82_FR_12744 82 FR 12702 - Agency Information Collection Activity (Ankle Conditions Disability Benefits Questionnaire (VA Form 21-0960M-2))

82 FR 12702 - Agency Information Collection Activity (Ankle Conditions Disability Benefits Questionnaire (VA Form 21-0960M-2))

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 42 (March 6, 2017)

Page Range12702-12703
FR Document2017-04300

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 21-0960 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 21-0960M- 2, Ankle Conditions Disability Benefits Questionnaire, will gather information related to the claimant's diagnosis of an ankle condition.

Federal Register, Volume 82 Issue 42 (Monday, March 6, 2017) 
[Federal Register Volume 82, Number 42 (Monday, March 6, 2017)]
[Notices]
[Pages 12702-12703]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-04300]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0806]


Agency Information Collection Activity (Ankle Conditions 
Disability Benefits Questionnaire (VA Form 21-0960M-2))

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 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 21-0960M-
2, Ankle Conditions Disability Benefits Questionnaire, will gather 
information related to the claimant's diagnosis of an ankle condition.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before May 5, 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. 2900-0806'' 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;

[[Page 12703]]

(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: (Ankle Conditions Disability Benefits Questionnaire (VA Form 
21-0960M-16)).
    OMB Control Number: 2900-0806.
    Type of Review: Extension of an 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 21-0960M-2, Ankle Conditions Disability Benefits Questionnaire, 
will gather information related to the claimant's diagnosis of an ankle 
condition.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 15,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 30,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-04300 Filed 3-3-17; 8:45 am]
 BILLING CODE 8320-01-P

12702 Federal Register / Vol. 82, No. 42 / Monday, March 6, 2017 / Notices Application No. Docket No. Applicant Regulation(s) affected Nature of the special permits thereof 20357–N ............ ........................... Jingmen Hongtu Special 178.274(b), 178.274(b), To authorize the manufacture, marking, sale and Aircraft Manufacturing 178.276(a)(2), use of certain DOT Specification 50 steel port- Co., LTD. 178.276(b)(1). able tanks conforming with Section VIII, Division 2 of the ASME Code instead of Section VIII, Di- vision 1, for the transportation in commerce of Division 2.1 and 2.2 materials. 20361–N ............ ........................... Keith Huber Corporation 178.345–3(f)(3) ............... To authorize the HUBER manufacture, mark, CORPORATION sale, and use of non-DOT specification cargo tanks to transport gasoline. 20362–N ............ ........................... FSC Metal Corporation .. 173.304(a) ...................... To authorize the use of certain non-DOT specifica- tion cylinders for the transportation in commerce of the materials authorized by the special per- mit. 20366–N ............ ........................... ATS–MER, LLC .............. 173.185(a) ...................... To authorize the transportation in commerce of prototype and low production lithium batteries via cargo-only aircraft. [FR Doc. 2017–04013 Filed 3–3–17; 8:45 am] 13382, ‘‘Blocking Property of Weapons claimant’s treating physician regarding BILLING CODE 4909–60–M of Mass Destruction Proliferators and the results of medical examinations. VA Their Supporters’’: gathers medical information related to the claimant that is necessary to Entity DEPARTMENT OF THE TREASURY adjudicate the claim for VA disability METALLIC MANUFACTURING benefits. The Disability Benefit Office of Foreign Assets Control FACTORY, 29 May Street, Damascus- Questionnaire title will include the Al-Sabe E Bahrat