Agency Information Collection Activity Under OMB Review: Shoulder and Arm Conditions Disability Benefits Questionnaire, 16088 [2017-06349]
Download as PDF
<![CDATA[
16088
Federal Register / Vol. 82, No. 61 / Friday, March 31, 2017 / Notices
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2017–06348 Filed 3–30–17; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0802]
Agency Information Collection Activity
Under OMB Review: Shoulder and Arm
Conditions Disability Benefits
Questionnaire
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 May 1, 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. 2900–0802’’ 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. 2900–0802’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
Authority: 44 U.S.C. 3501–21.
Title: Shoulder and Arm Conditions
Disability Benefits Questionnaire (VA
Form 21–0960M–12).
OMB Control Number: 2900–0802.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Forms 21–0960M–12 is
used to gather necessary information
VerDate Sep<11>2014
16:31 Mar 30, 2017
Jkt 241001
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 Volume
82 FR 8568, Thursday, January 26, 2017.
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. 2017–06349 Filed 3–30–17; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0028]
Agency Information Collection
Activity: Request for and Consent to
Release of Information From
Claimant’s Records
Office of Information and
Technology, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
The Office of Information and
Technology (IT), Department of
Veterans Affairs (VA), is announcing an
opportunity for public comment on the
proposed collection of certain
information used 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 this notice.
This notice solicits comments for
information needed from service
organizations requesting to be placed on
VA’s mailing lists for specific
publications; to request additional
information from the correspondent to
identify a veteran; to request for and
consent to release of information from
claimant’s records to a third party; and
to determine an applicant’s eligibility to
SUMMARY:
PO 00000
Frm 00070
Fmt 4703
Sfmt 4703
receive a list of names and addresses of
Veterans and their dependents.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before May 30, 2017.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Martin L. Hill, Office of Information and
Technology (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420 or email:
martin.hill@va.gov. Please refer to
‘‘2900–0028’’ in any correspondence.
During the comment period, comments
may be viewed online through the
FDMS.
FOR FURTHER INFORMATION CONTACT:
Martin L. Hill at (202) 632–7452.
SUPPLEMENTARY INFORMATION: 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, IT invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of IT’s
functions, including whether the
information will have practical utility;
(2) the accuracy of IT’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.
Titles:
a. Application of Service
Representative for Placement on Mailing
List, VA Form 3215.
b. Request for and Consent to Release
of Information from Claimant’s Records,
VA Form 3288.
c. Request to Correspondent for
Identifying Information, VA Form Letter
70–2.
d. 38 CFR 1.519(A) Lists of Names
and Addresses.
OMB Control Number: 2900–0028.
Type of Review: Extension without
change of a currently approved
collection.
Abstract:
a. VA operates an outreach services
program to ensure Veterans and
beneficiaries have information about
E:\FR\FM\31MRN1.SGM
31MRN1
]]>Agencies
[Federal Register Volume 82, Number 61 (Friday, March 31, 2017)]
[Notices]
[Page 16088]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-06349]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0802]
Agency Information Collection Activity Under OMB Review: Shoulder
and Arm Conditions Disability Benefits Questionnaire
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
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 May 1, 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-
0802'' 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-
0802'' in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501-21.
Title: Shoulder and Arm Conditions Disability Benefits
Questionnaire (VA Form 21-0960M-12).
OMB Control Number: 2900-0802.
Type of Review: Extension of a currently approved collection.
Abstract: VA Forms 21-0960M-12 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 Volume 82
FR 8568, Thursday, January 26, 2017.
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. 2017-06349 Filed 3-30-17; 8:45 am]
BILLING CODE 8320-01-P
