80_FR_64079 80 FR 63876 - Proposed Information Collection (VA/DOD Joint Disability Evaluation Claim) Activity: Comment Request

80 FR 63876 - Proposed Information Collection (VA/DOD Joint Disability Evaluation Claim) Activity: Comment Request

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 80, Issue 203 (October 21, 2015)

Page Range63876-63877
FR Document2015-26648

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. VA Form 21-0819 is used to gather the necessary information to determine eligibility for active duty service members who may be eligible for DoD Disability Evaluation Board and VA compensation. Without this information, determination of entitlement would not be possible.

Federal Register, Volume 80 Issue 203 (Wednesday, October 21, 2015)
[Federal Register Volume 80, Number 203 (Wednesday, October 21, 2015)]
[Notices]
[Pages 63876-63877]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-26648]


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

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0704]


Proposed Information Collection (VA/DOD Joint Disability 
Evaluation Claim) Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: 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.
    VA Form 21-0819 is used to gather the necessary information to 
determine eligibility for active duty service members who may be 
eligible for DoD Disability Evaluation Board and VA compensation. 
Without this information, determination of entitlement would not be 
possible.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before December 21, 2015.

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 nancy.kessinger@va.gov. Please refer to ``OMB Control 
No. 2900-0704'' in any correspondence. During the comment period, 
comments may be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or FAX (202) 632-8925.

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, VBA 
invites comments on: (1) Whether the proposed

[[Page 63877]]

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: VA/DOD Joint Disability Evaluation Claim (VA Form 21-0819).
    OMB Control Number: 2900-0704.
    Type of Review: Revision of a currently approved collection.
    Abstract: This form is used to determine an injured or ill Global 
War on Terrorism (GWOT) service member's military readiness fitness for 
military retention, level of disability for retirement, and VA 
Disability Compensation.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 7,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 14,000.

    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. 2015-26648 Filed 10-20-15; 8:45 am]
BILLING CODE 8320-01-P



