Agency Information Collection Activity Under OMB Review: (Hip and Thigh Conditions Disability Benefits Questionnaire (VA Form 21-0960M-8), 12917 [2017-04425]

Download as PDF Federal Register / Vol. 82, No. 43 / Tuesday, March 7, 2017 / Notices FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632–8924 or FAX (202) 632–8925. Under the PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 3501—21), 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. Title: Statement of Marital Relationship (VA Form 21–4170). OMB Control Number: 2900–0114. Type of Review: Revision of an approved collection. Abstract: VA Form 21–4170 is used to gather information that is necessary to determine whether a valid common law marriage was established. The form is used by persons claiming to be common law widows/widowers of deceased veterans and by veterans and their claimed common law spouses. Benefits cannot be authorized unless a valid marriage is established. Affected Public: Individuals or households. Estimated Annual Burden: 2,708 hours. Estimated Average Burden per Respondent: 25 minutes. Frequency of Response: One time. Estimated Number of Respondents: 6,500. DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0811] sradovich on DSK3GMQ082PROD with NOTICES SUPPLEMENTARY INFORMATION: By direction of the Secretary. Cynthia Harvey-Pryor Department Clearance Officer, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2017–04349 Filed 3–6–17; 8:45 am] BILLING CODE 8320–01–P VerDate Sep<11>2014 16:01 Mar 06, 2017 Jkt 241001 Agency Information Collection Activity Under OMB Review: (Hip and Thigh Conditions Disability Benefits Questionnaire (VA Form 21–0960M–8) Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 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 April 6, 2017. 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 Street NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0811’’ in any correspondence. SUMMARY: 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. 2900–0811’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Hip and Thigh Conditions Disability Benefits Questionnaire (VA Form 21–0960M–8). OMB Control Number: 2900–0811. Type of Review: Extension of a currently approved collection. Abstract: VA Forms 21–0960M–8 is used to gather necessary information from a claimant’s treating physician regarding the results of medical examinations. 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 PO 00000 Frm 00136 Fmt 4703 Sfmt 4703 12917 soliciting comments on this collection of information was published at Vol. 81, No. 249, Wednesday, December 28, 2016, page 95735. Affected Public: Individuals or Households. Estimated Annual Burden: 25,000. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One time. Estimated Number of Respondents: 50,000. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2017–04425 Filed 3–6–17; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0215] Agency Information Collection Activity Under OMB Review: Request for Information To Make Direct Payment to Child Reaching Majority Veterans Benefits Administration, Department of Veterans Affairs (VA). ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 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 April 6, 2017. 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. 2900–0215’’ 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 SUMMARY: E:\FR\FM\07MRN1.SGM 07MRN1

Agencies

[Federal Register Volume 82, Number 43 (Tuesday, March 7, 2017)]
[Notices]
[Page 12917]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-04425]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0811]


Agency Information Collection Activity Under OMB Review: (Hip and 
Thigh Conditions Disability Benefits Questionnaire (VA Form 21-0960M-8)

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 
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 April 6, 2017.

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 Street NW., Washington, DC 20503 or sent through electronic mail 
to oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
0811'' 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.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900-
0811'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Hip and Thigh Conditions Disability Benefits Questionnaire 
(VA Form 21-0960M-8).
    OMB Control Number: 2900-0811.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Forms 21-0960M-8 is used to gather necessary 
information from a claimant's treating physician regarding the results 
of medical examinations.
    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 at Vol. 81, No. 249, Wednesday, December 28, 
2016, page 95735.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 25,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 50,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-04425 Filed 3-6-17; 8:45 am]
 BILLING CODE 8320-01-P