Square, P.O. Box name of the specific disability for which Sanctions Action Pursuant to 12184, Syria [NPWMD] (Linked To: it will gather information. VAF 21– Executive Order 13382 MECHANICAL CONSTRUCTION 0960M–2, Ankle Conditions Disability AGENCY: Office of Foreign Assets FACTORY; Linked To: SCIENTIFIC Benefits Questionnaire, will gather Control, Treasury. STUDIES AND RESEARCH CENTER). information related to the claimant’s Dated: February 23, 2017. diagnosis of an ankle condition. ACTION: Notice. Andrea Gacki, DATES: Written comments and SUMMARY: The U.S. Department of the Acting Director, Office of Foreign Assets recommendations on the proposed Treasury’s Office of Foreign Assets Control. collection of information should be Control (OFAC) is publishing the name [FR Doc. 2017–04259 Filed 3–3–17; 8:45 am] received on or before May 5, 2017. of one person whose property and BILLING CODE 4810–AL–P ADDRESSES: Submit written comments interests in property are blocked on the collection of information through pursuant to Executive Order (E.O.) Federal Docket Management System 13382. (FDMS) at www.Regulations.gov or to DEPARTMENT OF VETERANS DATES: OFAC’s actions described in this AFFAIRS Nancy J. Kessinger, Veterans Benefits notice were effective on February 23, Administration (20M33), Department of 2017, as further specified below. [OMB Control No. 2900–0806] Veterans Affairs, 810 Vermont Avenue FOR FURTHER INFORMATION CONTACT: The NW., Washington, DC 20420 or email to Agency Information Collection Activity nancy.kessinger@va.gov. Please refer to Department of the Treasury’s Office of (Ankle Conditions Disability Benefits Foreign Assets Control: Assistant ‘‘OMB Control No. 2900–0806’’ in any Questionnaire (VA Form 21–0960M–2)) correspondence. During the comment Director for Licensing, tel.: 202–622– 2480, Assistant Director for Regulatory AGENCY: Veterans Benefits period, comments may be viewed online Affairs, tel.: 202–622–4855, Assistant Administration, Department of Veterans through the FDMS. Director for Sanctions Compliance & Affairs. FOR FURTHER INFORMATION CONTACT: Evaluation, tel.: 202–622–2490; or the ACTION: Notice. Nancy J. Kessinger at (202) 632–8924 or Department of the Treasury’s Office of FAX (202) 632–8925. the Chief Counsel (Foreign Assets SUMMARY: The Veterans Benefits SUPPLEMENTARY INFORMATION: Under the Control), Office of the General Counsel, Administration (VBA), Department of PRA of 1995 (Pub. L. 104–13; 44 U.S.C. tel.: 202–622–2410. Veterans Affairs (VA), is announcing an 3501–21), Federal agencies must obtain SUPPLEMENTARY INFORMATION: opportunity for public comment on the approval from the Office of Management proposed collection of certain and Budget (OMB) for each collection of Electronic Availability information by the agency. Under the information they conduct or sponsor. The Specially Designated Nationals Paperwork Reduction Act (PRA) of This request for comment is being made 1995, Federal agencies are required to pursuant to Section 3506(c)(2)(A) of the asabaliauskas on DSK3SPTVN1PROD with NOTICES and Blocked Persons List and additional information concerning OFAC sanctions publish notice in the Federal Register PRA. programs are available on OFAC’s Web concerning each proposed collection of With respect to the following site (www.treas.gov/ofac). information, including each proposed collection of information, VBA invites revision of a currently approved comments on: (1) Whether the proposed Notice of OFAC Actions collection, and allow 60 days for public collection of information is necessary On February 23, 2017, OFAC blocked comment in response to the notice. for the proper performance of VBA’s the property and interests in property of VA Form 21–0960 series is used to functions, including whether the the following person pursuant to E.O. gather necessary information from a information will have practical utility; VerDate Sep<11>2014 19:24 Mar 03, 2017 Jkt 241001 PO 00000 Frm 00170 Fmt 4703 Sfmt 4703 E:\FR\FM\06MRN1.SGM 06MRN1