                                              63876                     Federal Register / Vol. 80, No. 203 / Wednesday, October 21, 2015 / Notices

                                              ACTION:   Notice.                                       of automated collection techniques or                 DEPARTMENT OF VETERANS
                                                                                                      the use of other forms of information                 AFFAIRS
                                              SUMMARY:    In compliance with the                      technology.
                                              Paperwork Reduction Act (PRA) of 1995                                                                         [OMB Control No. 2900–0704]
                                              (44 U.S.C. 3501–3521), this notice                      SUPPLEMENTARY INFORMATION:
                                              announces that the Veterans Health                                                                            Proposed Information Collection (VA/
                                                                                                         Titles: Former Prisoner of War
                                              Administration (VHA), Department of                                                                           DOD Joint Disability Evaluation Claim)
                                                                                                      Medical History.                                      Activity: Comment Request
                                              Veterans Affairs, will submit the
                                              collection of information abstracted                       OMB Control Number: 2900–0427.
                                                                                                                                                            AGENCY:  Veterans Benefits
                                              below to the Office of Management and                      Type of Review: Revision.                          Administration, Department of Veterans
                                              Budget (OMB) for review and comment.                       Abstract: VA Form 10–0048, Former                  Affairs.
                                              The PRA submission describes the                        POW Medical History, is used to collect               ACTION: Notice.
                                              nature of the information collection and                data in response to Public Law 97–37,
                                              its expected cost and burden and                        the ‘‘Former Prisoner of War Benefits                 SUMMARY:    The Veterans Benefits
                                              includes the actual data collection                     Act of 1981,’’ that liberalizes eligibility           Administration (VBA), Department of
                                              instrument.                                                                                                   Veterans Affairs (VA), is announcing an
                                                                                                      requirements and extends the existing
                                              DATES: Written comments and                             benefits. Additionally, the National                  opportunity for public comment on the
                                              recommendations on the proposed                         Advisory Committee on Former                          proposed collection of certain
                                              collection of information should be                     Prisoners Of War requires this                        information by the agency. Under the
                                              received on or before November 20,                      information for their annual submission               Paperwork Reduction Act (PRA) of
                                              2015.                                                   to Congress.                                          1995, Federal agencies are required to
                                                                                                                                                            publish notice in the Federal Register
                                              ADDRESSES: Submit written comments                         VA physician will obtain the                       concerning each proposed collection of
                                              on the collection of information through                information on the VA Form 10–0048                    information, including each proposed
                                              www.Regulations.gov, or to Office of                    during a medical examination. If these
                                              Information and Regulatory Affairs,                                                                           revision of a currently approved
                                                                                                      questions were not asked, the physician               collection, and allow 60 days for public
                                              Office of Management and Budget, Attn:                  would be unable to assess the health
                                              VA Desk Officer; 725 17th St. NW.,                                                                            comment in response to the notice.
                                                                                                      care, disability compensation or                         VA Form 21–0819 is used to gather
                                              Washington, DC 20503 or sent through
                                                                                                      rehabilitation needs of the Former                    the necessary information to determine
                                              electronic mail to oira_submission@
                                                                                                      Prisoner Of War (FPOW). The                           eligibility for active duty service
                                              omb.eop.gov. Please refer to ‘‘OMB
                                                                                                      importance of collecting this very                    members who may be eligible for DoD
                                              Control No. 2900–0427 (Former Prisoner
                                                                                                      detailed information when the veteran                 Disability Evaluation Board and VA
                                              of War Medical History)’’ in any
                                                                                                      is first seen is critical, not only with the          compensation. Without this
                                              correspondence. During the comment
                                                                                                      physician evaluating the veteran but                  information, determination of
                                              period, comments may be viewed online
                                                                                                      also by the rating specialist who will                entitlement would not be possible.
                                              through the FDMS.
                                                                                                      rate this claim. The rater also reviews               DATES: Written comments and
                                              FOR FURTHER INFORMATION CONTACT:
                                                                                                      the statements given by the veteran on                recommendations on the proposed
                                              Crystal Rennie, Enterprise Records                      this form not only at the first claim                 collection of information should be
                                              Service (005R1B), Department of                         submission but in future years when                   received on or before December 21,
                                              Veterans Affairs, 810 Vermont Avenue
                                                                                                      other disabilities are claimed. Feedback              2015.
                                              NW., Washington, DC 20420, (202) 632–
                                                                                                      from POW physicians in the field                      ADDRESSES: Submit written comments
                                              7492 or email crystal.rennie@va.gov.
                                                                                                      indicates their appreciation of the well              on the collection of information through
                                              Please refer to ‘‘OMB Control No. 2900–
                                                                                                      thought out content and structure of the              Federal Docket Management System
                                              0427 (Former Prisoner of War Medical
                                                                                                      form. It is useful not only for                       (FDMS) at www.Regulations.gov or to
                                              History)’’ in any correspondence.
                                                                                                      Compensation and Pension                              Nancy J. Kessinger, Veterans Benefits
                                              SUPPLEMENTARY INFORMATION: Under the
                                                                                                      examinations but also as a guide and                  Administration (20M33), Department of
                                              PRA of 1995 (Pub. L. 104–13; 44 U.S.C.                  reference for treatment planning for the
                                              3501–3521), Federal agencies must                                                                             Veterans Affairs, 810 Vermont Avenue
                                                                                                      FPOW patient. The questions in the                    NW., Washington, DC 20420 or email to
                                              obtain approval from the Office of                      form make it relevant for FPOWS of
                                              Management and Budget (OMB) for each                                                                          nancy.kessinger@va.gov. Please refer to
                                                                                                      current as well as prior conflicts.                   ‘‘OMB Control No. 2900–0704’’ in any
                                              collection of information they conduct
                                              or sponsor. This request for comment is                    Affected Public: Individuals or                    correspondence. During the comment
                                              being made pursuant to Section                          Households.                                           period, comments may be viewed online
                                              3506(c)(2)(A) of the PRA.                                  Estimated Annual Burden: 113                       through the FDMS.
                                                 With respect to the following                        burden hours.                                         FOR FURTHER INFORMATION CONTACT:
                                              collection of information, VHA invites                                                                        Nancy J. Kessinger at (202) 632–8924 or
                                                                                                         Estimated Average Burden per                       FAX (202) 632–8925.
                                              comments on: (1) Whether the proposed
                                                                                                      Respondent: 90 minutes.
                                              collection of information is necessary                                                                        SUPPLEMENTARY INFORMATION: Under the
                                              for the proper performance of VHA’s                        Frequency of Response: Annually.                   PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
                                              functions, including whether the                           Estimated Number of Respondents:                   3501–21), Federal agencies must obtain
                                              information will have practical utility;                75.                                                   approval from the Office of Management
                                              (2) the accuracy of VHA’s estimate of                                                                         and Budget (OMB) for each collection of
                                                                                                         By direction of the Secretary.
tkelley on DSK3SPTVN1PROD with NOTICES




