82 FR 12912 - Agency Information Collection Activity Under OMB Review: Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) and Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault
DEPARTMENT OF VETERANS AFFAIRS Federal Register Volume 82, Issue 43 (March 7, 2017)
Federal Register Volume 82, Issue 43 (March 7, 2017)
| Page Range | 12912-12913 | |
| FR Document | 2017-04429 |
[Federal Register Volume 82, Number 43 (Tuesday, March 7, 2017)] [Notices] [Pages 12912-12913] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-04429] ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0659] Agency Information Collection Activity Under OMB Review: Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) and Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault AGENCY: Veterans Benefits Administration, Department of Veterans Affairs (VA). 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 April 6, 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 [email protected]. Please refer to ``OMB Control No. 2900- 0659'' in any correspondence. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-5870 or email [email protected]. Please refer to ``OMB Control No. 2900- 0659'' in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501-21. Title: Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) (VA Form 21-0781) and Support of Claim for Service [[Page 12913]] Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault (VA Form 21-0781a). OMB Control Number: 2900-0659. Type of Review: Revision of a currently approved collection. Abstract: VA Forms 21-0781 and 21-0781a are used to gather specific information about in-service stressors, so VA can assist claimants in obtaining credible supporting evidence that the claimed stressors occurred. In-service stressors reported by veterans must be verifiable. VA cannot thoroughly research military records and other sources of information for credible supporting evidence unless the veteran provides VA with specific information about the in-service stressors. The forms request information that is necessary to conduct meaningful research of records. 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 81 FR 241 on December 15, 2016, pages 90922 and 90923. Affected Public: Individuals or Households. Estimated Annual Burden: 17,780. Estimated Average Burden per Respondent: 70 minutes. Frequency of Response: One time. Estimated Number of Respondents: 15,240. By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Office of Privacy and Records Management, Department of Veterans Affairs. [FR Doc. 2017-04429 Filed 3-6-17; 8:45 am] BILLING CODE 8320-01-P
![12912 Federal Register / Vol. 82, No. 43 / Tuesday, March 7, 2017 / Notices
By direction of the Secretary. period, comments may be viewed online By direction of the Secretary.
Cynthia Harvey-Pryor, through the FDMS. Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Department Clearance Officer, Office of
FOR FURTHER INFORMATION CONTACT:
Privacy and Records Management, Privacy and Records Management,
Department of Veterans Affairs. Nancy J. Kessinger at (202) 632–8924 or Department of Veterans Affairs.
[FR Doc. 2017–04344 Filed 3–6–17; 8:45 am]
FAX (202) 632–8925. [FR Doc. 2017–04348 Filed 3–6–17; 8:45 am]
BILLING CODE 8320–01–P SUPPLEMENTARY INFORMATION: Under the BILLING CODE 8320–01–P
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–21), Federal agencies must obtain
DEPARTMENT OF VETERANS approval from the Office of Management DEPARTMENT OF VETERANS
AFFAIRS and Budget (OMB) for each collection of AFFAIRS
[OMB Control No. 2900–0809] information they conduct or sponsor. [OMB Control No. 2900–0659]
This request for comment is being made
Agency Information Collection Activity pursuant to Section 3506(c)(2)(A) of the Agency Information Collection Activity
(Hand and Finger Conditions Disability PRA. Under OMB Review: Support of Claim
Benefits Questionnaire (VA Form 21– for Service Connection for Post-
With respect to the following Traumatic Stress Disorder (PTSD) and
0960M–7))
collection of information, VBA invites Support of Claim for Service
AGENCY: Veterans Benefits comments on: (1) Whether the proposed Connection for Post-Traumatic Stress
Administration, Department of Veterans collection of information is necessary Disorder (PTSD) Secondary to
Affairs. for the proper performance of VBA’s Personal Assault
ACTION: Notice. functions, including whether the
information will have practical utility; AGENCY: Veterans Benefits
SUMMARY: The Veterans Benefits (2) the accuracy of VBA’s estimate of the Administration, Department of Veterans
Administration (VBA), Department of burden of the proposed collection of Affairs (VA).
