Agency Information Collection (Disability Benefits Questionnaires-Group 2) Activity Under OMB Review, 33417-33418 [2011-14119]
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Federal Register / Vol. 76, No. 110 / Wednesday, June 8, 2011 / Notices
needed to monitor the progress of NPC
programs.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before August 8, 2011.
ADDRESSES: Submit written comments
on the collection of information through
the Federal Docket Management System
(FDMS) at https://www.Regulations.gov;
or to Cynthia Harvey Pryor, Veterans
Health Administration (193E1),
Department of Veterans Affairs, 810
Vermont Avenue, NW., Washington, DC
20420 or e-mail: cynthia.harveypryor@va.gov. Please refer to ‘‘2900–
New (VA Form 10–0510)’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor (202) 461–5870 or
Fax (202) 273–9387.
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, VHA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VHA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VHA’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: Nonprofit Research and
Education Corporations (NPCs) Data
Collection:
a. Nonprofit Research and Education
Corporations (NPCs) PC Annual Report
Template, VA Form 10–0510.
b. Nonprofit Research and Education
Corporations (NPCs) Audit Actions
Items Remediation Plans, VA Form 10–
0510a.
c. Nonprofit Program Office (NPPO)
Internal Control Questionnaire, VA
Form 10–0510b.
d. Nonprofit Program Office (NPPO)
Operations Oversight Questionnaire, VA
Form 10–0510c.
OMB Control Number: 2900–New.
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Type of Review: In use without an
OMB number.
Abstracts:
a. VA Form 10–0510 is used to
monitor the progress of NPC programs.
b. VA Form 10–0510a is used to
review the NPC’s resolutions for audit
deficiencies and recommendations.
c. VA Form 10–0510b is used to
conduct reviews, audits, and
investigations of the NPCs. The
questionnaire will also be used to
uncover weaknesses and lapses in
internal controls.
d. VA Form 10–0510c, or portions of
it, will be used to conduct operational
reviews of the NPCs. The major
objective of the questionnaire is to
uncover operating problems and areas
that need improvement.
Affected Public: Federal Government.
Estimated Annual Burden:
a. Nonprofit Research and Education
Corporations (NPCs) PC Annual Report
Template, VA Form 10–0510—301
hours.
b. Nonprofit Research and Education
Corporations (NPCs) Audit Actions
Items Remediation Plans, VA Form 10–
0510a—84 hours.
c. Nonprofit Program Office (NPPO)
Internal Control Questionnaire, VA
Form 10–0510b—387 hours.
d. Nonprofit Program Office (NPPO)
Operations Oversight Questionnaire, VA
Form 10–0510c—129 hours.
Estimated Average Burden per
Respondent:
a. Nonprofit Research and Education
Corporations (NPCs) PC Annual Report
Template, VA Form 10–0510—210
minutes.
b. Nonprofit Research and Education
Corporations (NPCs) Audit Actions
Items Remediation Plans, VA Form 10–
0510a—120 minutes.
c. Nonprofit Program Office (NPPO)
Internal Control Questionnaire, VA
Form 10–0510b—270 minutes.
d. Nonprofit Program Office (NPPO)
Operations Oversight Questionnaire, VA
Form 10–0510c—90 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
a. Nonprofit Research and Education
Corporations (NPCs) PC Annual Report
Template, VA Form 10–0510—86.
b. Nonprofit Research and Education
Corporations (NPCs) Audit Actions
Items Remediation Plans, VA Form 10–
0510a—42.
c. Nonprofit Program Office (NPPO)
Internal Control Questionnaire, VA
Form 10–0510b—86.
d. Nonprofit Program Office (NPPO)
Operations Oversight Questionnaire, VA
Form 10–0510c—86.
Dated: June 3, 2011.
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33417
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011–14118 Filed 6–7–11; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–New (DBQs—Group
2)]
Agency Information Collection
(Disability Benefits Questionnaires—
Group 2) 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 July 8, 2011.
ADDRESSES: Submit written comments
on the collection of information through
https://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–
New (DBQs—Group 2)’’ in any
correspondence.
SUMMARY:
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–New (DBQs—
Group 2).’’
Titles:
a. Arteries and Veins Conditions
(Vascular Diseases including Varicose
Veins) Disability Benefits
Questionnaire, VA Form 21–0960A–2.
b. Hypertension Disability Benefits
Questionnaire, VA Form 21–0960A–3.
c. Non-ischemic Heart Disease
(including Arrhythmias and Surgery,
Disability Benefits Questionnaire, VA
Form 21–0960A–4.
d. Diabetic Peripheral Neuropathy
(Diabetic Sensory-Motor Peripheral
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sroberts on DSK5SPTVN1PROD with NOTICES
Neuropathy), Disability Benefits
Questionnaire, VA Form 21–0960C–4.
e. Diabetes Mellitus Disability
Benefits Questionnaire, VA Form 21–
0960E–1.
f. Scar/Disfigurement Disability
Benefits Questionnaire, VA Form 21–
0960F–1
g. Skin Diseases Disability Benefits
Questionnaire, VA Form 21–0960F–2.
h. Amputations Disability Benefits
Questionnaire, VA Form 21–0960M–1.
i. Ankle Conditions Disability
Benefits Questionnaire, VA Form 21–
0960M–2.
j. Elbow and Forearm Conditions
Disability Benefits Questionnaire, VA
Form 21–0960M–4.
k. Flatfoot (PES PLANUS) Disability
Benefits Questionnaire, VA Form 21–
0960M–5.
l. Foot Miscellaneous (other than
flatfoot/PES PLANUS), Disability
Benefits Questionnaire, VA Form 21–
0960M–6.
m. Hand and Finger Conditions
Disability Benefits Questionnaire, VA
Form 21–0960M–7.
n. Hip and Thigh Conditions
Disability Benefits Questionnaire, VA
Form 21–0960M–8.
o. Knee and Lower Leg Conditions
Disability Benefits Questionnaire, VA
Form 21–0960M–9.
p. Muscle Injuries Disability Benefits
Questionnaire, VA Form 21–0960M–10.
q. Shoulder and Arm Conditions
Disability Benefits Questionnaire, VA
Form 21–0960M–12.
r. Temporomandibular Joint (TMJ)
Conditions Disability Benefits
Questionnaire, VA Form 21–0960M–15.
s. Wrist Conditions Disability Benefits
Questionnaire, VA Form 21–0960M–16.
t. Eye Conditions Disability Benefits
Questionnaire, VA Form 21–0960N–2.
OMB Control Number: 2900–New
(DBQs—Group 2).
Type of Review: New collection.
Abstract: Data collected on VA Form
21–0960 series will be used obtain
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information from claimants treating
physician that is necessary to adjudicate
a claim for 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 March
23, 2011, at pages 16478–16479.
Affected Public: Individuals or
households.
Estimated Annual Burden:
a. VA Form 21–0960A–2—10,000.
b. VA Form 21–0960A–3—12,500.
c. VA Form 21–0960A–4—10,000.
d. VA Form 21–0960C–4—37,500.
e. VA Form 21–0960E–1—18,750.
f. VA Form 21–0960F–1— 6,250.
g. VA Form 21–0960F–2—6,250.
h. VA Form 21–0960M–1—12,500.
i. VA Form 21–0960M–2—15,000.
j. VA Form 21–0960M–4—10,000.
k. VA Form 21–0960M–5—12,500.
l. VA Form 21–0960M–6—7,500.
m. VA Form 21–0960M–7—15,000.
n. VA Form 21–0960M–8—25,000.
o. VA Form 21–0960M–9—25,000.
p. VA Form 21–0960M–10—15,000.
q. VA Form 21–0960M–12—25,000.
r. VA Form 21–0960M–15—3,750.
s. VA Form 21–0960M–16—20,000.
t. VA Form 21–0960N–2—30,000.
Estimated Average Burden Per
Respondent:
a. VA Form 21–0960A–2—30
minutes.
b. VA Form 21–0960A–3—15
minutes.
c. VA Form 21–0960A–4—30
minutes.
d. VA Form 21–0960C–4—30
minutes.
e. VA Form 21–0960E–1—15 minutes.
f. VA Form 21–0960F–1—15 minutes.
g. VA Form 21–0960F–2—15 minutes.
h. VA Form 21–0960M–1—30
minutes.
i. VA Form 21–0960M–2—30
minutes.
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j. VA Form 21–0960M–4—30 minutes.
k. VA Form 21–0960M–5—15
minutes.
l. VA Form 21–0960M–6—15
minutes.
m. VA Form 21–0960M–7—30
minutes.
n. VA Form 21–0960M–8—30
minutes.
o. VA Form 21–0960M–9—30
minutes.
p. VA Form 21–0960M–10—30
minutes.
q. VA Form 21–0960M–12—30
minutes.
r. VA Form 21–0960M–15—15
minutes.
s. VA Form 21–0960M–16—30
minutes.
t. VA Form 21–0960N–2—45 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
a. VA Form 21–0960A–2—20,000.
b. VA Form 21–0960A–3—50,000.
c. VA Form 21–0960A–4—20,000.
d. VA Form 21–0960C–4—75,000.
e. VA Form 21–0960E–1—75,000.
f. VA Form 21–0960F–1—25,000.
g. VA Form 21–0960F–2—25,000.
h. VA Form 21–0960M–1—25,000.
i. VA Form 21–0960M–2—30,000.
j. VA Form 21–0960M–4—20,000.
k. VA Form 21–0960M–5—50,000.
l. VA Form 21–0960M–6—30,000.
m. VA Form 21–0960M–7—30,000.
n. VA Form 21–0960M–8—50,000.
o. VA Form 21–0960M–9—50,000.
p. VA Form 21–0960M–10—30,000.
q. VA Form 21–0960M–12—50,000.
r. VA Form 21–0960M–15—15,000.
s. VA Form 21–0960M–16—40,000.
t. VA Form 21–0960N–2—40,000.
Dated: June 3, 2011.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011–14119 Filed 6–7–11; 8:45 am]
BILLING CODE 8320–01–P
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]]>Agencies
[Federal Register Volume 76, Number 110 (Wednesday, June 8, 2011)]
[Notices]
[Pages 33417-33418]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-14119]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-New (DBQs--Group 2)]
Agency Information Collection (Disability Benefits
Questionnaires--Group 2) Activity Under OMB Review
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: 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 July 8, 2011.
ADDRESSES: Submit written comments on the collection of information
through https://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-New (DBQs--Group 2)'' 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) 273-0443 or e-mail
denise.mclamb@va.gov. Please refer to ``OMB Control No. 2900-New
(DBQs--Group 2).''
Titles:
a. Arteries and Veins Conditions (Vascular Diseases including
Varicose Veins) Disability Benefits Questionnaire, VA Form 21-0960A-2.
b. Hypertension Disability Benefits Questionnaire, VA Form 21-
0960A-3.
c. Non-ischemic Heart Disease (including Arrhythmias and Surgery,
Disability Benefits Questionnaire, VA Form 21-0960A-4.
d. Diabetic Peripheral Neuropathy (Diabetic Sensory-Motor
Peripheral
[[Page 33418]]
Neuropathy), Disability Benefits Questionnaire, VA Form 21-0960C-4.
e. Diabetes Mellitus Disability Benefits Questionnaire, VA Form 21-
0960E-1.
f. Scar/Disfigurement Disability Benefits Questionnaire, VA Form
21-0960F-1
g. Skin Diseases Disability Benefits Questionnaire, VA Form 21-
0960F-2.
h. Amputations Disability Benefits Questionnaire, VA Form 21-0960M-
1.
i. Ankle Conditions Disability Benefits Questionnaire, VA Form 21-
0960M-2.
j. Elbow and Forearm Conditions Disability Benefits Questionnaire,
VA Form 21-0960M-4.
k. Flatfoot (PES PLANUS) Disability Benefits Questionnaire, VA Form
21-0960M-5.
l. Foot Miscellaneous (other than flatfoot/PES PLANUS), Disability
Benefits Questionnaire, VA Form 21-0960M-6.
m. Hand and Finger Conditions Disability Benefits Questionnaire, VA
Form 21-0960M-7.
n. Hip and Thigh Conditions Disability Benefits Questionnaire, VA
Form 21-0960M-8.
o. Knee and Lower Leg Conditions Disability Benefits Questionnaire,
VA Form 21-0960M-9.
p. Muscle Injuries Disability Benefits Questionnaire, VA Form 21-
0960M-10.
q. Shoulder and Arm Conditions Disability Benefits Questionnaire,
VA Form 21-0960M-12.
r. Temporomandibular Joint (TMJ) Conditions Disability Benefits
Questionnaire, VA Form 21-0960M-15.
s. Wrist Conditions Disability Benefits Questionnaire, VA Form 21-
0960M-16.
t. Eye Conditions Disability Benefits Questionnaire, VA Form 21-
0960N-2.
OMB Control Number: 2900-New (DBQs--Group 2).
Type of Review: New collection.
Abstract: Data collected on VA Form 21-0960 series will be used
obtain information from claimants treating physician that is necessary
to adjudicate a claim for 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 March 23, 2011, at pages 16478-16479.
Affected Public: Individuals or households.
Estimated Annual Burden:
a. VA Form 21-0960A-2--10,000.
b. VA Form 21-0960A-3--12,500.
c. VA Form 21-0960A-4--10,000.
d. VA Form 21-0960C-4--37,500.
e. VA Form 21-0960E-1--18,750.
f. VA Form 21-0960F-1-- 6,250.
g. VA Form 21-0960F-2--6,250.
h. VA Form 21-0960M-1--12,500.
i. VA Form 21-0960M-2--15,000.
j. VA Form 21-0960M-4--10,000.
k. VA Form 21-0960M-5--12,500.
l. VA Form 21-0960M-6--7,500.
m. VA Form 21-0960M-7--15,000.
n. VA Form 21-0960M-8--25,000.
o. VA Form 21-0960M-9--25,000.
p. VA Form 21-0960M-10--15,000.
q. VA Form 21-0960M-12--25,000.
r. VA Form 21-0960M-15--3,750.
s. VA Form 21-0960M-16--20,000.
t. VA Form 21-0960N-2--30,000.
Estimated Average Burden Per Respondent:
a. VA Form 21-0960A-2--30 minutes.
b. VA Form 21-0960A-3--15 minutes.
c. VA Form 21-0960A-4--30 minutes.
d. VA Form 21-0960C-4--30 minutes.
e. VA Form 21-0960E-1--15 minutes.
f. VA Form 21-0960F-1--15 minutes.
g. VA Form 21-0960F-2--15 minutes.
h. VA Form 21-0960M-1--30 minutes.
i. VA Form 21-0960M-2--30 minutes.
j. VA Form 21-0960M-4--30 minutes.
k. VA Form 21-0960M-5--15 minutes.
l. VA Form 21-0960M-6--15 minutes.
m. VA Form 21-0960M-7--30 minutes.
n. VA Form 21-0960M-8--30 minutes.
o. VA Form 21-0960M-9--30 minutes.
p. VA Form 21-0960M-10--30 minutes.
q. VA Form 21-0960M-12--30 minutes.
r. VA Form 21-0960M-15--15 minutes.
s. VA Form 21-0960M-16--30 minutes.
t. VA Form 21-0960N-2--45 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
a. VA Form 21-0960A-2--20,000.
b. VA Form 21-0960A-3--50,000.
c. VA Form 21-0960A-4--20,000.
d. VA Form 21-0960C-4--75,000.
e. VA Form 21-0960E-1--75,000.
f. VA Form 21-0960F-1--25,000.
g. VA Form 21-0960F-2--25,000.
h. VA Form 21-0960M-1--25,000.
i. VA Form 21-0960M-2--30,000.
j. VA Form 21-0960M-4--20,000.
k. VA Form 21-0960M-5--50,000.
l. VA Form 21-0960M-6--30,000.
m. VA Form 21-0960M-7--30,000.
n. VA Form 21-0960M-8--50,000.
o. VA Form 21-0960M-9--50,000.
p. VA Form 21-0960M-10--30,000.
q. VA Form 21-0960M-12--50,000.
r. VA Form 21-0960M-15--15,000.
s. VA Form 21-0960M-16--40,000.
t. VA Form 21-0960N-2--40,000.
Dated: June 3, 2011.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-14119 Filed 6-7-11; 8:45 am]
BILLING CODE 8320-01-P
