Proposed Information Collection (Disability Benefits Questionnaires-Group 4) Activity: Comment Request, 51399-51400 [2014-20472]

Download as PDF Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Notices DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0108] Proposed Information Collection (Report of Income From Property or Business) Activity; Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Veterans Benefits Administration (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain 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 revision of a currently approved collection and allow 60 days for public comment in response to this notice. This notice solicits comments on information needed to determine a claimant’s continued entitlement to income-based benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before October 27, 2014. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at 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. 2900–0108’’ in any correspondence. During the comment period, comments may be viewed online through 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 pmangrum on DSK3VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 14:14 Aug 27, 2014 Jkt 232001 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: Report of Income from Property or Business, VA Form 21–4185. OMB Control Number: 2900–0108. Type of Review: Revision of a currently approved collection. Abstract: Claimants complete VA Form 21–4185 to report income and expenses that derived from rental property and/or operation of a business. VA uses the information to determine whether the claimant is eligible for VA benefits and, if eligibility exists, the proper rate of payment. Affected Public: Individuals or households. Estimated Annual Burden: 3,500 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 7,000. Dated: August 25, 2014. By direction of the Secretary: Crystal Rennie, Department Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–20476 Filed 8–27–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0781)] Proposed Information Collection (Disability Benefits Questionnaires– Group 4) Activity: Comment Request Veterans Benefits Administration, Department of Veterans Affairs ACTION: Notice. AGENCY: The Veterans Benefits Administration (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain 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 revision, and allow 60 days for public comment in response to the notice. This notice solicits comments for information SUMMARY: PO 00000 Frm 00105 Fmt 4703 Sfmt 4703 51399 needed to obtain medical evidence to adjudicate a claim for disability benefits. DATES: Written comments and recommendations on the proposed collection of information should be received on or before October 27, 2014. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0781’’ in any correspondence. During the comment period, comments may be viewed online through 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. Titles: a. Cranial Nerve Conditions Disability Benefits Questionnaire, VA Form 21– 0960–C–3. b. Narcolepsy Disability Benefits Questionnaire, VA Form 21–0960–C–6. c. Peripheral Nerve Conditions (Not Including Diabetic Sensory-Motor Peripheral Neuropathy) Disability Benefits Questionnaire, VA Form 21– 0960C–10. d. Fibromyalgia Disability Benefits Questionnaire, VA Form 21–0960–C–7. e. Seizure Disorders (Epilepsy) Disability Benefits Questionnaire, VA Form 21–0960–C–11. f. Oral and Dental Conditions Including Mouth, Lips and Tongue E:\FR\FM\28AUN1.SGM 28AUN1 pmangrum on DSK3VPTVN1PROD with NOTICES 51400 Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Notices (Other than Temporomandibular Joint Conditions) Disability Benefits Questionnaire, VA Form 21–0960–D–1. g. Endocrine Diseases (other than Thyroid, Parathyroid or Diabetes Mellitus) Disability Benefits Questionnaire, VA Form 21–0960–E–2. h. Thyroid & Parathyroid Conditions Disability Benefits Questionnaire, VA Form 21–0960–E–3. l. Hernias (Including Abdominal, Inguinal, and Femoral Hernias) Disability Benefits Questionnaire, VA Form 21–0960–H–1. m. HIV-Related Illnesses Disability Benefits Questionnaire, VA Form 21– 0960–I–2. n. Infectious Diseases (other than HIVRelated Illness, Chronic Fatigue Syndrome, and Tuberculosis) Disability Benefits Questionnaire, VA Form 21– 0960I–3. o. Systemic Lupus Erythematosus (SLE) and Other Autoimmune Diseases Disability Benefits Questionnaire, VA Form 21–0960–I–4. p. Nutritional Deficiencies Disability Benefits Questionnaire, VA Form 21– 0960–I–5. q. Urinary Tract (including Bladder & Urethra) Conditions (excluding Male Reproductive System) Disability Benefits Questionnaire, VA Form 21– 0960–J–4. r. Respiratory Conditions (other than Tuberculosis and Sleep Apnea) Disability Benefits Questionnaire, VA Form 21–0960–L–1. s. Loss of Sense of Smell and/or Taste Disability Benefits Questionnaire, VA Form 21–0960–N–3. t. Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx, and Pharynx Disability Benefits Questionnaire, VA Form 21–0960–N–4. u. Chronic Fatigue Syndrome Disability Benefits Questionnaire, VA Form 21–0960–Q–1. OMB Control Number: 2900–0781. Type of Review: Revised 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. Affected Public: Individuals or households. Estimated Annual Burden: 53,750 hours. (a) VAF 21–0960–C–3—5,000 (b) VAF 21–0960–C–6—1,250 (c) VAF 21–0960–C–7—1,250 (d) VAF 21–0960–C–11—1,250 (e) VAF 21–0960–D–1—1,250 (f) VAF 21–0960–E–2—2,500 (g) VAF 21–0960–E–3—2,500 (h) VAF 21–0960–H–1—3,750 (i) VAF 21–0960–I–2—1,250 VerDate Mar<15>2010 14:14 Aug 27, 2014 Jkt 232001 (j) VAF 21–0960–I–3—2,500 (k) VAF 21–0960–I–4—2,500 (l) VAF 21–0960–I–5—1,250 (m) VAF 21–0960–J–4—3,750 (n) VAF 21–0960–L–1—10,000 (o) VAF 21–0960–N–3—1,250 (p) VAF 21–0960–N–4—10,000 (q) 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 (d) VAF 21–0960–C–11—15 minutes (e) VAF 21–0960–D–1—15 minutes (f) VAF 21–0960–E–2—15 minutes (g) VAF 21–0960–E–3—15 minutes (h) VAF 21–0960–H–1—15 minutes (i) VAF 21–0960–I–2—15 minutes (j) VAF 21–0960–I–3—15 minutes (k) VAF 21–0960–I–4—30 minutes (l) VAF 21–0960–I–5—15 minutes (m) VAF 21–0960–J–4—15 minutes (n) VAF 21–0960–L–1—30 minutes (o) VAF 21–0960–N–3—15 minutes (p) VAF 21–0960–N–4—30 minutes (q) VAF 21–0960–Q–1—15 minutes Frequency of Response: On occasion. Estimated Number of Respondents: TOTAL: 160,000. (a) VAF 21–0960–C–3—10,000 (b) VAF 21–0960–C–6—5,000 (c) VAF 21–0960–C–7—5,000 (d) VAF 21–0960–C–11—5,000 (e) VAF 21–0960–D–1—5,000 (f) VAF 21–0960–E–2—10,000 (g) VAF 21–0960–E–3—10,000 (h) VAF 21–0960–H–1—15,000 (i) VAF 21–0960–I–2—5,000 (j) VAF 21–0960–I–3—10,000 (k) VAF 21–0960–I–4—5,000 (l) VAF 21–0960–I–5—5,000 (m) VAF 21–0960–J–4—15,000 (n) VAF 21–0960–L–1—20,000 (o) VAF 21–0960–N–3—5,000 (p) VAF 21–0960–N–4—20,000 (q) VAF 21–0960–Q–1—10,000 Dated: August 25, 2014. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–20472 Filed 8–27–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS Research Advisory Committee on Gulf War Veterans’ Illnesses; Notice of Meeting The Department of Veterans Affairs (VA) gives notice under the Federal Advisory Committee Act, 5 U.S.C. App.2 that the Research Advisory Committee on Gulf War Veterans’ PO 00000 Frm 00106 Fmt 4703 Sfmt 9990 Illnesses will meet on September 22 and 23, 2014, in the greater Washington, DC, area. On Monday, September 22, the meeting will be held in 810 Vermont Avenue NW., Room 230, Washington, DC, from 9:00 a.m. until 5:15 p.m. On Tuesday, September 23, the meeting will be held at the VHA National Conference Center, 2011 Crystal Drive, Suite 150, Arlington, Virginia from 9:00 a.m. until 1:00 p.m. All sessions will be open to the public, although space will be limited on September 23. For interested parties who cannot attend in person, there will be a toll-free telephone number. The purpose of the Committee is to provide advice and make recommendations to the Secretary of Veterans Affairs on proposed research studies, research plans, and research strategies relating to the health consequences of military service in the Southwest Asia theater of operations during the Gulf War. The Committee will review VA program activities related to Gulf War Veterans’ illnesses, and updates on relevant scientific research published since the last Committee meeting. Presentations on September 22 will include updates on the VA Gulf War Research Program, followed by research presentations on a treatment for pain, neuroimaging in Gulf War Veterans, and drug trials in animal models. The Committee will devote September 23 to a discussion of Committee activities. The meeting will include time reserved for public comments on both days in the afternoon. A sign-up sheet for 5-minute comments will be available at the meeting. Individuals who wish to address the Committee may submit a 1– 2 page summary of their comments for inclusion in the official meeting record. Members of the public may also submit written statements for the Committee’s review to Dr. Roberta White at rwhite@ bu.edu. Because the meeting is being held in a government building, a photo I.D. must be presented as part of the clearance process. Therefore, any person attending should allow an additional 15 minutes to complete this process before the meeting begins. Any member of the public seeking additional information should contact Dr. White, Scientific Director, at (617) 638–4620 or Dr. Victor Kalasinsky, Designated Federal Officer, at (202) 443–5682. Dated: August 25, 2014. Rebecca Schiller, Committee Management Officer. [FR Doc. 2014–20484 Filed 8–27–14; 8:45 am] BILLING CODE P E:\FR\FM\28AUN1.SGM 28AUN1