Veterans Affairs (VA), is announcing an information; (3) ways to enhance the ACTION: Notice.
opportunity for public comment on the quality, utility, and clarity of the
proposed collection of certain SUMMARY: In compliance with the
information to be collected; and (4) Paperwork Reduction Act (PRA) of
information by the agency. Under the
ways to minimize the burden of the 1995, this notice announces that the
Paperwork Reduction Act (PRA) of
collection of information on Veterans Benefits Administration,
1995, Federal agencies are required to
publish notice in the Federal Register respondents, including through the use Department of Veterans Affairs, will
concerning each proposed collection of of automated collection techniques or submit the collection of information
information, including each proposed the use of other forms of information abstracted below to the Office of
revision of a currently approved technology. Management and Budget (OMB) for
collection, and allow 60 days for public Title: (Hand and Finger Conditions review and comment. The PRA
comment in response to the notice. Disability Benefits Questionnaire (VA submission describes the nature of the
VA Form 21–0960 series is used to Form 21–0960M–7)). information collection and its expected
gather necessary information from a cost and burden and it includes the
OMB Control Number: 2900–0809. actual data collection instrument.
claimant’s treating physician regarding
the results of medical examinations. VA Type of Review: Extension without DATES: Comments must be submitted on
gathers medical information related to change of an approved collection. or before April 6, 2017.
the claimant that is necessary to Abstract: VA Form 21–0960 series is ADDRESSES: Submit written comments
adjudicate the claim for VA disability used to gather necessary information on the collection of information through
benefits. The Disability Benefit from a claimant’s treating physician www.Regulations.gov, or to Office of
Questionnaire title will include the regarding the results of medical Information and Regulatory Affairs,
name of the specific disability for which examinations. VA gathers medical Office of Management and Budget, Attn:
it will gather information. VAF 21– information related to the claimant that VA Desk Officer; 725 17th St. NW.,
0960M–7, Hand and Finger Conditions is necessary to adjudicate the claim for Washington, DC 20503 or sent through
Disability Benefits Questionnaire, will electronic mail to oira_submission@
VA disability benefits. The Disability
gather information related to the omb.eop.gov. Please refer to ‘‘OMB
Benefit Questionnaire title will include
claimant’s diagnosis of a hand or finger Control No. 2900–0659’’ in any
the name of the specific disability for correspondence.
condition.
which it will gather information. VAF
DATES: Written comments and 21–0960M–7, Hand and Finger FOR FURTHER INFORMATION CONTACT:
recommendations on the proposed Conditions Disability Benefits Cynthia Harvey-Pryor, Enterprise
collection of information should be Questionnaire, will gather information Records Service (005R1B), Department
received on or before May 8, 2017. of Veterans Affairs, 810 Vermont
related to the claimant’s diagnosis of a
ADDRESSES: Submit written comments Avenue NW., Washington, DC 20420,
hand or finger condition.
on the collection of information through (202) 461–5870 or email cynthia.harvey-
Federal Docket Management System Affected Public: Individuals or pryor@va.gov. Please refer to ‘‘OMB
(FDMS) at www.Regulations.gov or to households. Control No. 2900–0659’’ in any
sradovich on DSK3GMQ082PROD with NOTICES
Nancy J. Kessinger, Veterans Benefits Estimated Annual Burden: 15,000. correspondence.
Administration (20M33), Department of Estimated Average Burden per SUPPLEMENTARY INFORMATION:
Veterans Affairs, 810 Vermont Avenue Respondent: 30 minutes. Authority: 44 U.S.C. 3501–21.
NW., Washington, DC 20420 or email to Title: Support of Claim for Service
nancy.kessinger@va.gov. Please refer to Frequency of Response: One time. Connection for Post-Traumatic Stress
‘‘OMB Control No. 2900–0809’’ in any Estimated Number of Respondents: Disorder (PTSD) (VA Form 21–0781)
correspondence. During the comment 30,000. and Support of Claim for Service
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![Federal Register / Vol. 82, No. 43 / Tuesday, March 7, 2017 / Notices 12913
Connection for Post-Traumatic Stress Paperwork Reduction Act (PRA) of Type of Review: Extension of an
Disorder (PTSD) Secondary to Personal 1995, Federal agencies are required to approved collection.
Assault (VA Form 21–0781a). publish notice in the Federal Register Abstract: VA Form 21–8940 is used
OMB Control Number: 2900–0659. concerning each proposed collection of by veterans to apply for increased VA
Type of Review: Revision of a information, including each proposed disability compensation based on the
currently approved collection. extension of a currently approved inability to secure or follow a
Abstract: VA Forms 21–0781 and collection, and allow 60 days for public substantially gainful occupation due to
21–0781a are used to gather specific comment in response to the notice. service connected disabilities. Without
information about in-service stressors, VA Form 21–8940 is used by veterans the information, entitlement to
so VA can assist claimants in obtaining to apply for increased VA disability individual unemployability benefits
credible supporting evidence that the compensation based on the inability to could not be determined.
claimed stressors occurred. In-service secure or follow a substantially gainful Affected Public: Individuals or
stressors reported by veterans must be occupation due to service connected households.
verifiable. VA cannot thoroughly disabilities. Without the information, Estimated Annual Burden: 18,000
research military records and other entitlement to individual hours.
sources of information for credible unemployability benefits could not be Estimated Average Burden per
supporting evidence unless the veteran determined. Respondent: 45 minutes.
provides VA with specific information DATES: Written comments and Frequency of Response: One time.
about the in-service stressors. The forms recommendations on the proposed Estimated Number of Respondents:
request information that is necessary to collection of information should be 24,000.
conduct meaningful research of records. received on or before May 8, 2017. By direction of the Secretary.
