82 FR 18538 - Agency Information Collection Activity Under OMB Review: Hand and Finger Conditions Disability Benefits Questionnaire

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 74 (April 19, 2017)

Page Range		18538-18538
FR Document		2017-07864

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.

Federal Register, Volume 82 Issue 74 (Wednesday, April 19, 2017)

[Federal Register Volume 82, Number 74 (Wednesday, April 19, 2017)]
[Notices]
[Page 18538]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-07864]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0809]


Agency Information Collection Activity Under OMB Review: Hand and 
Finger Conditions Disability Benefits Questionnaire

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

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 May 19, 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 
oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
0809'' 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 
cynthia.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900-
0809'' in any correspondence.

SUPPLEMENTARY INFORMATION: 

    Authority: 44 U.S.C. 3501-21.
    Title: Hand and Finger Conditions Disability Benefits Questionnaire 
(VA Form 21-0960M-7).
    OMB Control Number: 2900-0809.
    Type of Review: Extension of a currently 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-7, Hand and Finger Conditions Disability Benefits 
Questionnaire, will gather information related to the claimant's 
diagnosis of a hand or finger condition.
    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 82 FR 43, on March 7, 2017, page 12912.
    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, Enterprise Records Service, Office of 
Quality and Compliance, Department of Veterans Affairs.
[FR Doc. 2017-07864 Filed 4-18-17; 8:45 am]
 BILLING CODE 8320-01-P