                                              the burden of the proposed collection of                                                                      information they conduct or sponsor.
                                              information; (3) ways to enhance the                    Kathleen M. Manwell,                                  This request for comment is being made
                                              quality, utility, and clarity of the                    Program Analyst, VA Privacy Service, Office           pursuant to Section 3506(c)(2)(A) of the
                                              information to be collected; and (4)                    of Privacy and Records Management,                    PRA.
                                              ways to minimize the burden of the                      Department of Veterans Affairs.                          With respect to the following
                                              collection of information on                            [FR Doc. 2015–26655 Filed 10–20–15; 8:45 am]          collection of information, VBA invites
                                              respondents, including through the use                  BILLING CODE 8320–01–P                                comments on: (1) Whether the proposed


                                         VerDate Sep<11>2014   22:39 Oct 20, 2015   Jkt 238001   PO 00000   Frm 00140   Fmt 4703   Sfmt 4703   E:\FR\FM\21OCN1.SGM   21OCN1


                                                                        Federal Register / Vol. 80, No. 203 / Wednesday, October 21, 2015 / Notices                                                63877

                                              collection of information is necessary                  revision of a currently approved                      form assists a case manager to monitor
                                              for the proper performance of VBA’s                     collection, and allow 60 days for public              a program participant’s training to
                                              functions, including whether the                        comment in response to the notice. This               ensure the participant is progressing
                                              information will have practical utility;                notice solicits comments on information               and learning the skills necessary to
                                              (2) the accuracy of VBA’s estimate of the               needed to determine a claimant’s                      carry out the duties of the occupational
                                              burden of the proposed collection of                    attendance and progress in an on-the-job              goal.
                                              information; (3) ways to enhance the                    training program or certain other special               Affected Public: Individuals or
                                              quality, utility, and clarity of the                    training programs under title 38 United               households.
                                              information to be collected; and (4)                    States Code (U.S.C.) chapter 31,                        Estimated Annual Burden: 3,600
                                              ways to minimize the burden of the                      vocational rehabilitation and                         hours.
                                              collection of information on                            employment services.                                    Estimated Average Burden per
                                              respondents, including through the use                  DATES: Written comments and                           Respondent: 15 minutes.
                                              of automated collection techniques or                   recommendations on the proposed                         Frequency of Response: On occasion.
                                              the use of other forms of information                   collection of information should be                     Estimated Number of Respondents:
                                              technology.                                             received on or before December 21,                    4,800.
                                                Title: VA/DOD Joint Disability                        2015.                                                    By direction of the Secretary.
                                              Evaluation Claim (VA Form 21–0819).                     ADDRESSES: Submit written comments                    Kathleen M. Manwell,
                                                OMB Control Number: 2900–0704.                        on the collection of information through              Program Analyst, VA Privacy Service, Office
                                                Type of Review: Revision of a                         Federal Docket Management System                      of Privacy and Records Management,
                                              currently approved collection.                          (FDMS) at www.Regulations.gov or to                   Department of Veterans Affairs.
                                                Abstract: This form is used to                        Nancy J. Kessinger, Veterans Benefits                 [FR Doc. 2015–26652 Filed 10–20–15; 8:45 am]
                                              determine an injured or ill Global War                  Administration (20M33), Department of                 BILLING CODE 8320–01–P
                                              on Terrorism (GWOT) service member’s                    Veterans Affairs, 810 Vermont Avenue
                                              military readiness fitness for military                 NW., Washington, DC 20420 or email to
                                              retention, level of disability for                      nancy.kessinger@va.gov. Please refer to               DEPARTMENT OF VETERANS
                                              retirement, and VA Disability                           ‘‘OMB Control No. 2900–0176’’ in any                  AFFAIRS
                                              Compensation.                                           correspondence. During the comment
                                                Affected Public: Individuals or                       period, comments may be viewed online                 [OMB Control No. 2900–0577]
                                              households.                                             through the FDMS.
                                                Estimated Annual Burden: 7,000.                                                                             Agency Information Collection (Award
                                                                                                      FOR FURTHER INFORMATION CONTACT:
                                                Estimated Average Burden per                                                                                Attachment for Certain Children With
                                              Respondent: 30 minutes.                                 Nancy J. Kessinger at (202) 632–8924 or
                                                                                                      FAX (202) 632–8925.                                   Disabilities Born of Vietnam Veterans)
                                                Frequency of Response: One time.                                                                            Activity Under OMB Review
                                                Estimated Number of Respondents:                      SUPPLEMENTARY INFORMATION: Under the
                                              14,000.                                                 PRA of 1995 (Pub. L. 104–13; 44 U.S.C.                AGENCY:  Veterans Benefits
                                                                                                      3501–21), Federal agencies must obtain                Administration, Department of Veterans
                                                 By direction of the Secretary.                       approval from the Office of Management                Affairs.
                                              Kathleen M. Manwell,                                    and Budget (OMB) for each collection of               ACTION: Notice.
                                              Program Analyst, VA Privacy Service, Office             information they conduct or sponsor.
                                              of Privacy and Records Management,                      This request for comment is being made                SUMMARY:   In compliance with the
                                              Department of Veterans Affairs.                         pursuant to Section 3506(c)(2)(A) of the              Paperwork Reduction Act (PRA) of 1995
                                              [FR Doc. 2015–26648 Filed 10–20–15; 8:45 am]            PRA.                                                  (44 U.S.C. 3501–21), this notice
                                              BILLING CODE 8320–01–P                                     With respect to the following                      announces that the Veterans Benefits
                                                                                                      collection of information, VBA invites                Administration, Department of Veterans
                                                                                                      comments on: (1) Whether the proposed                 Affairs, will submit the collection of
                                              DEPARTMENT OF VETERANS                                  collection of information is necessary                information abstracted below to the
                                              AFFAIRS                                                 for the proper performance of VBA’s                   Office of Management and Budget
                                              [OMB Control No. 2900–0176]                             functions, including whether the                      (OMB) for review and comment. The
                                                                                                      information will have practical utility;              PRA submission describes the nature of
                                              Proposed Information Collection                         (2) the accuracy of VBA’s estimate of the             the information collection and its
                                              (Monthly Record of Training and                         burden of the proposed collection of                  expected cost and burden and it
                                              Wages) Activity: Comment Request                        information; (3) ways to enhance the                  includes the actual data collection
                                                                                                      quality, utility, and clarity of the                  instrument.
                                              AGENCY:  Veterans Benefits                              information to be collected; and (4)
                                              Administration, Department of Veterans                                                                        DATES: Comments must be submitted on
                                                                                                      ways to minimize the burden of the
                                              Affairs.                                                                                                      or before November 20, 2015.
                                                                                                      collection of information on
                                              ACTION: Notice.                                         respondents, including through the use                ADDRESSES: Submit written comments
                                                                                                      of automated collection techniques or                 on the collection of information through
                                              SUMMARY:  The Veterans Benefits                         the use of other forms of information                 www.Regulations.gov, or to Office of
                                              Administration (VBA), Department of                     technology.                                           Information and Regulatory Affairs,
                                              Veterans Affairs (VA), is announcing an                    Title: Monthly Record of Training and              Office of Management and Budget, Attn:
                                              opportunity for public comment on the                   Wages, VA Form 28–1905c.                              VA Desk Officer; 725 17th St. NW.,
tkelley on DSK3SPTVN1PROD with NOTICES




