Proposed Information Collection (Ankle Conditions Disability Benefits Questionnaire) Activity: Comment Request, 34708 [2013-13688]

Agencies

• DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 78, Number 111 (Monday, June 10, 2013)]
[Notices]
[Page 34708]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-13688]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900--NEW]


Proposed Information Collection (Ankle Conditions Disability 
Benefits Questionnaire) Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs (VA) is announcing an opportunity for public comment 
on the proposed collection of 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 on information needed to a claimant's diagnosis of an 
ankle condition.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 9, 2013.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS), www.Regulations.gov; 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email: nancy.kessinger@va.gov. Please refer to ``OMB Control 
No. 2900--NEW (Ankle Conditions Disability Benefits Questionnaire)'' in 
any correspondence. During the comment period, comments may be viewed 
online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or Fax (202) 632-8925.

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.
    Title: Ankle Conditions Disability Benefits Questionnaire, VA Form 
21-0960M-2.
    OMB Control Number: 2900--NEW (Ankle Conditions Disability Benefits 
Questionnaire).
    Type of Review: New data collection.
    Abstract: VA Form 21-0960M-2 will be used to gather necessary 
information from a claimant's treating physician regarding the results 
of medical examinations. VA will gather medical information related to 
the claimant that is necessary to adjudicate the claim for VA 
disability benefits. This form will gather information related to the 
claimants' diagnosis of an ankle condition.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 15,000 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 30,000.

    Dated: June 5, 2013.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Enterprise Records Service, Office of Information 
Security, Office of Information and Technology, U.S. Department of 
Veterans Affairs.
[FR Doc. 2013-13688 Filed 6-7-13; 8:45 am]
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