Agency Information Collection (Elbow and Forearm Conditions Disability Benefits Questionnaire) Under OMB Review, 68907 [2013-27408]

Download as PDF Federal Register / Vol. 78, No. 221 / Friday, November 15, 2013 / Notices [OMB Control No. 2900–NEW] Frequency of Response: On occasion. Estimated Number of Respondents: 30,000. Agency Information Collection (Hand and Finger Conditions Disability Benefits Questionnaire) Under OMB Review Dated: November 12, 2013. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. DEPARTMENT OF VETERANS AFFAIRS 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 December 16, 2013. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–NEW (Hand and Finger Conditions Disability Benefits Questionnaire)’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– NEW (Hand and Finger Conditions Disability Benefits Questionnaire)’’. SUPPLEMENTARY INFORMATION: Title: Hand and Finger Conditions Disability Benefits Questionnaire, VA Form 21–0960M–7. OMB Control Number: 2900–NEW (Hand and Finger Conditions Disability Benefits Questionnaire). Type of Review: New data collection. Abstract: VA Form 21–0960M–7 will be used for disability compensation or pension claims which require an examination and/or receiving private medical evident that may potentially be sufficient for rating purposes. Affected Public: Individuals or Households. Estimated Annual Burden: 15,000. Estimated Average Burden per Respondent: 30 minutes. emcdonald on DSK67QTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 16:58 Nov 14, 2013 Jkt 232001 [FR Doc. 2013–27407 Filed 11–14–13; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–NEW] Agency Information Collection (Elbow and Forearm Conditions Disability Benefits Questionnaire) 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 December 16, 2013. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–NEW (Elbow and Forearm Conditions Disability Benefits Questionnaire)’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– NEW (Elbow and Forearm Conditions Disability Benefits Questionnaire)’’. SUPPLEMENTARY INFORMATION: Title: Elbow and Forearm Conditions Disability Benefits Questionnaire, VA Form 21–0960M–4. SUMMARY: PO 00000 Frm 00098 Fmt 4703 Sfmt 4703 68907 OMB Control Number: 2900–NEW (Elbow and Forearm Conditions Disability Benefits Questionnaire). Type of Review: New data collection. Abstract: The VA Form 21–0960M–4, Elbow and Forearm Conditions Disability Benefits Questionnaire, will be used for disability compensation or pension claims which require an examination and/or receiving private medical evidence that may potentially be sufficient for rating purposes. The form will be used to gather necessary information from a claimant’s treating physician regarding the results of medical examinations and related to the claimant’s diagnosis of an elbow or forearm condition. VA will gather medical information related to the claimant that is necessary to adjudicate the claim for VA disability benefits. Affected Public: Individuals or Households. Estimated Annual Burden: 10,000. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 20,000. Dated: November 12, 2013. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. [FR Doc. 2013–27408 Filed 11–14–13; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–NEW] Agency Information Collection (Foot (Including Flatfeet (pes planus)) Conditions Disability Benefits Questionnaire) 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 December 16, 2013. ADDRESSES: Submit written comments on the collection of information through SUMMARY: E:\FR\FM\15NON1.SGM 15NON1

Agencies

[Federal Register Volume 78, Number 221 (Friday, November 15, 2013)]
[Notices]
[Page 68907]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-27408]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Agency Information Collection (Elbow and Forearm Conditions 
Disability Benefits Questionnaire) 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 December 16, 2013.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov, or to Office of Information and Regulatory 
Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 
17th St. NW., Washington, DC 20503 or sent through electronic mail to 
oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
NEW (Elbow and Forearm Conditions Disability Benefits Questionnaire)'' 
in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492 or email 
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-NEW 
(Elbow and Forearm Conditions Disability Benefits Questionnaire)''.

SUPPLEMENTARY INFORMATION: 
    Title: Elbow and Forearm Conditions Disability Benefits 
Questionnaire, VA Form 21-0960M-4.
    OMB Control Number: 2900-NEW (Elbow and Forearm Conditions 
Disability Benefits Questionnaire).
    Type of Review: New data collection.
    Abstract: The VA Form 21-0960M-4, Elbow and Forearm Conditions 
Disability Benefits Questionnaire, will be used for disability 
compensation or pension claims which require an examination and/or 
receiving private medical evidence that may potentially be sufficient 
for rating purposes. The form will be used to gather necessary 
information from a claimant's treating physician regarding the results 
of medical examinations and related to the claimant's diagnosis of an 
elbow or forearm condition. VA will gather medical information related 
to the claimant that is necessary to adjudicate the claim for VA 
disability benefits.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 10,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 20,000.

    Dated: November 12, 2013.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2013-27408 Filed 11-14-13; 8:45 am]
BILLING CODE 8320-01-P