Agency Information Collection (Disability Benefits Questionnaires-Group 4) Activity Under OMB Review, 75618-75619 [2014-29630]
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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.
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19:23 Dec 17, 2014
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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)
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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
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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
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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]
=======================================================================
-----------------------------------------------------------------------
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