Agency Information Collection (Disability Benefits Questionnaires-Group 3) Activity Under OMB Review, 29332 [2016-11049]

Download as PDF 29332 Federal Register / Vol. 81, No. 91 / Wednesday, May 11, 2016 / Notices 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: Pension Claim Questionnaire for Farm income, VA Form 21P–4165. OMB Control Number: 2900–0095. Type of Review: Revision of a currently approved collection. Abstract: The Department of Veterans Affairs (VA), through its Veterans Benefits Administration (VBA), administers an integrated program of benefits and services, established by law, for veterans, service personnel and their survivors. 38 U.S.C. 1521 establishes a pension benefit for Veterans of a period of war who are permanently and totally disabled. 38 U.S.C. 1541 and 38 U.S.C. 1542 establish a survivor’s pension benefit for the surviving dependents of Veterans of a period of war. Entitlement to pension benefits for Veterans and their surviving dependents is based on the family’s countable annual income as required by 38 U.S.C. 1503 and net worth as required by 38 U.S.C. 1522. The information collected on VA Form 21P–4165 will be used by VA to evaluate a claimant’s income and net worth related to the operation of a farm for the purpose of establishing entitlement to pension benefits and to evaluate a beneficiary’s ongoing entitlement to pension benefits. Affected Public: Individuals or households. Estimated Annual Burden: 1,038 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One time. Estimated Number of Respondents: 2,075. 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. 2016–11053 Filed 5–10–16; 8:45 am] BILLING CODE 8320–01–P mstockstill on DSK3G9T082PROD with NOTICES DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0778] Agency Information Collection (Disability Benefits Questionnaires— Group 3) Activity Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. AGENCY: VerDate Sep<11>2014 17:20 May 10, 2016 Jkt 238001 ACTION: Notice. 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. 2900–0778’’ 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.harveypryor@va.gov. Please refer to ‘‘OMB Control No. 2900–0778’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Disability Benefits Questionnaires (Group 3). OMB Control Number: 2900–0778. Type of Review: Revision of a currently approved collection. Abstract: The VA Form 21–0960 series is 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. 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 February 17, 2016, at pages 8129 and 8130. Affected Public: Individuals or households. Estimated Annual Burden: 77,500. Estimated Average Burden per Respondent: i. VAF 21–0960C–5—30 minutes SUMMARY: PO 00000 Frm 00084 Fmt 4703 Sfmt 4703 ii. VAF 21–0960C–8—15 minutes iii. VAF 21–0960C–9—45 minutes iv. VAF 21–0960G–1—15 minutes v. VAF 21–0960G–2—15 minutes vi. VAF 21–0960G–3—15 minutes vii. VAF 21–0960G–4—15 minutes viii. VAF 21–0960G–5—30 minutes ix. VAF 21–0960G–6—15 minutes x. VAF 21–0960G–7—15 minutes xi. VAF 21–0960G–8—15 minutes xii. VAF 21–0960H–2—15 minutes xiii. VAF 21–0960K–1—15 minutes xiv. VAF 21–0960K–2—30 minutes xv. VAF 21–0960L–2—15 minutes xvi. VAF 21–0960M–11—15 minutes xvii. VAF 21–0960N–1—15 minutes Frequency of Response: One time. Estimated Number of Respondents: 250,000. 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. 2016–11049 Filed 5–10–16; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0036] Proposed Information Collection (Statement of Disappearance, VA Form 21P–1775) 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 the notice. DATES: Written comments and recommendations on the proposed collection of information should be received on or before July 11, 2016. 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 SUMMARY: E:\FR\FM\11MYN1.SGM 11MYN1

Agencies

[Federal Register Volume 81, Number 91 (Wednesday, May 11, 2016)]
[Notices]
[Page 29332]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11049]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0778]


Agency Information Collection (Disability Benefits 
Questionnaires--Group 3) 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-
0778'' 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-
0778'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Disability Benefits Questionnaires (Group 3).
    OMB Control Number: 2900-0778.
    Type of Review: Revision of a currently approved collection.
    Abstract: The VA Form 21-0960 series is 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.
    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 February 17, 2016, at pages 8129 and 8130.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 77,500.
    Estimated Average Burden per Respondent:
    i. VAF 21-0960C-5--30 minutes
    ii. VAF 21-0960C-8--15 minutes
    iii. VAF 21-0960C-9--45 minutes
    iv. VAF 21-0960G-1--15 minutes
    v. VAF 21-0960G-2--15 minutes
    vi. VAF 21-0960G-3--15 minutes
    vii. VAF 21-0960G-4--15 minutes
    viii. VAF 21-0960G-5--30 minutes
    ix. VAF 21-0960G-6--15 minutes
    x. VAF 21-0960G-7--15 minutes
    xi. VAF 21-0960G-8--15 minutes
    xii. VAF 21-0960H-2--15 minutes
    xiii. VAF 21-0960K-1--15 minutes
    xiv. VAF 21-0960K-2--30 minutes
    xv. VAF 21-0960L-2--15 minutes
    xvi. VAF 21-0960M-11--15 minutes
    xvii. VAF 21-0960N-1--15 minutes
    Frequency of Response: One time.
    Estimated Number of Respondents: 250,000.

    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. 2016-11049 Filed 5-10-16; 8:45 am]
 BILLING CODE 8320-01-P
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