Agencies

[Federal Register Volume 79, Number 167 (Thursday, August 28, 2014)]
[Notices]
[Pages 51399-51400]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-20472]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0781)]


Proposed Information Collection (Disability Benefits 
Questionnaires-Group 4) Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs (VA), is announcing an opportunity for public comment 
on the proposed collection of certain 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 revision, and allow 
60 days for public comment in response to the notice. This notice 
solicits comments for information needed to obtain medical evidence to 
adjudicate a claim for disability benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before October 27, 2014.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email to nancy.kessinger@va.gov. Please refer to ``OMB Control 
No. 2900-0781'' in any correspondence. During the comment period, 
comments may be viewed online through 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.
    Titles:
    a. Cranial Nerve Conditions Disability Benefits Questionnaire, VA 
Form 21-0960-C-3.
    b. Narcolepsy Disability Benefits Questionnaire, VA Form 21-0960-C-
6.
    c. Peripheral Nerve Conditions (Not Including Diabetic Sensory-
Motor Peripheral Neuropathy) Disability Benefits Questionnaire, VA Form 
21-0960C-10.
    d. Fibromyalgia Disability Benefits Questionnaire, VA Form 21-0960-
C-7.
    e. Seizure Disorders (Epilepsy) Disability Benefits Questionnaire, 
VA Form 21-0960-C-11.
    f. Oral and Dental Conditions Including Mouth, Lips and Tongue

[[Page 51400]]