18538 Federal Register / Vol. 82, No. 74 / Wednesday, April 19, 2017 / Notices

www.Regulations.gov, or to Office of DEPARTMENT OF VETERANS which it will gather information. VAF
Information and Regulatory Affairs, AFFAIRS 21–0960M–7, Hand and Finger
Office of Management and Budget, Attn: Conditions Disability Benefits
[OMB Control No. 2900–0809]
VA Desk Officer; 725 17th St. NW., Questionnaire, will gather information
Washington, DC 20503 or sent through Agency Information Collection Activity related to the claimant’s diagnosis of a
electronic mail to oira_submission@ Under OMB Review: Hand and Finger hand or finger condition.
omb.eop.gov. Please refer to ‘‘OMB Conditions Disability Benefits An agency may not conduct or
Control No. 2900–0802’’ in any Questionnaire sponsor, and a person is not required to
correspondence. respond to a collection of information
AGENCY: Veterans Benefits unless it displays a currently valid OMB
FOR FURTHER INFORMATION CONTACT:
Administration, Department of Veterans control number. The Federal Register
Cynthia Harvey-Pryor, Enterprise Affairs. Notice with a 60-day comment period
Records Service (005R1B), Department
ACTION: Notice. soliciting comments on this collection
of Veterans Affairs, 810 Vermont
of information was published at 82 FR
Avenue NW., Washington, DC 20420, SUMMARY: In compliance with the 43, on March 7, 2017, page 12912.
(202) 461–5870 or email cynthia.harvey- Paperwork Reduction Act (PRA) of Affected Public: Individuals or
pryor@va.gov. Please refer to ‘‘OMB 1995, this notice announces that the Households.
Control No. 2900–0802’’ in any Veterans Benefits Administration, Estimated Annual Burden: 15,000.
correspondence. Department of Veterans Affairs, will Estimated Average Burden per
SUPPLEMENTARY INFORMATION: submit the collection of information Respondent: 30 minutes.
abstracted below to the Office of Frequency of Response: One time.
Authority: 44 U.S.C. 3501–21.
Management and Budget (OMB) for Estimated Number of Respondents:
Title: Shoulder and Arm Conditions review and comment. The PRA 30,000.
Disability Benefits Questionnaire (VA submission describes the nature of the
Form 21–0960M–12). By direction of the Secretary.
information collection and its expected
OMB Control Number: 2900–0802. Cynthia Harvey-Pryor,
cost and burden and it includes the
Type of Review: Extension of a actual data collection instrument. Department Clearance Officer, Enterprise
currently approved collection. Records Service, Office of Quality and
DATES: Comments must be submitted on Compliance, Department of Veterans Affairs.
Abstract: VA Form 21–0960 series is or before May 19, 2017. [FR Doc. 2017–07864 Filed 4–18–17; 8:45 am]
used to gather necessary information ADDRESSES: Submit written comments BILLING CODE 8320–01–P
from a claimant’s treating physician on the collection of information through
regarding the results of medical www.Regulations.gov, or to Office of
examinations. VA gathers medical Information and Regulatory Affairs, DEPARTMENT OF VETERANS
information related to the claimant that Office of Management and Budget, Attn: AFFAIRS
is necessary to adjudicate the claim for VA Desk Officer; 725 17th St. NW.,
VA disability benefits. The Disability Washington, DC 20503 or sent through [OMB Control No. 2900–0779]
Benefit Questionnaire title will include electronic mail to oira_submission@
the name of the specific disability for omb.eop.gov. Please refer to ‘‘OMB Agency Information Collection
which it will gather information. VA Control No. 2900–0809’’ in any Activity: Hematologic and Lymphatic
Forms 21–0960M–12 is used to gather correspondence. Conditions, Including Leukemia
information related to the claimant’s Disability Benefits Questionnaire,
diagnosis of a shoulder or arm FOR FURTHER INFORMATION CONTACT: Amyotrophic Lateral Sclerosis (Lou
condition. Cynthia Harvey-Pryor, Enterprise Gehrig’s Disease) Disability Benefits
Records Service (005R1B), Department Questionnaire, Peripheral Nerve
An agency may not conduct or
of Veterans Affairs, 810 Vermont Conditions (Not Including Diabetic
sponsor, and a person is not required to
Avenue NW., Washington, DC 20420, Sensory-Motor Peripheral Neuropathy)
respond to a collection of information
(202) 461–5870 or email cynthia.harvey- Disability Benefits Questionnaire,
unless it displays a currently valid OMB
pryor@va.gov. Please refer to ‘‘OMB Persian Gulf and Afghanistan
control number. The Federal Register
Control No. 2900–0809’’ in any Infectious Diseases Disability Benefits
Notice with a 60-day comment period
correspondence. Questionnaire, Tuberculosis Disability
soliciting comments on this collection
of information was published at 82 FR SUPPLEMENTARY INFORMATION: Benefits Questionnaire, Kidney
16, on January 26, 2017, page 8568. Authority: 44 U.S.C. 3501–21. Conditions (Nephrology) Disability
Affected Public: Individuals or Title: Hand and Finger Conditions Benefits Questionnaire, Male
Households. Disability Benefits Questionnaire (VA Reproductive Organ Conditions
Estimated Annual Burden: 25,000. Form 21–0960M–7). Disability Benefits Questionnaire,
OMB Control Number: 2900–0809. Prostate Cancer Disability Benefits
Estimated Average Burden per Questionnaire, Eating Disorders
Respondent: 30 minutes. Type of Review: Extension of a
currently approved collection. Disability Benefits Questionnaire,
Frequency of Response: One time. Mental Disorders (Other Than PTSD
Abstract: VA Form 21–0960 series is
Estimated Number of Respondents: and Eating Disorders) Disability
used to gather necessary information
50,000. Benefits Questionnaire, Review Post
from a claimant’s treating physician
jstallworth on DSK7TPTVN1PROD with NOTICES

By direction of the Secretary. regarding the results of medical Traumatic Stress Disorder (PTSD)
Cynthia Harvey-Pryor, examinations. VA gathers medical Disability Benefits Questionnaire
Department Clearance Officer, Enterprise information related to the claimant that AGENCY: Veterans Benefits
Records Service, Office of Quality and is necessary to adjudicate the claim for Administration, Department of Veterans
Compliance, Department of Veterans Affairs. VA disability benefits. The Disability Affairs.
[FR Doc. 2017–07865 Filed 4–18–17; 8:45 am] Benefit Questionnaire title will include
ACTION: Notice.
BILLING CODE 8320–01–P the name of the specific disability for

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Document Created: 2018-11-14 09:43:53
Document Modified: 2018-11-14 09:43:53

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 May 19, 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- 0809'' in any correspondence.
FR Citation		82 FR 18538