81 FR 95734 - Agency Information Collection Activity: (Knee and Lower Leg Conditions Disability Benefits Questionnaire (VA Form 21-0960M-9))

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 81, Issue 249 (December 28, 2016)

Page Range		95734-95734
FR Document		2016-31318

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 Forms 21-0960M-9 is used to gather necessary information from a claimant's treating physician regarding the results of medical examinations.

Federal Register, Volume 81 Issue 249 (Wednesday, December 28, 2016)

[Federal Register Volume 81, Number 249 (Wednesday, December 28, 2016)]
[Notices]
[Page 95734]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-31318]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0813]


Agency Information Collection Activity: (Knee and Lower Leg 
Conditions Disability Benefits Questionnaire (VA Form 21-0960M-9))

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 Forms 21-0960M-9 is used to gather necessary information from a 
claimant's treating physician regarding the results of medical 
examinations.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before February 27, 2017.

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 [email protected]. Please refer to ``OMB Control 
No. 2900-0813'' 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 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: (Knee and Lower Leg Conditions Disability Benefits 
Questionnaire (VA Form 21-0960M-9)).
    OMB Control Number: 2900-0813.
    Type of Review: Extension of an approved collection.
    Abstract: VA Forms 21-0960M-9 is used to gather necessary 
information from a claimant's treating physician regarding the results 
of medical examinations.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 25,000 hours.
    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. 2016-31318 Filed 12-27-16; 8:45 am]
 BILLING CODE 8320-01-P