Federal Register / Vol. 82, No. 42 / Monday, March 6, 2017 / Notices 12703 (2) the accuracy of VBA’s estimate of the proposed collection of certain collection of information on burden of the proposed collection of information by the agency. Under the respondents, including through the use information; (3) ways to enhance the Paperwork Reduction Act (PRA) of of automated collection techniques or quality, utility, and clarity of the 1995, Federal agencies are required to the use of other forms of information information to be collected; and (4) publish notice in the Federal Register technology. ways to minimize the burden of the concerning each proposed collection of Title: (Neck (Cervical Spine) collection of information on information, including each proposed Conditions Disability Benefits respondents, including through the use revision of a currently approved Questionnaire (VA Form 21–0960M– of automated collection techniques or collection, and allow 60 days for public 13)). the use of other forms of information comment in response to the notice. OMB Control Number: 2900–0807. technology. VA Form 21–0960 series is used to Type of Review: Extension of an Title: (Ankle Conditions Disability gather necessary information from a approved collection. Benefits Questionnaire (VA Form 21– claimant’s treating physician regarding Abstract: VA Form 21–0960 series is 0960M–16)). the results of medical examinations. VA used to gather necessary information OMB Control Number: 2900–0806. gathers medical information related to from a claimant’s treating physician Type of Review: Extension of an the claimant that is necessary to regarding the results of medical approved collection. adjudicate the claim for VA disability examinations. VA gathers medical Abstract: VA Form 21–0960 series is benefits. The Disability Benefit information related to the claimant that used to gather necessary information Questionnaire title will include the is necessary to adjudicate the claim for from a claimant’s treating physician name of the specific disability for which VA disability benefits. The Disability regarding the results of medical it will gather information. VAF 21– Benefit Questionnaire title will include examinations. VA gathers medical 0960M–13, Neck (Cervical Spine) the name of the specific disability for information related to the claimant that Conditions Disability Benefits which it will gather information. VAF is necessary to adjudicate the claim for Questionnaire, will gather information 21–0960M–13, Neck (Cervical Spine) VA disability benefits. The Disability related to the claimant’s diagnosis of a Conditions Disability Benefits Benefit Questionnaire title will include cervical spine condition. Questionnaire, will gather information the name of the specific disability for DATES: Written comments and related to the claimant’s diagnosis of a which it will gather information. VAF recommendations on the proposed cervical spine condition. 21–0960M–2, Ankle Conditions collection of information should be Affected Public: Individuals or Disability Benefits Questionnaire, will received on or before May 5, 2017. households. gather information related to the ADDRESSES: Submit written comments Estimated Annual Burden: 37,500. claimant’s diagnosis of an ankle on the collection of information through Estimated Average Burden per condition. Federal Docket Management System Respondent: 45 minutes. Affected Public: Individuals or (FDMS) at www.Regulations.gov or to Frequency of Response: One time. households. Nancy J. Kessinger, Veterans Benefits Estimated Number of Respondents: Estimated Annual Burden: 15,000. Administration (20M33), Department of 50,000. Estimated Average Burden per Veterans Affairs, 810 Vermont Avenue By direction of the Secretary. Respondent: 30 minutes. NW., Washington, DC 20420 or email to Cynthia Harvey-Pryor, Frequency of Response: One time. nancy.kessinger@va.gov. Please refer to Department Clearance Officer, Office of Estimated Number of Respondents: ‘‘OMB Control No. 2900–0807’’ in any Privacy and Records Management, 30,000. correspondence. During the comment Department of Veterans Affairs. By direction of the Secretary. period, comments may be viewed online [FR Doc. 2017–04301 Filed 3–3–17; 8:45 am] Cynthia Harvey-Pryor, through the FDMS. BILLING CODE 8320–01–P Department Clearance Officer, Office of FOR FURTHER INFORMATION CONTACT: Privacy and Records Management, Nancy J. Kessinger at (202) 632–8924 or Department of Veterans Affairs. FAX (202) 632–8925. DEPARTMENT OF VETERANS [FR Doc. 2017–04300 Filed 3–3–17; 8:45 am] SUPPLEMENTAL INFORMATION: Under the AFFAIRS BILLING CODE 8320–01–P PRA of 1995 (Pub. L. 104–13; 44 U.S.C. [OMB Control No. 2900–0805] 3501–21), Federal agencies must obtain approval from the Office of Management Agency Information Collection Activity DEPARTMENT OF VETERANS and Budget (OMB) for each collection of (Wrist Conditions Disability Benefits AFFAIRS information they conduct or sponsor. Questionnaire (VA Form 21–0960M– This request for comment is being made 16)) [OMB Control No. 2900–0807] pursuant to Section 3506(c)(2)(A) of the Agency Information Collection Activity PRA. AGENCY: Veterans Benefits With respect to the following Administration, Department of Veterans (Neck (Cervical Spine) Conditions collection of information, VBA invites Affairs. Disability Benefits Questionnaire (VA comments on: (1) Whether the proposed ACTION: Notice. Form 21–0960M–13)) collection of information is necessary Veterans Benefits for the proper performance of VBA’s SUMMARY: The Veterans Benefits asabaliauskas on DSK3SPTVN1PROD with NOTICES AGENCY: Administration, Department of Veterans functions, including whether the Administration (VBA), Department of Affairs. information will have practical utility; Veterans Affairs (VA), is announcing an ACTION: Notice. (2) the accuracy of VBA’s estimate of the opportunity for public comment on the burden of the proposed collection of proposed collection of certain SUMMARY: The Veterans Benefits information; (3) ways to enhance the information by the agency. Under the Administration (VBA), Department of quality, utility, and clarity of the Paperwork Reduction Act (PRA) of Veterans Affairs (VA), is announcing an information to be collected; and (4) 1995, Federal agencies are required to opportunity for public comment on the ways to minimize the burden of the publish notice in the Federal Register VerDate Sep<11>2014 19:24 Mar 03, 2017 Jkt 241001 PO 00000 Frm 00171 Fmt 4703 Sfmt 4703 E:\FR\FM\06MRN1.SGM 06MRN1


Document Created: 2017-03-04 00:07:02
Document Modified: 2017-03-04 00:07:02
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 May 5, 2017.
ContactNancy J. Kessinger at (202) 632-8924 or FAX (202) 632-8925.
FR Citation82 FR 12702 
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