,000.
    q. VA Form 21-0960N-1--6,250.

Estimated Average Burden per Respondent

    a. VA Form 21-0960C-5--30 minutes.
    b. VA Form 21-0960C-8--15 minutes.
    c. VA Form 21-0960C-9--45 minutes.
    d. VA Form 21-0960G-1--15 minutes.
    e. VA Form 21-0960G-2--15 minutes.
    f. VA Form 21-0960G-3--15 minutes.
    g. VA Form 21-0960G-4--15 minutes.
    h. VA Form 21-0960G-5--30 minutes.
    i. VA Form 21-0960G-6--15 minutes.
    j. VA Form 21-0960G-7--15 minutes.
    k. VA Form 21-0960H-2--15 minutes.
    l. VA Form 21-0960K-1--15 minutes.
    m. VA Form 21-0960K-2--30 minutes.
    n. VA Form 21-0960L-2--15 minutes.
    o. VA Form 21-0960M-3--15 minutes.
    p. VA Form 21-0960M-11--15 minutes.
    q. VA Form 21-0960N-1--15 minutes.
    Frequency of Response: On occasion.

Estimated Number of Respondents

    a. VA Form 21-0960C-5--10,000.
    b. VA Form 21-0960C-8--15,000.
    c. VA Form 21-0960C-9--10,000.
    d. VA Form 21-0960G-1--40,000.
    e. VA Form 21-0960G-2--5,000.
    f. VA Form 21-0960G-3--5,000.
    g. VA Form 21-0960G-4--5,000.
    h. VA Form 21-0960G-5--10,000.
    i. VA Form 21-0960G-6--5,000.
    j. VA Form 21-0960G-7--10,000.
    k. VA Form 21-0960H-2--10,000.
    l. VA Form 21-0960K-1--30,000.
    m. VA Form 21-0960K-2--20,000.
    n. VA Form 21-0960L2--5,000.
    o. VA Form 21-0960M-3--100,000.
    p. VA Form 21-0960N-11--40,000.
    q. VA Form 21-0960N-1--25,000.

    Dated: April 8, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-9156 Filed 4-14-11; 8:45 am]
BILLING CODE 8320-01-P