Agency Information Collection (Disability Benefits Questionnaires-Group 4) Activity Under OMB Review, 75618-75619 [2014-29630]

Download as PDF 75618 Federal Register / Vol. 79, No. 243 / Thursday, December 18, 2014 / Notices Comments should be received on or before January 20, 2015 to be assured of consideration. ADDRESSES: Send comments regarding the burden estimates, or any other aspect of the information collections, including suggestions for reducing the burden, to (1) Office of Information and Regulatory Affairs, Office of Management and Budget, Attention: Desk Officer for Treasury, New Executive Office Building, Room 10235, Washington, DC 20503, or email at OIRA_Submission@OMB.EOP.gov and (2) Treasury PRA Clearance Officer, 1750 Pennsylvania Ave. NW., Suite 8141, Washington, DC 20220, or email at PRA@treasury.gov. FOR FURTHER INFORMATION CONTACT: Copies of the submissions may be obtained by emailing PRA@treasury.gov, calling (202) 622–1295, or viewing the entire information collection request at www.reginfo.gov. DATES: Internal Revenue Service (IRS) mstockstill on DSK4VPTVN1PROD with NOTICES OMB Number: 1545–0879. Type of Review: Extension without change of a currently approved collection. Title: TD 8426 (Final)—Certain Returned Magazines, Paperbacks or Records (IA–195–78). Abstract: The final regulations provide rules relating to an exclusion from gross income for certain returned merchandise. The regulations provide that in addition to physical return of the merchandise, a written statement listing certain information may constitute evidence of the return. Taxpayers who receive physical evidence of the return may, in lieu of retaining physical evidence, retain documentary evidence of the return. Taxpayers in the trade or business of selling magazines, paperbacks, or records, who elect to use a certain method of accounting, are affected. Affected Public: Businesses or other for-profits. Estimated Annual Burden Hours: 8,125. OMB Number: 1545–1008. Type of Review: Extension without change of a currently approved collection. Title: Form 8582—Passive Activity Loss Limitations. Form: Form 8582. Abstract: Under Internal Revenue Code section 469, losses from passive activities, to the extent that they exceed income from passive activities, cannot be deducted against nonpassive income. Form 8582 is used to figure the passive activity loss allowed and the loss to be reported on the tax return. VerDate Sep<11>2014 19:23 Dec 17, 2014 Jkt 235001 Affected Public: Individuals or households. Estimated Annual Burden Hours: 8,451,989. OMB Number: 1545–1773. Type of Review: Extension without change of a currently approved collection. Title: Revenue Procedure 2014–55, Election Procedures and Information Reporting with Respect to Interests in Certain Canadian Retirement Plans. Abstract: Revenue Procedure 2002–23 provided guidance for the application by U.S. citizens and residents of the U.S.-Canada Income Tax Treaty, as amended by the 1995 protocol, in order to defer U.S. income taxes on income accrued in certain Canadian retirement plans. This Revenue Procedure was superseded by Revenue Procedure 2014–55, which provides that such individuals will be treated as having made the election in the first year in which they would have been entitled to make the election under the treaty. Affected Public: Individuals or households. Estimated Annual Burden Hours: 10,000. Brenda Simms, Treasury PRA Clearance Officer. [FR Doc. 2014–29637 Filed 12–17–14; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0781] 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 January 20, 2015. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of SUMMARY: PO 00000 Frm 00088 Fmt 4703 Sfmt 4703 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. 2900–0781’’ 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– 0781.’’ SUPPLEMENTARY INFORMATION: 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) Fibromyalgia Disability Benefits Questionnaire, VA Form 21–0960–C–7. (d) Seizure Disorders (Epilepsy) Disability Benefits Questionnaire, VA Form 21–0960–C–11. (e) Oral and Dental Conditions Including Mouth, Lips and Tongue (Other than Temporomandibular Joint Conditions) Disability Benefits Questionnaire, VA Form 21–0960–D–1. (f) Endocrine Diseases (other than Thyroid, Parathyroid or Diabetes Mellitus) Disability Benefits Questionnaire, VA Form 21–0960–E–2. (g) Thyroid & Parathyroid Conditions Disability Benefits Questionnaire, VA Form 21–0960–E–3. (h) Hernias (Including Abdominal, Inguinal, and Femoral Hernias) Disability Benefits Questionnaire, VA Form 21–0960–H–1. (i) HIV-Related Illnesses Disability Benefits Questionnaire, VA Form 21– 0960–I–2. (j) Infectious Diseases (other than HIV-Related Illness, Chronic Fatigue Syndrome, or Tuberculosis) Disability Benefits Questionnaire, VA Form 21– 0960I–3. (k) Systemic Lupus Erythematosus (SLE) and Other Autoimmune Diseases Disability Benefits Questionnaire, VA Form 21–0960–I–4. (l) Nutritional Deficiencies Disability Benefits Questionnaire, VA Form 21– 0960–I–5. (m) Urinary Tract (including Bladder & Urethra) Conditions (excluding Male Reproductive System) Disability Benefits Questionnaire, VA Form 21– 0960–J–4. (n) Respiratory Conditions (other than Tuberculosis and Sleep Apnea) E:\FR\FM\18DEN1.SGM 18DEN1 Federal Register / Vol. 79, No. 243 / Thursday, December 18, 2014 / Notices mstockstill on DSK4VPTVN1PROD with NOTICES Disability Benefits Questionnaire, VA Form 21–0960–L–1. (o) Loss of Sense of Smell and/or Taste Disability Benefits Questionnaire, VA Form 21–0960–N–3. (p) Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx, and Pharynx Disability Benefits Questionnaire, VA Form 21–0960–N–4. (q) Chronic Fatigue Syndrome Disability Benefits Questionnaire, VA Form 21–0960–Q–1. OMB Control Number: 2900–0781. Type of Review: Revision Abstract: Data collected on VA Form 21–0960 series will be used to obtain information from claimant’s 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 soliciting comments on this collection of information was published on August 28, 2014, at pages 51399–51400. Affected Public: Individuals or households. Estimated Annual Burden: 53,750 hours. VerDate Sep<11>2014 19:23 Dec 17, 2014 Jkt 235001 (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 PO 00000 Frm 00089 Fmt 4703 Sfmt 9990 75619 (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: December 15, 2014. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–29630 Filed 12–17–14; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\18DEN1.SGM 18DEN1