                                              proposed collection of certain                             OMB Control Number: 2900–0176.                     Washington, DC 20503 or sent through
                                              information by the agency. Under the                       Type of Review: Revision of a                      electronic mail to oira_submission@
                                              Paperwork Reduction Act (PRA) of                        currently approved collection.                        omb.eop.gov. Please refer to ‘‘OMB
                                              1995, Federal agencies are required to                     Abstract: VA Form 28–1905c is used                 Control No. 2900–0577’’ in any
                                              publish notice in the Federal Register                  to record a chapter 31 participant’s                  correspondence. During the comment
                                              concerning each proposed collection of                  progress in on-the-job training and                   period, comments may be viewed online
                                              information, including each proposed                    certain other special programs. This                  through the FDMS.


                                         VerDate Sep<11>2014   22:39 Oct 20, 2015   Jkt 238001   PO 00000   Frm 00141   Fmt 4703   Sfmt 4703   E:\FR\FM\21OCN1.SGM   21OCN1



Document Created: 2018-02-27 08:54:12
Document Modified: 2018-02-27 08:54:12
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesWritten comments and recommendations on the proposed collection of information should be received on or before December 21, 2015.
ContactNancy J. Kessinger at (202) 632-8924 or FAX (202) 632-8925.
FR Citation80 FR 63876 

2024 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR