Agency Information Collection (Request for Contact Information) Activity Under OMB Review, 38674-38675 [2014-15786]

Download as PDF 38674 Federal Register / Vol. 79, No. 130 / Tuesday, July 8, 2014 / Notices Comments must be submitted on or before August 7, 2014. 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. 2900–0776’’ in any correspondence. DATES: tkelley on DSK3SPTVN1PROD with NOTICES 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– 0776.’’ Titles: a. Arteries and Veins Conditions (Vascular Diseases including Varicose Veins) Disability Benefits Questionnaire, VA Form 21–0960A–2. b. Hypertension Disability Benefits Questionnaire, VA Form 21–0960A–3. c. Non-Ischemic Heart Disease (including Arrhythmias and Surgery, Disability Benefits Questionnaire, VA Form 21–0960A–4. d. Diabetic Peripheral Neuropathy (Diabetic Sensory-Motor Peripheral Neuropathy), Disability Benefits Questionnaire, VA Form 21–0960C–4. e. Diabetes Mellitus Disability Benefits Questionnaire, VA Form 21– 0960E–1. f. Scar/Disfigurement Disability Benefits Questionnaire, VA Form 21– 0960F–1. g. Skin Diseases Disability Benefits Questionnaire, VA Form 21–0960F–2. h. Amputations Disability Benefits Questionnaire, VA Form 21–0960M–1. i. Muscle Injuries Disability Benefits Questionnaire, VA Form 21–0960M–10. j. Temporomandibular Joint (TMJ) Conditions Disability Benefits Questionnaire, VA Form 21–0960M–15. k. Eye Conditions Disability Benefits Questionnaire, VA Form 21–0960N–2. OMB Control Number: 2900–0776. Type of Review: Revision of a Currently Approved Collection. Abstract: Data collected on VA Form 21–0960 series will be used 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 unless it displays a currently valid OMB control number. The Federal Register Notice with a 60-day comment period VerDate Mar<15>2010 16:48 Jul 07, 2014 Jkt 232001 soliciting comments on this collection of information was published on January 17, 2014, at pages 3275–3276. Affected Public: Individuals or households. Estimated Annual Burden: a. VA Form 21–0960A–2—10,000. b. VA Form 21–0960A–3—12,500. c. VA Form 21–0960A–4—10,000. d. VA Form 21–0960C–4—37,500. e. VA Form 21–0960E–1—18,750. f. VA Form 21–0960F–1– 6,250. g. VA Form 21–0960F–2—6,250. h. VA Form 21–0960M–1—12,500. i. VA Form 21–0960M–10—15,000. j. VA Form 21–0960M–15—3,750. k. VA Form 21–0960N–2—30,000. Estimated Average Burden Per Respondent: a. VA Form 21–0960A–2—30 minutes. b. VA Form 21–0960A–3—15 minutes. c. VA Form 21–0960A–4—30 minutes. d. VA Form 21–0960C–4—30 minutes. e. VA Form 21–0960E–1—15 minutes. f. VA Form 21–0960F–1—15 minutes. g. VA Form 21–0960F–2—15 minutes. h. VA Form 21–0960M–1—30 minutes. i. VA Form 21–0960M–10—30 minutes. j. VA Form 21–0960M–15—15 minutes. k. VA Form 21–0960N–2—45 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. VA Form 21–0960A–2—20,000. b. VA Form 21–0960A–3—50,000. c. VA Form 21–0960A–4—20,000. d. VA Form 21–0960C–4—75,000. e. VA Form 21–0960E–1—75,000. f. VA Form 21–0960F–1—25,000. g. VA Form 21–0960F–2—25,000. h. VA Form 21–0960M–1—25,000. i. VA Form 21–0960M–10—30,000. j. VA Form 21–0960M–15—15,000. k. VA Form 21–0960N–2—40,000. Dated: July 1, 2014. By direction of the Secretary. Crystal Rennie, Department Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–15791 Filed 7–7–14; 8:45 am] BILLING CODE 8320–01–P PO 00000 Frm 00193 Fmt 4703 Sfmt 4703 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0660] Agency Information Collection (Request for Contact Information) 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 7, 2014. 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. 2900–0660’’ in any correspondence. During the comment period, comments may be viewed online through the FDMS. 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– 0660’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Request for Contact Information, VA Form 21–30. OMB Control Number: 2900–0660. Type of Review: Revision of a currently approved collection. Abstract: VA Form 21–30 is used to locate individuals when contact information cannot be obtained by other means or when travel funds may be significantly impacted in cases where an individual resides in a remote location and is not home during the day or when visited. VA uses the data collected determine whether a fiduciary of a beneficiary is properly executing his or her duties. SUMMARY: E:\FR\FM\08JYN1.SGM 08JYN1 Federal Register / Vol. 79, No. 130 / Tuesday, July 8, 2014 / Notices tkelley on DSK3SPTVN1PROD with NOTICES 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 January 16, 2014, at page 2945. VerDate Mar<15>2010 16:48 Jul 07, 2014 Jkt 232001 Affected Public: Individuals or households. Estimated Annual Burden: 1,250 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 5,000. PO 00000 Frm 00194 Fmt 4703 Sfmt 9990 38675 Dated: July 1, 2014. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. [FR Doc. 2014–15786 Filed 7–7–14; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\08JYN1.SGM 08JYN1

Agencies

[Federal Register Volume 79, Number 130 (Tuesday, July 8, 2014)]
[Notices]
[Pages 38674-38675]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-15786]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0660]


Agency Information Collection (Request for Contact Information) 
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 7, 2014.

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-
0660'' in any correspondence. During the comment period, comments may 
be viewed online through the FDMS.

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. 2900-0660'' in 
any correspondence.

SUPPLEMENTARY INFORMATION: 
    Title: Request for Contact Information, VA Form 21-30.
    OMB Control Number: 2900-0660.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-30 is used to locate individuals when contact 
information cannot be obtained by other means or when travel funds may 
be significantly impacted in cases where an individual resides in a 
remote location and is not home during the day or when visited. VA uses 
the data collected determine whether a fiduciary of a beneficiary is 
properly executing his or her duties.

[[Page 38675]]

    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 January 16, 2014, at page 2945.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,250 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 5,000.

    Dated: July 1, 2014.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2014-15786 Filed 7-7-14; 8:45 am]
BILLING CODE 8320-01-P
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