Agency Information Collection Activity Under OMB Review: Artery and Vein Conditions (Vascular Diseases Including Varicose Veins) Disability Benefits Questionnaire, Hypertension Disability Benefits Questionnaire, Non-Ischemic Heart Disease (Including Arrhythmias and Surgery) Disability Benefits Questionnaire, Diabetic Peripheral Neuropathy (Diabetic Sensory-Motor Peripheral Neuropathy) Disability Benefits Questionnaire, Diabetes Mellitus Disability Benefits Questionnaire, Scars/Disfigurement Disability Benefits Questionnaire, Skin Diseases Disability Benefits Questionnaire, Amputations Disability Benefits Questionnaire, Muscles Injuries Disability Benefits Questionnaire, Temporomandibular Joint (TMJ) Conditions Disability Benefits Questionnaire, Eye Conditions Disability Benefits Questionnaire, 56332-56333 [2017-25592]

Download as PDF 56332 Federal Register / Vol. 82, No. 227 / Tuesday, November 28, 2017 / Notices Committee name Veterans’ Advisory Committee on Rehabilitation. Advisory Committee on Women Veterans. Committee description Provides advice to the Secretary on the rehabilitation needs of disabled Veterans and the administration of VA’s rehabilitation programs. Provides advice to the Secretary on the needs of women Veterans regarding health care, rehabilitation benefits, compensation, outreach, and other programs administered by VA. FOR FURTHER INFORMATION CONTACT: Jeffrey Moragne, Committee Management Office, Department of Veterans Affairs, Advisory Committee Management Office (00AC), 810 Vermont Avenue NW., Washington, DC 20420; telephone (202) 266–4660; or email at Jeffrey.Moragne@va.gov. To view a copy of a VA Federal advisory committee charter, visit http:// www.va.gov/advisory. Dated: November 22, 2017. Jelessa M. Burney, Federal Advisory Committee Management Officer. [FR Doc. 2017–25630 Filed 11–27–17; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection Activity Under OMB Review: Artery and Vein Conditions (Vascular Diseases Including Varicose Veins) Disability Benefits Questionnaire, Hypertension Disability Benefits Questionnaire, NonIschemic Heart Disease (Including Arrhythmias and Surgery) Disability Benefits Questionnaire, Diabetic Peripheral Neuropathy (Diabetic Sensory-Motor Peripheral Neuropathy) Disability Benefits Questionnaire, Diabetes Mellitus Disability Benefits Questionnaire, Scars/Disfigurement Disability Benefits Questionnaire, Skin Diseases Disability Benefits Questionnaire, Amputations Disability Benefits Questionnaire, Muscles Injuries Disability Benefits Questionnaire, Temporomandibular Joint (TMJ) Conditions Disability Benefits Questionnaire, Eye Conditions Disability Benefits Questionnaire Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. ethrower on DSK3G9T082PROD with NOTICES 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 SUMMARY: 19:51 Nov 27, 2017 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. Comments must be submitted on or before December 28, 2017. DATES: 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. 2900–0776’’ in any correspondence. ADDRESSES: FOR FURTHER INFORMATION CONTACT: [OMB Control No. 2900–0776] VerDate Sep<11>2014 Charter renewed on Jkt 244001 Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 811 Vermont Avenue NW., Washington, DC 20420, (202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB Control No. 2900–0776’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–21. Title: Artery and Vein Conditions (Vascular Diseases Including Varicose Veins) Disability Benefits Questionnaire (VA Form 21–0960A–2), Hypertension Disability Benefits Questionnaire (VA Form 21–0960A–3), Non-Ischemic Heart Disease (Including Arrhythmias and Surgery) Disability Benefits Questionnaire (VA Form 21–0960A–4), Diabetic Peripheral Neuropathy (Diabetic Sensory-Motor Peripheral Neuropathy) Disability Benefits Questionnaire (VA Form 21–0960C–4), Diabetes Mellitus Disability Benefits Questionnaire (VA Form 21–0960E–1), Scars/Disfigurement Disability Benefits Questionnaire (VA Form 21–0960F–1), Skin Diseases Disability Benefits Questionnaire (VA Form 21–0960F–2), Amputations Disability Benefits Questionnaire (VA Form 21–0960M–1), Muscles Injuries Disability Benefits Questionnaire (VA Form 21–0960M– 10), Temporomandibular Joint (TMJ) Conditions Disability Benefits Questionnaire (VA Form 21–0960M– PO 00000 Frm 00125 Fmt 4703 Sfmt 4703 September 25, 2017. September 29, 2017. 15), Eye Conditions Disability Benefits Questionnaire (VA Form 21–0960N–2) OMB Control Number: 2900–0776. