Agency Information Collection Activity Under OMB Review: Shoulder and Arm Conditions Disability Benefits Questionnaire, 16088 [2017-06349]

Download as PDF 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]


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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.

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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 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