Agency Information Collection (Disability Benefits Questionnaires-Group 4) Activity Under OMB Review, 61149-61150 [2011-25382]
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Federal Register / Vol. 76, No. 191 / Monday, October 3, 2011 / Notices
a. VA Forms 21–674 and 674c—
138,000 hours.
b. VA Form 21–674b—39,500 hours.
System (FDMS) at https://
www.Regulations.gov.
srobinson on DSK4SPTVN1PROD with NOTICES
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. Request for Approval of School
Attendance, VA Form 21–674 and 21–
674c.
b. School Attendance Report, VA
Form 21–674b.
OMB Control Number: 2900–0049.
Type of Review: Extension of a
currently approved collection.
Abstract: Recipients of disability
compensation, dependency and
indemnity compensation, disability
pension, and death pension are entitled
to benefits for eligible children between
the ages of 18 and 23 who are attending
school. VA Forms 21–674, 21–674c and
21–674b are used to confirm school
attendance of children for whom VA
compensation or pension benefits are
being paid and to report any changes in
entitlement factors, including marriages,
a change in course of instruction and
termination of school attendance.
Affected Public: Individuals or
households.
Estimated Annual Burden:
a. VA Forms 21–674 and 674c—
34,500 hours.
b. VA Form 21–674b—3,292 hours.
Estimated Average Burden Per
Respondent:
a. VA Forms 21–674 and 674c—15
minutes.
b. VA Form 21–674b—5 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
VerDate Mar<15>2010
16:42 Sep 30, 2011
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Dated: September 28, 2011.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011–25380 Filed 9–30–11; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–New (DBQs—Group
4)]
Agency Information Collection
(Disability Benefits Questionnaires—
Group 4) 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 November 2, 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 4)’’ 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) 461–0966 or e-mail
denise.mclamb@va.gov. Please refer to
‘‘OMB Control No. 2900–New (DBQs–
Group 4).’’
SUPPLEMENTARY INFORMATION:
Titles:
Cranial Nerve Conditions Disability
Benefits Questionnaire, VA Form
21–0960C3.
Narcolepsy Disability Benefits
Questionnaire, VA Form 21–
0960C6.
PO 00000
Frm 00078
Fmt 4703
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61149
Fibromyalgia Disability Benefits
Questionnaire, VA Form 21–
0960C7.
Seizure Disorders (Epilepsy) Disability
Benefits Questionnaire, VA Form
21–0960C11.
Dental and Oral Conditions, including
Mouth, Lips, and Tongue (Other
than Temporomandibular Joint
Conditions) Disability Benefits
Questionnaire, VA Form 21–
0960D1.
Endocrine Diseases (other than Thyroid,
Parathyroid or Diabetes Mellitus).
Disability Benefits Questionnaire,
VA Form 21–0960–E–2.
Thyroid & Parathyroid Conditions
Disability Benefits Questionnaire,
VA Form 21–0960–E–3.
Hernias (Including Abdominal,
Inguinal, and Femoral Hernias)
Disability Benefits Questionnaire,
VA Form 21–0960–H–1.
HIV-Related Illnesses Disability Benefits
Questionnaire, VA Form 21–0960–
I–2.
Infectious Diseases (Other Than HIVRelated Illness, Chronic Fatigue
Syndrome, or Tuberculosis)
Disability Benefits Questionnaire,
VA Form 21–0960–I–3.
Systemic Lupus Erythematosus (SLE)
and Other Autoimmune Diseases
Disability Benefits Questionnaire,
VA Form 21–0960–I–4.
Nutritional Deficiencies Disability
Benefits Questionnaire, VA Form
21–0960–I–5.
Urinary Tract (including Bladder &
Urethra) Conditions (excluding
Male Reproductive System)
Disability Benefits Questionnaire,
VA Form 21–0960–J–4.
Respiratory Conditions (other than
Tuberculosis and Sleep Apnea)
Disability Benefits Questionnaire,
VA Form 21–0960–L–1.
Loss of Sense of Smell and/or Taste
Disability Benefits Questionnaire,
VA Form 21–0960–N–3.
Sinusitis/Rhinitis and Other Conditions
of the Nose, Throat, Larynx, and
Pharynx Disability Benefits
Questionnaire, VA Form 21–0960–
N–4.