(Other than Temporomandibular Joint Conditions) Disability Benefits 
Questionnaire, VA Form 21-0960-D-1.
    g. Endocrine Diseases (other than Thyroid, Parathyroid or Diabetes 
Mellitus) Disability Benefits Questionnaire, VA Form 21-0960-E-2.
    h. Thyroid & Parathyroid Conditions Disability Benefits 
Questionnaire, VA Form 21-0960-E-3.
    l. Hernias (Including Abdominal, Inguinal, and Femoral Hernias) 
Disability Benefits Questionnaire, VA Form 21-0960-H-1.
    m. HIV-Related Illnesses Disability Benefits Questionnaire, VA Form 
21-0960-I-2.
    n. Infectious Diseases (other than HIV-Related Illness, Chronic 
Fatigue Syndrome, and Tuberculosis) Disability Benefits Questionnaire, 
VA Form 21-0960I-3.
    o. Systemic Lupus Erythematosus (SLE) and Other Autoimmune Diseases 
Disability Benefits Questionnaire, VA Form 21-0960-I-4.
    p. Nutritional Deficiencies Disability Benefits Questionnaire, VA 
Form 21-0960-I-5.
    q. Urinary Tract (including Bladder & Urethra) Conditions 
(excluding Male Reproductive System) Disability Benefits Questionnaire, 
VA Form 21-0960-J-4.
    r. Respiratory Conditions (other than Tuberculosis and Sleep Apnea) 
Disability Benefits Questionnaire, VA Form 21-0960-L-1.
    s. Loss of Sense of Smell and/or Taste Disability Benefits 
Questionnaire, VA Form 21-0960-N-3.
    t. Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, 
Larynx, and Pharynx Disability Benefits Questionnaire, VA Form 21-0960-
N-4.
    u. Chronic Fatigue Syndrome Disability Benefits Questionnaire, VA 
Form 21-0960-Q-1.
    OMB Control Number: 2900-0781.
    Type of Review: Revised 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.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 53,750 hours.

(a) VAF 21-0960-C-3--5,000
(b) VAF 21-0960-C-6--1,250
(c) VAF 21-0960-C-7--1,250
(d) VAF 21-0960-C-11--1,250
(e) VAF 21-0960-D-1--1,250
(f) VAF 21-0960-E-2--2,500
(g) VAF 21-0960-E-3--2,500
(h) VAF 21-0960-H-1--3,750
(i) VAF 21-0960-I-2--1,250
(j) VAF 21-0960-I-3--2,500
(k) VAF 21-0960-I-4--2,500
(l) VAF 21-0960-I-5--1,250
(m) VAF 21-0960-J-4--3,750
(n) VAF 21-0960-L-1--10,000
(o) VAF 21-0960-N-3--1,250
(p) VAF 21-0960-N-4--10,000
(q) 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
(d) VAF 21-0960-C-11--15 minutes
(e) VAF 21-0960-D-1--15 minutes
(f) VAF 21-0960-E-2--15 minutes
(g) VAF 21-0960-E-3--15 minutes
(h) VAF 21-0960-H-1--15 minutes
(i) VAF 21-0960-I-2--15 minutes
(j) VAF 21-0960-I-3--15 minutes
(k) VAF 21-0960-I-4--30 minutes
(l) VAF 21-0960-I-5--15 minutes
(m) VAF 21-0960-J-4--15 minutes
(n) VAF 21-0960-L-1--30 minutes
(o) VAF 21-0960-N-3--15 minutes
(p) VAF 21-0960-N-4--30 minutes
(q) VAF 21-0960-Q-1--15 minutes

Frequency of Response: On occasion.
Estimated Number of Respondents: TOTAL: 160,000.

(a) VAF 21-0960-C-3--10,000
(b) VAF 21-0960-C-6--5,000
(c) VAF 21-0960-C-7--5,000
(d) VAF 21-0960-C-11--5,000
(e) VAF 21-0960-D-1--5,000
(f) VAF 21-0960-E-2--10,000
(g) VAF 21-0960-E-3--10,000
(h) VAF 21-0960-H-1--15,000
(i) VAF 21-0960-I-2--5,000
(j) VAF 21-0960-I-3--10,000
(k) VAF 21-0960-I-4--5,000
(l) VAF 21-0960-I-5--5,000
(m) VAF 21-0960-J-4--15,000
(n) VAF 21-0960-L-1--20,000
(o) VAF 21-0960-N-3--5,000
(p) VAF 21-0960-N-4--20,000
(q) VAF 21-0960-Q-1--10,000

    Dated: August 25, 2014.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-20472 Filed 8-27-14; 8:45 am]
BILLING CODE 8320-01-P
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