Agencies

[Federal Register Volume 79, Number 243 (Thursday, December 18, 2014)]
[Notices]
[Pages 75618-75619]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-29630]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0781]


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 January 20, 2015.

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-
0781'' 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. 2900-0781.''

SUPPLEMENTARY INFORMATION:

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) Fibromyalgia Disability Benefits Questionnaire, VA Form 21-
0960-C-7.
    (d) Seizure Disorders (Epilepsy) Disability Benefits Questionnaire, 
VA Form 21-0960-C-11.
    (e) Oral and Dental Conditions Including Mouth, Lips and Tongue 
(Other than Temporomandibular Joint Conditions) Disability Benefits 
Questionnaire, VA Form 21-0960-D-1.
    (f) Endocrine Diseases (other than Thyroid, Parathyroid or Diabetes 
Mellitus) Disability Benefits Questionnaire, VA Form 21-0960-E-2.
    (g) Thyroid & Parathyroid Conditions Disability Benefits 
Questionnaire, VA Form 21-0960-E-3.
    (h) Hernias (Including Abdominal, Inguinal, and Femoral Hernias) 
Disability Benefits Questionnaire, VA Form 21-0960-H-1.
    (i) HIV-Related Illnesses Disability Benefits Questionnaire, VA 
Form 21-0960-I-2.
    (j) Infectious Diseases (other than HIV-Related Illness, Chronic 
Fatigue Syndrome, or Tuberculosis) Disability Benefits Questionnaire, 
VA Form 21-0960I-3.
    (k) Systemic Lupus Erythematosus (SLE) and Other Autoimmune 
Diseases Disability Benefits Questionnaire, VA Form 21-0960-I-4.
    (l) Nutritional Deficiencies Disability Benefits Questionnaire, VA 
Form 21-0960-I-5.
    (m) Urinary Tract (including Bladder & Urethra) Conditions 
(excluding Male Reproductive System) Disability Benefits Questionnaire, 
VA Form 21-0960-J-4.
    (n) Respiratory Conditions (other than Tuberculosis and Sleep 
Apnea)

[[Page 75619]]

Disability Benefits Questionnaire, VA Form 21-0960-L-1.
    (o) Loss of Sense of Smell and/or Taste Disability Benefits 
Questionnaire, VA Form 21-0960-N-3.
    (p) Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, 
Larynx, and Pharynx Disability Benefits Questionnaire, VA Form 21-0960-
N-4.
    (q) Chronic Fatigue Syndrome Disability Benefits Questionnaire, VA 
Form 21-0960-Q-1.
    OMB Control Number: 2900-0781.
    Type of Review: Revision
    Abstract: Data collected on VA Form 21-0960 series will be used to 
obtain information from claimant's 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 soliciting comments on this collection of 
information was published on August 28, 2014, at pages 51399-51400.
    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: December 15, 2014.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-29630 Filed 12-17-14; 8:45 am]
BILLING CODE 8320-01-P