Chronic Fatigue Syndrome Disability
Benefits Questionnaire, VA Form
21–0960–Q–1.
OMB Control Number: 2900–New
(DBQs—Group 4).
Type of Review: New collection.
Abstract: Data collected on VA Form
21–0960 series will be used to 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
E:\FR\FM\03OCN1.SGM
03OCN1
srobinson on DSK4SPTVN1PROD with NOTICES
61150
Federal Register / Vol. 76, No. 191 / Monday, October 3, 2011 / Notices
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 July
27, 2011, at pages 45008–45008.
Affected Public: Individuals or
households.
Estimated Annual Burden:
a. VAF 21–0960–C–3—5,000.
b. VAF 21–0960–C–6—1,250.
c. VAF 21–0960–C–7—1,250.
VAF 21–0960–C–11—1,250.
VAF 21–0960–D–1—1,250.
VAF 21–0960–E–2—2,500.
d. VAF 21–0960–E–3—2,500.
VAF 21–0960–H–1—3,750.
e. VAF 21–0960–I–2—1,250.
f. VAF 21–0960–I–3—2,500.
VAF 21–0960–I–4—2,500.
g. VAF 21–0960–I–5—1,250.
VAF 21–0960–J–4—3,750.
VAF 21–0960–L–1—10,000.
VAF 21–0960–N–3—1,250.
VAF 21–0960–N–4—10,000.
VAF 21–0960–Q–1—2,500.
Estimated Average Burden per
Respondent:
a. VAF 21–0960–C–3—30 minutes.
b. VAF 21–0960–C–6—15 minutes.
c. VAF 21–0960–C–7—15 minutes.
VAF 21–0960–C–11—15 minutes.
VAF 21–0960–D–1—15 minutes.
VAF 21–0960–E–2—15 minutes.
d. VAF 21–0960–E–3—15 minutes.
VAF 21–0960–H–1—15 minutes.
e. VAF 21–0960–I–2—15 minutes.
f. VAF 21–0960–I–3—15 minutes.
VAF 21–0960–I–4—30 minutes.
g. VAF 21–0960–I–5—15 minutes.
VAF 21–0960–J–4—15 minutes.
VAF 21–0960–L–1—30 minutes.
VAF 21–0960–N–3—15 minutes.
VAF 21–0960–N–4—30 minutes.
VAF 21–0960–Q–1—15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
a. VAF 21–0960–C–3—10,000.
b. VAF 21–0960–C–6—5,000.
c. VAF 21–0960–C–7—5,000.
VAF 21–0960–C–11—5,000.
VAF 21–0960–D–1—5,000.
VAF 21–0960–E–2—10,000.
d. VAF 21–0960–E–3—10,000.
VAF 21–0960–H–1—15,000.
e. VAF 21–0960–I–2—5,000.
f. VAF 21–0960–I–3—10,000.
VAF 21–0960–I–4—5,000.
g. VAF 21–0960–I–5—5,000.
VAF 21–0960–J–4—15,000.
VAF 21–0960–L–1—20,000.
VAF 21–0960–N–3—5,000.
VAF 21–0960–N–4—20,000.
VAF 21–0960–Q–1—10,000.
DEPARTMENT OF VETERANS
AFFAIRS
DEPARTMENT OF VETERANS
AFFAIRS
Enhanced-Use Lease (EUL) of
Department of Veterans Affairs (VA)
Real Property at the VA Connecticut
Healthcare System, Newington
Campus
Enhanced-Use Lease (EUL) of
Department of Veterans Affairs (VA)
Real Property for the Development of
a Senior Living Retirement and
Affordable Housing Community in Fort
Howard, MD
Dated: September 28, 2011.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
AGENCY:
Department of Veterans Affairs.
Notice of Intent to Enter into an
Enhanced-Use Lease.
ACTION:
The Secretary of VA intends
to enter into an EUL on an 11.2-acre
parcel of land and improvements to
include renovating an existing building
at the VA Connecticut Healthcare
System, Newington campus. The
selected lessee will finance, design,
develop, renovate, manage, maintain
and operate the EUL development. As
consideration for the lease, the lessee
will be required to renovate, operate,
and maintain a permanent supportive
housing facility; provide preference and
priority placement for homeless
Veterans and Veterans at risk of
homelessness; and provide a supportive
services program that guides resident
Veterans toward attaining long-term
self-sufficiency.
