81_FR_95984 81 FR 95735 - Agency Information Collection Activity: (Hip and Thigh Conditions Disability Benefits Questionnaire (VA Form 21-0960M-8))

81 FR 95735 - Agency Information Collection Activity: (Hip and Thigh Conditions Disability Benefits Questionnaire (VA Form 21-0960M-8))

DEPARTMENT OF VETERANS AFFAIRS

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

Page Range95735-95735
FR Document2016-31316

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-8 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 95735]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-31316]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0811]


Agency Information Collection Activity: (Hip and Thigh Conditions 
Disability Benefits Questionnaire (VA Form 21-0960M-8))

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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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-8 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. 2900-0811'' 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: (Hip and Thigh Conditions Disability Benefits Questionnaire 
(VA Form 21-0960M-8)).
    OMB Control Number: 2900-0811.
    Type of Review: Extension of an approved collection.
    Abstract: VA Forms 21-0960M-8 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. 2016-31316 Filed 12-27-16; 8:45 am]
 BILLING CODE 8320-01-P

Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Notices 95735 Title: (Elbow and Forearm Conditions opportunity for public comment on the With respect to the following Disability Benefits Questionnaire (VA proposed collection of certain collection of information, VBA invites Form 21–0960M–4)). information by the agency. Under the comments on: (1) Whether the proposed OMB Control Number: 2900–0812. Paperwork Reduction Act (PRA) of collection of information is necessary Type of Review: Extension of an 1995, Federal agencies are required to for the proper performance of VBA’s approved collection. publish notice in the Federal Register functions, including whether the Abstract: VA Forms 21–0960M–4 is concerning each proposed collection of information will have practical utility; used to gather necessary information information, including each proposed (2) the accuracy of VBA’s estimate of the from a claimant’s treating physician revision of a currently approved burden of the proposed collection of regarding the results of medical collection, and allow 60 days for public information; (3) ways to enhance the examinations. comment in response to the notice. quality, utility, and clarity of the Affected Public: Individuals or VA Forms 21–0960M–8 is used to information to be collected; and (4) households. gather necessary information from a ways to minimize the burden of the Estimated Annual Burden: 10,000 claimant’s treating physician regarding collection of information on hours. the results of medical examinations. respondents, including through the use Estimated Average Burden per of automated collection techniques or Respondent: 30 minutes. DATES: Written comments and the use of other forms of information Frequency of Response: One time. recommendations on the proposed technology. Estimated Number of Respondents: collection of information should be Title: (Hip and Thigh Conditions 20,000. received on or before February 27, 2017. Disability Benefits Questionnaire (VA By direction of the Secretary. ADDRESSES: Submit written comments Form 21–0960M–8)). Cynthia Harvey-Pryor, on the collection of information through OMB Control Number: 2900–0811. Department Clearance Officer, Office of Federal Docket Management System Type of Review: Extension of an Privacy and Records Management, (FDMS) at www.Regulations.gov or to approved collection. Department of Veterans Affairs. Nancy J. Kessinger, Veterans Benefits Abstract: VA Forms 21–0960M–8 is [FR Doc. 2016–31317 Filed 12–27–16; 8:45 am] Administration (20M33), Department of used to gather necessary information BILLING CODE 8320–01–P Veterans Affairs, 810 Vermont Avenue from a claimant’s treating physician NW., Washington, DC 20420 or email to regarding the results of medical nancy.kessinger@va.gov. Please refer to examinations. DEPARTMENT OF VETERANS ‘‘OMB Control No. 2900–0811’’ in any Affected Public: Individuals or AFFAIRS correspondence. During the comment households. period, comments may be viewed online Estimated Annual Burden: 25,000 [OMB Control No. 2900–0811] through the FDMS. hours. Agency Information Collection FOR FURTHER INFORMATION CONTACT: Estimated Average Burden per Activity: (Hip and Thigh Conditions Nancy J. Kessinger at (202) 632–8924 or Respondent: 30 minutes. Disability Benefits Questionnaire (VA FAX (202) 632–8925. Frequency of Response: One time. Form 21–0960M–8)) Estimated Number of Respondents: SUPPLEMENTARY INFORMATION: Under the 50,000. AGENCY: Veterans Benefits PRA of 1995 (Pub. L. 104–13; 44 U.S.C. Administration, Department of Veterans 3501–21), Federal agencies must obtain By direction of the Secretary. Affairs. approval from the Office of Management Cynthia Harvey-Pryor, ACTION: Notice. and Budget (OMB) for each collection of Department Clearance Officer, Office of information they conduct or sponsor. Privacy and Records Management, SUMMARY: The Veterans Benefits This request for comment is being made Department of Veterans Affairs. Administration (VBA), Department of pursuant to Section 3506(c)(2)(A) of the [FR Doc. 2016–31316 Filed 12–27–16; 8:45 am] Veterans Affairs (VA), is announcing an PRA. BILLING CODE 8320–01–P sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 18:54 Dec 27, 2016 Jkt 241001 PO 00000 Frm 00181 Fmt 4703 Sfmt 9990 E:\FR\FM\28DEN1.SGM 28DEN1


Document Created: 2016-12-28 02:16:30
Document Modified: 2016-12-28 02:16:30
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 February 27, 2017.
ContactNancy J. Kessinger at (202) 632-8924 or FAX (202) 632-8925.
FR Citation81 FR 95735 
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