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–0960 series is used to gather necessary information from a claimant’s treating physician regarding the results of medical examinations. VA gathers medical information related to the claimant that is necessary to adjudicate the claim for VA disability benefits. The Disability Benefit Questionnaire title will include the name of the specific disability for which it will gather information. VAF 21–0960A–2, Artery and Vein Conditions vascular diseases including varicose veins) Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of arteries, veins, and/or peripheral vascular disease; VAF 21–0960A–3, Hypertension, Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of hypertension; VAF 21–0960A–4, Nonischemic Heart Disease (including Arrhythmias and Surgery) Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of any non-ischemic heart disease; VAF 21–0960C–4, Diabetic Peripheral Neuropathy (diabetic sensory-motor peripheral neuropathy) Disability Benefits Questionnaire will gather information related to the claimant’s diagnosis of a diabetic sensory-motor peripheral neuropathy condition; VAF 21–0960E–1, Diabetes Mellitus Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of diabetes mellitus; VAF 21–0960F–1, Scars/Disfigurement Disability Benefits Questionnaire will gather information related to the claimant’s diagnosis of any scars or disfigurement; VAF 21– 0960F–2, Skin Diseases Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of any skin disease. VAF 21– 0960M–1, Amputations Disability Benefits Questionnaire, will gather information related to the claimant’s amputations; VAF 21–0960M–10, Muscle Injuries Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of a muscle injury disability. VAF 21– E:\FR\FM\28NON1.SGM 28NON1 Federal Register / Vol. 82, No. 227 / Tuesday, November 28, 2017 / Notices 0960M–15, Temporomandibular Joint (TMJ) Conditions Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of temporomandibular joint dysfunction or TMJ. VAF 21–0960N–2, Eye Conditions Disability Benefits Questionnaire will gather information related to the claimant’s diagnosis of an eye condition. 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 82 FR 79 on April 26, 2017, pages 19311 and 19312. Affected Public: Individuals or Households. Estimated Annual Burden: 162,500. Estimated Average Burden per Respondent: 25 minutes. Frequency of Response: One time. Estimated Number of Respondents: 400,000. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Office of Quality, Privacy and Risk, Department of Veterans Affairs. [FR Doc. 2017–25592 Filed 11–27–17; 8:45 am] ethrower on DSK3G9T082PROD with NOTICES BILLING CODE 8320–01–P VerDate Sep<11>2014 19:51 Nov 27, 2017 Jkt 244001 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0711] Agency Information Collection Activity Under OMB Review: VBA Loan Guaranty Service Lender Satisfaction Survey Loan Guaranty Service, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Loan Guaranty Service, 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 December 28, 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. 2900–0711’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Office of Quality, Privacy and Risk (OQPR), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461– SUMMARY: PO 00000 Frm 00126 Fmt 4703 Sfmt 9990 56333 5870 or email cynthia.harvey-pryor@ va.gov. Please refer to ‘‘OMB Control No. 2900–0711’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: Public Law 104–13; 44 U.S.C. 3501–3521. Title: VBA Loan Guaranty Service Lender Satisfaction Survey. OMB Control Number: 2900–0711. Type of Review: Extension of a currently approved collection. Abstract: As part of the agency’s continuing commitment to improve the services provided to veterans, VA will conduct the VBA Loan Guaranty Service Lender Satisfaction Survey. The proposed effort will measure lender satisfaction with the various aspects of the VA Home Loan Guaranty program. 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 82 FR 38760 on August 15, 2017, pages 38760– 38761. Affected Public: Private sector. Estimated Annual Burden: 69 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One time. Estimated Number of Respondents: 275. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Office of Quality, Privacy and Risk, Department of Veterans Affairs. [FR Doc. 2017–25591 Filed 11–27–17; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\28NON1.SGM 28NON1

Agencies

[Federal Register Volume 82, Number 227 (Tuesday, November 28, 2017)]
[Notices]
[Pages 56332-56333]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-25592]


-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0776]


Agency Information Collection Activity Under OMB Review: Artery 
and Vein Conditions (Vascular Diseases Including Varicose Veins) 
Disability Benefits Questionnaire, Hypertension Disability Benefits 
Questionnaire, Non-Ischemic Heart Disease (Including Arrhythmias and 
Surgery) Disability Benefits Questionnaire, Diabetic Peripheral 
Neuropathy (Diabetic Sensory-Motor Peripheral Neuropathy) Disability 
Benefits Questionnaire, Diabetes Mellitus Disability Benefits 
Questionnaire, Scars/Disfigurement Disability Benefits Questionnaire, 
Skin Diseases Disability Benefits Questionnaire, Amputations Disability 
Benefits Questionnaire, Muscles Injuries Disability Benefits 
Questionnaire, Temporomandibular Joint (TMJ) Conditions Disability 
Benefits Questionnaire, Eye 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 December 28, 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-
0776'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 811 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
cynthia.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900-
0776'' in any correspondence.