AGENCY:
Department of Veterans Affairs.
Notice of Intent to Enter into an
Enhanced-Use Lease.
ACTION:
SUMMARY:
The Secretary of VA intends
to enter into an EUL for 94 acres of land
and thirty-seven (37) buildings at the
Fort Howard VA Campus in Fort
Howard, Maryland. The selected lessee
will finance, design, renovate, construct,
manage, maintain and operate the EUL
development. As consideration for the
lease, the lessee will be required to
provide a new community-based
outpatient clinic, profit sharing, and
discounted rent to Veterans residing in
the senior living retirement and
affordable housing community. Fifty
units will be set aside to provide
transitional housing and supportive
services for homeless and at-risk
Veterans.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Edward Bradley, Office of Asset
Enterprise Management (044C),
Department of Veterans Affairs, 810
Vermont Avenue, NW., Washington, DC
20420, (202) 461–7778 (this is not a tollfree number).
FOR FURTHER INFORMATION CONTACT:
Edward L. Bradley, III, Office of Asset
Enterprise Management (044),
Department of Veterans Affairs, 810
Vermont Avenue, NW., Washington, DC
20420. Telephone: (202) 461–7778 (this
is not a toll-free number).
SUPPLEMENTARY INFORMATION:
Title 38
U.S.C. 8161 et seq. states that the
Secretary may enter into an enhanceduse lease if he determines that
implementation of a business plan
proposed by the Under Secretary for
Health for applying the consideration
under such a lease for the provision of
medical care and services would result
in a demonstrable improvement of
services to eligible Veterans in the
geographic service-delivery area within
which the property is located. This
project meets this requirement.
SUPPLEMENTARY INFORMATION:
Approved: September 26, 2011.
Eric K. Shinseki,
Secretary of Veterans Affairs.
Approved: September 26, 2011.
Eric K. Shinseki,
Secretary of Veterans Affairs.
[FR Doc. 2011–25365 Filed 9–30–11; 8:45 am]
[FR Doc. 2011–25366 Filed 9–30–11; 8:45 am]
BILLING CODE 8320–01–P
BILLING CODE P
Title 38
U.S.C. 8161 et seq. states that the
Secretary may enter into an enhanceduse lease if he determines that
implementation of a business plan
proposed by the Under Secretary for
Health for applying the consideration
under such a lease for the provision of
medical care and services would result
in a demonstrable improvement of
services to eligible Veterans in the
geographic service-delivery area within
which the property is located. This
project meets this requirement.
[FR Doc. 2011–25382 Filed 9–30–11; 8:45 am]
BILLING CODE 8320–01–P
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16:42 Sep 30, 2011
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03OCN1
Agencies
[Federal Register Volume 76, Number 191 (Monday, October 3, 2011)]
[Notices]
[Pages 61149-61150]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-25382]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-New (DBQs--Group 4)]
Agency Information Collection (Disability Benefits
Questionnaires--Group 4) 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 November 2, 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 4)'' 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-New (DBQs-
Group 4).''
SUPPLEMENTARY INFORMATION:
Titles:
Cranial Nerve Conditions Disability Benefits Questionnaire, VA Form 21-
0960C3.
Narcolepsy Disability Benefits Questionnaire, VA Form 21-0960C6.
Fibromyalgia Disability Benefits Questionnaire, VA Form 21-0960C7.
Seizure Disorders (Epilepsy) Disability Benefits Questionnaire, VA Form
21-0960C11.
Dental and Oral Conditions, including Mouth, Lips, and Tongue (Other
than Temporomandibular Joint Conditions) Disability Benefits
Questionnaire, VA Form 21-0960D1.
Endocrine Diseases (other than Thyroid, Parathyroid or Diabetes
Mellitus). Disability Benefits Questionnaire, VA Form 21-0960-E-2.
Thyroid & Parathyroid Conditions Disability Benefits Questionnaire, VA
Form 21-0960-E-3.
Hernias (Including Abdominal, Inguinal, and Femoral Hernias) Disability
Benefits Questionnaire, VA Form 21-0960-H-1.
