Proposed Information Collection (Disability Benefits Questionnaires-Group 3) Activity: Comment Request, 21429-21430 [2011-9156]
Download as PDF
<![CDATA[
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 https://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]
=======================================================================
-----------------------------------------------------------------------
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 https://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
