Agency Information Collection (Disability Benefits Questionnaires-Group 4) Activity Under OMB Review, 61149-61150 [2011-25382]

Download as PDF 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 http:// 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 Jkt 223001 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 http://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 Sfmt 4703 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 VerDate Mar<15>2010 16:42 Sep 30, 2011 Jkt 223001 PO 00000 Frm 00079 Fmt 4703 Sfmt 9990 E:\FR\FM\03OCN1.SGM 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]


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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 http://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