95734 Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Notices

in terms of affiliation, industry, and SUPPLEMENTARY INFORMATION: Under the ACTION: Notice.
geographic representation. The Director PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
of FinCEN retains full discretion on all 3501–21), Federal agencies must obtain SUMMARY: The Veterans Benefits
membership decisions. The Director approval from the Office of Management Administration (VBA), Department of
may consider prior years’ applications and Budget (OMB) for each collection of Veterans Affairs (VA), is announcing an
when making selections and does not information they conduct or sponsor. opportunity for public comment on the
limit consideration to institutions This request for comment is being made proposed collection of certain
nominated by the public when making pursuant to Section 3506(c)(2)(A) of the information by the agency. Under the
selections. PRA. Paperwork Reduction Act (PRA) of
With respect to the following 1995, Federal agencies are required to
Jamal El-Hindi,
collection of information, VBA invites publish notice in the Federal Register
Acting Director, Financial Crimes concerning each proposed collection of
Enforcement Network. comments on: (1) Whether the proposed
collection of information is necessary information, including each proposed
[FR Doc. 2016–31323 Filed 12–27–16; 8:45 am]
for the proper performance of VBA’s revision of a currently approved
BILLING CODE 4810–02–P collection, and allow 60 days for public
functions, including whether the
information will have practical utility; comment in response to the notice.
(2) the accuracy of VBA’s estimate of the VA Forms 21–0960M–4 is used to
DEPARTMENT OF VETERANS burden of the proposed collection of gather necessary information from a
AFFAIRS information; (3) ways to enhance the claimant’s treating physician regarding
[OMB Control No. 2900–0813] quality, utility, and clarity of the the results of medical examinations.
information to be collected; and (4) DATES: Written comments and
Agency Information Collection ways to minimize the burden of the recommendations on the proposed
Activity: (Knee and Lower Leg collection of information on collection of information should be
Conditions Disability Benefits respondents, including through the use received on or before February 27, 2017.
Questionnaire (VA Form 21–0960M–9)) of automated collection techniques or
ADDRESSES: Submit written comments
AGENCY: Veterans Benefits the use of other forms of information
on the collection of information through
Administration, Department of Veterans technology.
Federal Docket Management System
Affairs. Title: (Knee and Lower Leg
(FDMS) at www.Regulations.gov or to
ACTION: Notice.
Conditions Disability Benefits
Nancy J. Kessinger, Veterans Benefits
Questionnaire (VA Form 21–0960M–9)).
Administration (20M33), Department of
SUMMARY: The Veterans Benefits OMB Control Number: 2900–0813.
Veterans Affairs, 810 Vermont Avenue
Administration (VBA), Department of Type of Review: Extension of an
NW., Washington, DC 20420 or email to
Veterans Affairs (VA), is announcing an approved collection.
nancy.kessinger@va.gov. Please refer to
opportunity for public comment on the Abstract: VA Forms 21–0960M–9 is
‘‘OMB Control No. 2900–0812’’ in any
proposed collection of certain used to gather necessary information
correspondence. During the comment
information by the agency. Under the from a claimant’s treating physician
period, comments may be viewed online
Paperwork Reduction Act (PRA) of regarding the results of medical
through the FDMS.
1995, Federal agencies are required to examinations.
publish notice in the Federal Register Affected Public: Individuals or FOR FURTHER INFORMATION CONTACT:
concerning each proposed collection of households. Nancy J. Kessinger at (202) 632–8924 or
information, including each proposed Estimated Annual Burden: 25,000 FAX (202) 632–8925.
revision of a currently approved hours. SUPPLEMENTARY INFORMATION: Under the
collection, and allow 60 days for public Estimated Average Burden per PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
comment in response to the notice. Respondent: 30 minutes. 3501–21), Federal agencies must obtain
VA Forms 21–0960M–9 is used to Frequency of Response: One time. approval from the Office of Management
gather necessary information from a Estimated Number of Respondents: and Budget (OMB) for each collection of
claimant’s treating physician regarding 50,000. information they conduct or sponsor.
the results of medical examinations. This request for comment is being made
By direction of the Secretary.
DATES: Written comments and pursuant to Section 3506(c)(2)(A) of the
Cynthia Harvey-Pryor,
recommendations on the proposed PRA.
Department Clearance Officer, Office of
collection of information should be Privacy and Records Management, With respect to the following
received on or before February 27, 2017. Department of Veterans Affairs. collection of information, VBA invites
ADDRESSES: Submit written comments [FR Doc. 2016–31318 Filed 12–27–16; 8:45 am] comments on: (1) Whether the proposed
on the collection of information through BILLING CODE 8320–01–P
collection of information is necessary
Federal Docket Management System for the proper performance of VBA’s
(FDMS) at www.Regulations.gov or to functions, including whether the
Nancy J. Kessinger, Veterans Benefits DEPARTMENT OF VETERANS information will have practical utility;
Administration (20M33), Department of AFFAIRS (2) the accuracy of VBA’s estimate of the
Veterans Affairs, 810 Vermont Avenue burden of the proposed collection of
NW., Washington, DC 20420 or email to [OMB Control No. 2900–0812] information; (3) ways to enhance the
nancy.kessinger@va.gov. Please refer to quality, utility, and clarity of the
sradovich on DSK3GMQ082PROD with NOTICES

Agency Information Collection
‘‘OMB Control No. 2900–0813’’ in any information to be collected; and (4)
Activity: (Elbow and Forearm
correspondence. During the comment ways to minimize the burden of the
Conditions Disability Benefits
period, comments may be viewed online collection of information on
Questionnaire (VA Form 21–0960M–4))
through the FDMS. respondents, including through the use
FOR FURTHER INFORMATION CONTACT: AGENCY: Veterans Benefits of automated collection techniques or
Nancy J. Kessinger at (202) 632–8924 or Administration, Department of Veterans the use of other forms of information
FAX (202) 632–8925. Affairs. technology.

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Document Created: 2016-12-28 02:17:01
Document Modified: 2016-12-28 02:17:01

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		Written comments and recommendations on the proposed collection of information should be received on or before February 27, 2017.
Contact		Nancy J. Kessinger at (202) 632-8924 or FAX (202) 632-8925.
FR Citation		81 FR 95734