Agency Information Collection (Report of Medical Examination for Disability Evaluation) Activity Under OMB Review, 44086-44087 [2011-18542]

Download as PDF 44086 Federal Register / Vol. 76, No. 141 / Friday, July 22, 2011 / Notices 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 May 11, 2011, at pages 27385–27386. Affected Public: Individuals or households. Estimated Annual Burden: 300 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 1,200. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18540 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0463] Agency Information Collection (Notice of Waiver of VA Compensation or Pension To Receive Military Pay and Allowances) 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 August 22, 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– 0463’’ 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) 461–0966 or e-mail mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 17:59 Jul 21, 2011 Jkt 223001 denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0463.’’ SUPPLEMENTARY INFORMATION: Title: Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances, VA Form 21–8951 and VA Form 21–8951–2. OMB Control Number: 2900–0463. Type of Review: Extension of a currently approved collection. Abstract: Claimants who wish to waive VA disability benefits in order to receive active or inactive duty training pay are required to complete VA Forms 21–8951 and 21–8951–2. Active and inactive duty training pay cannot be paid concurrently with VA disability compensation or pension benefits. Claimants who elect to keep training pay must waive VA benefits for the number of days equal to the number of days in which they received training pay. 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 May 11, 2011, at page 27381. Affected Public: Individuals or households. Estimated Annual Burden: 3,500 hours. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 21,000. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18541 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0052] Agency Information Collection (Report of Medical Examination for Disability Evaluation) 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 SUMMARY: PO 00000 Frm 00106 Fmt 4703 Sfmt 4703 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 August 22, 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– 0052’’ 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) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0052.’’ SUPPLEMENTARY INFORMATION: Title: Report of Medical Examination for Disability Evaluation, VA Form 21– 2545. OMB Control Number: 2900–0052. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–2545 is completed by claimants prior to undergoing a VA examination for disability benefits. The examining physician also completes the form to record the findings of such examination. An examination is required where the reasonable probability of a valid claim is indicated in any claims for disability compensation or pension, including claims for benefits based on the need of a veteran, surviving spouse, or parent for regular aid and attendance, and for benefits based on a child’s’ incapacity of self-support. VA uses the data to determine the level of disability. 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 May 11, 2011, at pages 27380–27381. Affected Public: Individuals or households. Estimated Annual Burden: 45,000 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 180,000. E:\FR\FM\22JYN1.SGM 22JYN1 Federal Register / Vol. 76, No. 141 / Friday, July 22, 2011 / Notices Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18542 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0075] Agency Information Collection (Statement in Support of Claim) 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 August 22, 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– 0075’’ 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) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0075.’’ SUPPLEMENTARY INFORMATION: Title: Statement in Support of Claim, VA Form 21–4138. OMB Control Number: 2900–0075. Type of Review: Extension of a currently approved collection. Abstract: Statements submitted by or on behalf of a claimant must contain a certification by the respondent that the information provided to VA is true and correct in support of various types of benefit claims processed by VA. VA Form 21–4138 is to used collect the statement in support of such claims. mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 17:59 Jul 21, 2011 Jkt 223001 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 May 11, 2011, at page 27383. Affected Public: Individuals or households. Estimated Annual Burden: 188,000 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 752,000. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18543 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0094] Agency Information Collection (Supplement to VA Forms 21–526, 21– 534, and 21–535 (For Philippine Claims)) 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 August 22, 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– 0094’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, SUMMARY: PO 00000 Frm 00107 Fmt 4703 Sfmt 4703 44087 NW., Washington, DC 20420, (202) 461– 7485, fax (202) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0094.’’ SUPPLEMENTARY INFORMATION: Title: Supplement to VA Forms 21– 526, 21–534, and 21–535 (For Philippine Claims), VA Form 21–4169. OMB Control Number: 2900–0094. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–4169 is used to collect certain applicants’ service information, place of residence, proof of service, and whether the applicant was a member of pro-Japanese, pro-German, or anti-American Filipino organizations. VA uses the information collected to determine the applicant’s eligibility for benefits based on Commonwealth Army of the Philippines or recognized guerrilla services. 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 May 11, 2011, at page 27379. Affected Public: Individuals or households. Estimated Annual Burden: 250 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 1,000. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18544 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0079] Agency Information Collection (Employment Questionnaire) 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 SUMMARY: E:\FR\FM\22JYN1.SGM 22JYN1

Agencies

[Federal Register Volume 76, Number 141 (Friday, July 22, 2011)]
[Notices]
[Pages 44086-44087]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-18542]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0052]


Agency Information Collection (Report of Medical Examination for 
Disability Evaluation) 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 August 22, 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. 2900-0052'' 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) 461-0966 or e-mail 
denise.mclamb@va.gov. Please refer to ``OMB Control No. 2900-0052.''

SUPPLEMENTARY INFORMATION:
    Title: Report of Medical Examination for Disability Evaluation, VA 
Form 21-2545.
    OMB Control Number: 2900-0052.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-2545 is completed by claimants prior to 
undergoing a VA examination for disability benefits. The examining 
physician also completes the form to record the findings of such 
examination. An examination is required where the reasonable 
probability of a valid claim is indicated in any claims for disability 
compensation or pension, including claims for benefits based on the 
need of a veteran, surviving spouse, or parent for regular aid and 
attendance, and for benefits based on a child's' incapacity of self-
support. VA uses the data to determine the level of disability.
    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 May 11, 2011, at pages 27380-27381.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 45,000 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 180,000.


[[Page 44087]]


    Dated: July 19, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-18542 Filed 7-21-11; 8:45 am]
BILLING CODE 8320-01-P
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