Proposed Information Collection (Disability Benefits Questionnaire (Group 4)) Activity Under OMB Review, 29328 [2016-11048]

Download as PDF 29328 Federal Register / Vol. 81, No. 91 / Wednesday, May 11, 2016 / Notices release from active duty will be refunded on the date of the participant’s discharge or release from active duty or within 60 days of receipt of notice by the Secretary of the participant’s discharge or disenrollment. Refunds may be made earlier in instances of hardship or other good reasons. Participants who stop their enrollment from the program after discharge or release from active duty, contributions will be refunded within 60 days of the receipt of their application. Affected Public: Individuals or households. Estimated Annual Burden: 77 hours. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 461. By direction of the Secretary. Kathleen M. Manwell, Program Analyst, VA Privacy Service, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2016–11051 Filed 5–10–16; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0781] Proposed Information Collection (Disability Benefits Questionnaire (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. 3501–21), this notice announces that the Veterans Benefits Administration, 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 and it includes the actual data collection instrument. SUMMARY: Comments must be submitted on or before June 10, 2016. 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 mstockstill on DSK3G9T082PROD with NOTICES DATES: VerDate Sep<11>2014 17:20 May 10, 2016 Jkt 238001 Control No. 2900–0781’’ in any correspondence. DEPARTMENT OF VETERANS AFFAIRS FOR FURTHER INFORMATION CONTACT: [OMB Control No. 2900–2016] Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 632–7492 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB Control No. 2900–0781’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Disability Benefits Questionnaires (Group 4). OMB Control Number: 2900–0781. Type of Review: Revision of a currently approved collection. Abstract: The VA Form 21–0960 series will be used to gather necessary information from a claimant’s treating physician regarding the results of medical examinations. 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: 53,750. Estimated Average Burden per Respondent: i. VAF 21–0960C–3—30 minutes. ii. VAF 21–0960C–6—15 minutes. iii. VAF 21–0960C–7—15 minutes. iv. VAF 21–0960C–11—15 minutes. v. VAF 21–0960D–1—15 minutes. vi. VAF 21–0960E–2—15 minutes. vii. VAF 21–0960E–3—15 minutes. viii. VAF 21–0960H–1—15 minutes. ix. VAF 21–0960I–2—15 minutes. x. VAF 21–0960I–3—15 minutes. xi. VAF 21–0960I–4—30 minutes. xii. VAF 21–0960I–5—15 minutes. xiii. VAF 21–0960J–4—15 minutes. xiv. VAF 21–0960L–1—30 minutes. xv. VAF 21–0960N–3—15 minutes. xvi. VAF 21–0960N–4—30 minutes. xvii. VAF 21–0960Q–1—15 minutes. Frequency of Response: One time. Estimated Number of Respondents: 160,000. By direction of the Secretary. Kathleen M. Manwell, Program Analyst, VA Privacy Service, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2016–11048 Filed 5–10–16; 8:45 am] BILLING CODE 8320–01–P PO 00000 Frm 00080 Fmt 4703 Sfmt 4703 Agency Information Collection (Application for Accrued Amounts Due a Deceased Beneficiary, VA Form 21P– 601) 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 June 10, 2016. 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. 2900–0216’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB Control No. 2900–0216.’’ SUPPLEMENTARY INFORMATION: Title: Application for Accrued Amounts Due a Deceased Beneficiary, VA Form 21P–601 OMB Control Number: 2900–0216. Type of Review: Revision of a currently approved collection. Abstract: VA Form 21P–601 is used to gather the information necessary to determine a claimant’s entitlement to accrued benefits. Accrued benefits are amounts of VA benefits due, but unpaid, to a beneficiary at the time of his or her death. Benefits are paid to eligible survivors based on the priority described in 38 U.S.C. 5121(a). When there are no eligible survivors entitled to accrued benefits based on their relationship to the deceased beneficiary, the person or persons who bore the SUMMARY: E:\FR\FM\11MYN1.SGM 11MYN1

Agencies

[Federal Register Volume 81, Number 91 (Wednesday, May 11, 2016)]
[Notices]
[Page 29328]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11048]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0781]


Proposed Information Collection (Disability Benefits 
Questionnaire (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. 3501-21), this notice announces that the Veterans Benefits 
Administration, 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 and it includes the actual data collection instrument.

DATES: Comments must be submitted on or before June 10, 2016.

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.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW, Washington, DC 20420, (202) 632-7492 or email 
cynthia.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900-
0781'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Disability Benefits Questionnaires (Group 4).
    OMB Control Number: 2900-0781.
    Type of Review: Revision of a currently approved collection.
    Abstract: The VA Form 21-0960 series will be used to gather 
necessary information from a claimant's treating physician regarding 
the results of medical examinations. 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: 53,750.
    Estimated Average Burden per Respondent:
    i. VAF 21-0960C-3--30 minutes.
    ii. VAF 21-0960C-6--15 minutes.
    iii. VAF 21-0960C-7--15 minutes.
    iv. VAF 21-0960C-11--15 minutes.
    v. VAF 21-0960D-1--15 minutes.
    vi. VAF 21-0960E-2--15 minutes.
    vii. VAF 21-0960E-3--15 minutes.
    viii. VAF 21-0960H-1--15 minutes.
    ix. VAF 21-0960I-2--15 minutes.
    x. VAF 21-0960I-3--15 minutes.
    xi. VAF 21-0960I-4--30 minutes.
    xii. VAF 21-0960I-5--15 minutes.
    xiii. VAF 21-0960J-4--15 minutes.
    xiv. VAF 21-0960L-1--30 minutes.
    xv. VAF 21-0960N-3--15 minutes.
    xvi. VAF 21-0960N-4--30 minutes.
    xvii. VAF 21-0960Q-1--15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 160,000.

    By direction of the Secretary.
Kathleen M. Manwell,
 Program Analyst, VA Privacy Service, Office of Privacy and Records 
Management, Department of Veterans Affairs.
[FR Doc. 2016-11048 Filed 5-10-16; 8:45 am]
 BILLING CODE 8320-01-P