An agency may not conduct or ADDRESSES: Submit written comments Cynthia Harvey-Pryor,
sponsor, and a person is not required to on the collection of information through Department Clearance Officer, Office of
respond to a collection of information Federal Docket Management System Privacy and Records Management,
unless it displays a currently valid OMB (FDMS) at www.Regulations.gov or to Department of Veterans Affairs.
control number. The Federal Register Nancy J. Kessinger, Veterans Benefits [FR Doc. 2017–04346 Filed 3–6–17; 8:45 am]
Notice with a 60-day comment period Administration (20M33), Department of BILLING CODE 8320–01–P
soliciting comments on this collection Veterans Affairs, 810 Vermont Avenue
of information was published at 81 FR NW., Washington, DC 20420 or email to
241 on December 15, 2016, pages 90922 nancy.kessinger@va.gov. Please refer to DEPARTMENT OF VETERANS
and 90923. ‘‘OMB Control No. 2900–0404’’ in any AFFAIRS
Affected Public: Individuals or correspondence. During the comment [OMB Control No. 2900–0808]
Households. period, comments may be viewed online
Estimated Annual Burden: 17,780. through the FDMS. Agency Information Collection Activity
Estimated Average Burden per FOR FURTHER INFORMATION CONTACT: Under OMB Review: (Back
Respondent: 70 minutes. Nancy J. Kessinger at (202) 632–8924 or (Thoracolumbar Spine) Conditions
Frequency of Response: One time. FAX (202) 632–8925. Disability Benefits Questionnaire (VA
Estimated Number of Respondents: SUPPLEMENTARY INFORMATION: Under the Form 21–0960M–14)
15,240. PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
By direction of the Secretary. AGENCY: Veterans Benefits
3501–21), Federal agencies must obtain
Administration, Department of Veterans
Cynthia Harvey-Pryor, approval from the Office of Management
Affairs.
Department Clearance Officer, Office of and Budget (OMB) for each collection of
Privacy and Records Management, information they conduct or sponsor. ACTION: Notice.
Department of Veterans Affairs. This request for comment is being made SUMMARY: In compliance with the
[FR Doc. 2017–04429 Filed 3–6–17; 8:45 am] pursuant to Section 3506(c)(2)(A) of the Paperwork Reduction Act (PRA) of
BILLING CODE 8320–01–P PRA. 1995, this notice announces that the
With respect to the following
Veterans Benefits Administration,
collection of information, VBA invites
Department of Veterans Affairs, will
DEPARTMENT OF VETERANS comments on: (1) Whether the proposed
submit the collection of information
AFFAIRS collection of information is necessary
abstracted below to the Office of
for the proper performance of VBA’s
[OMB Control No. 2900–0404] Management and Budget (OMB) for
functions, including whether the
review and comment. The PRA
Agency Information Collection information will have practical utility;
submission describes the nature of the
Activity: Application for Increased (2) the accuracy of VBA’s estimate of the
information collection and its expected
Compensation Based on burden of the proposed collection of
cost and burden and it includes the
Unemployability (VA Form 21–8940) information; (3) ways to enhance the
actual data collection instrument.
quality, utility, and clarity of the
AGENCY: Veterans Benefits information to be collected; and (4) DATES: Comments must be submitted on
Administration, Department of Veterans ways to minimize the burden of the or before April 6, 2017.
Affairs. collection of information on ADDRESSES: Submit written comments
on the collection of information through
sradovich on DSK3GMQ082PROD with NOTICES
ACTION: Notice. respondents, including through the use
of automated collection techniques or www.Regulations.gov, or to Office of
SUMMARY: The Veterans Benefits the use of other forms of information Information and Regulatory Affairs,
Administration (VBA), Department of technology. Office of Management and Budget, Attn:
Veterans Affairs (VA), is announcing an Title: Veteran’s Application for VA Desk Officer; 725 17th St. NW.,
opportunity for public comment on the Increased Compensation Based on Washington, DC 20503 or sent through
proposed collection of certain Unemployability (VA Form 8940). electronic mail to oira_submission@
information by the agency. Under the OMB Control Number: 2900–0404. omb.eop.gov. Please refer to ‘‘OMB
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Document Created: 2018-02-01 14:48:56
Document Modified: 2018-02-01 14:48:56
| 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 | Comments must be submitted on or before April 6, 2017. | |
| Contact | Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-5870 or email [email protected] Please refer to ``OMB Control No. 2900- 0659'' in any correspondence. | |
| FR Citation | 82 FR 12912 |
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