SUPPLEMENTARY INFORMATION:

    Authority:  44 U.S.C. 3501-21.
    Title: Artery and Vein Conditions (Vascular Diseases Including 
Varicose Veins) Disability Benefits Questionnaire (VA Form 21-0960A-2), 
Hypertension Disability Benefits Questionnaire (VA Form 21-0960A-3), 
Non-Ischemic Heart Disease (Including Arrhythmias and Surgery) 
Disability Benefits Questionnaire (VA Form 21-0960A-4), Diabetic 
Peripheral Neuropathy (Diabetic Sensory-Motor Peripheral Neuropathy) 
Disability Benefits Questionnaire (VA Form 21-0960C-4), Diabetes 
Mellitus Disability Benefits Questionnaire (VA Form 21-0960E-1), Scars/
Disfigurement Disability Benefits Questionnaire (VA Form 21-0960F-1), 
Skin Diseases Disability Benefits Questionnaire (VA Form 21-0960F-2), 
Amputations Disability Benefits Questionnaire (VA Form 21-0960M-1), 
Muscles Injuries Disability Benefits Questionnaire (VA Form 21-0960M-
10), Temporomandibular Joint (TMJ) Conditions Disability Benefits 
Questionnaire (VA Form 21-0960M-15), Eye Conditions Disability Benefits 
Questionnaire (VA Form 21-0960N-2)
    OMB Control Number: 2900-0776.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-0960 series is used to gather necessary 
information from a claimant's treating physician regarding the results 
of medical examinations. VA gathers medical information related to the 
claimant that is necessary to adjudicate the claim for VA disability 
benefits. The Disability Benefit Questionnaire title will include the 
name of the specific disability for which it will gather information. 
VAF 21-0960A-2, Artery and Vein Conditions vascular diseases including 
varicose veins) Disability Benefits Questionnaire, will gather 
information related to the claimant's diagnosis of arteries, veins, 
and/or peripheral vascular disease; VAF 21-0960A-3, Hypertension, 
Disability Benefits Questionnaire, will gather information related to 
the claimant's diagnosis of hypertension; VAF 21-0960A-4, Non-ischemic 
Heart Disease (including Arrhythmias and Surgery) Disability Benefits 
Questionnaire, will gather information related to the claimant's 
diagnosis of any non-ischemic heart disease; VAF 21-0960C-4, Diabetic 
Peripheral Neuropathy (diabetic sensory-motor peripheral neuropathy) 
Disability Benefits Questionnaire will gather information related to 
the claimant's diagnosis of a diabetic sensory-motor peripheral 
neuropathy condition; VAF 21-0960E-1, Diabetes Mellitus Disability 
Benefits Questionnaire, will gather information related to the 
claimant's diagnosis of diabetes mellitus; VAF 21-0960F-1, Scars/
Disfigurement Disability Benefits Questionnaire will gather information 
related to the claimant's diagnosis of any scars or disfigurement; VAF 
21-0960F-2, Skin Diseases Disability Benefits Questionnaire, will 
gather information related to the claimant's diagnosis of any skin 
disease. VAF 21-0960M-1, Amputations Disability Benefits Questionnaire, 
will gather information related to the claimant's amputations; VAF 21-
0960M-10, Muscle Injuries Disability Benefits Questionnaire, will 
gather information related to the claimant's diagnosis of a muscle 
injury disability. VAF 21-

[[Page 56333]]

0960M-15, Temporomandibular Joint (TMJ) Conditions Disability Benefits 
Questionnaire, will gather information related to the claimant's 
diagnosis of temporomandibular joint dysfunction or TMJ. VAF 21-0960N-
2, Eye Conditions Disability Benefits Questionnaire will gather 
information related to the claimant's diagnosis of an eye condition.
    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 82 FR 79 on April 26, 2017, pages 19311 
and 19312.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 162,500.
    Estimated Average Burden per Respondent: 25 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 400,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Quality, Privacy and Risk, 
Department of Veterans Affairs.
[FR Doc. 2017-25592 Filed 11-27-17; 8:45 am]
 BILLING CODE 8320-01-P