HIV-Related Illnesses Disability Benefits Questionnaire, VA Form 21-
0960-I-2.
Infectious Diseases (Other Than HIV-Related Illness, Chronic Fatigue
Syndrome, or Tuberculosis) Disability Benefits Questionnaire, VA Form
21-0960-I-3.
Systemic Lupus Erythematosus (SLE) and Other Autoimmune Diseases
Disability Benefits Questionnaire, VA Form 21-0960-I-4.
Nutritional Deficiencies Disability Benefits Questionnaire, VA Form 21-
0960-I-5.
Urinary Tract (including Bladder & Urethra) Conditions (excluding Male
Reproductive System) Disability Benefits Questionnaire, VA Form 21-
0960-J-4.
Respiratory Conditions (other than Tuberculosis and Sleep Apnea)
Disability Benefits Questionnaire, VA Form 21-0960-L-1.
Loss of Sense of Smell and/or Taste Disability Benefits Questionnaire,
VA Form 21-0960-N-3.
Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx,
and Pharynx Disability Benefits Questionnaire, VA Form 21-0960-N-4.
Chronic Fatigue Syndrome Disability Benefits Questionnaire, VA Form 21-
0960-Q-1.
OMB Control Number: 2900-New (DBQs--Group 4).
Type of Review: New collection.
Abstract: Data collected on VA Form 21-0960 series will be used to
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
[[Page 61150]]
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 July 27, 2011, at pages
45008-45008.
Affected Public: Individuals or households.
Estimated Annual Burden:
a. VAF 21-0960-C-3--5,000.
b. VAF 21-0960-C-6--1,250.
c. VAF 21-0960-C-7--1,250.
VAF 21-0960-C-11--1,250.
VAF 21-0960-D-1--1,250.
VAF 21-0960-E-2--2,500.
d. VAF 21-0960-E-3--2,500.
VAF 21-0960-H-1--3,750.
e. VAF 21-0960-I-2--1,250.
f. VAF 21-0960-I-3--2,500.
VAF 21-0960-I-4--2,500.
g. VAF 21-0960-I-5--1,250.
VAF 21-0960-J-4--3,750.
VAF 21-0960-L-1--10,000.
VAF 21-0960-N-3--1,250.
VAF 21-0960-N-4--10,000.
VAF 21-0960-Q-1--2,500.
Estimated Average Burden per Respondent:
a. VAF 21-0960-C-3--30 minutes.
b. VAF 21-0960-C-6--15 minutes.
c. VAF 21-0960-C-7--15 minutes.
VAF 21-0960-C-11--15 minutes.
VAF 21-0960-D-1--15 minutes.
VAF 21-0960-E-2--15 minutes.
d. VAF 21-0960-E-3--15 minutes.
VAF 21-0960-H-1--15 minutes.
e. VAF 21-0960-I-2--15 minutes.
f. VAF 21-0960-I-3--15 minutes.
VAF 21-0960-I-4--30 minutes.
g. VAF 21-0960-I-5--15 minutes.
VAF 21-0960-J-4--15 minutes.
VAF 21-0960-L-1--30 minutes.
VAF 21-0960-N-3--15 minutes.
VAF 21-0960-N-4--30 minutes.
VAF 21-0960-Q-1--15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
a. VAF 21-0960-C-3--10,000.
b. VAF 21-0960-C-6--5,000.
c. VAF 21-0960-C-7--5,000.
VAF 21-0960-C-11--5,000.
VAF 21-0960-D-1--5,000.
VAF 21-0960-E-2--10,000.
d. VAF 21-0960-E-3--10,000.
VAF 21-0960-H-1--15,000.
e. VAF 21-0960-I-2--5,000.
f. VAF 21-0960-I-3--10,000.
VAF 21-0960-I-4--5,000.
g. VAF 21-0960-I-5--5,000.
VAF 21-0960-J-4--15,000.
VAF 21-0960-L-1--20,000.
VAF 21-0960-N-3--5,000.
VAF 21-0960-N-4--20,000.
VAF 21-0960-Q-1--10,000.
Dated: September 28, 2011.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-25382 Filed 9-30-11; 8:45 am]
BILLING CODE 8320-01-P