82 FR 22723 - Agency Information Collection Activity Under OMB Review: Wrist Conditions Disability Benefits Questionnaire

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 94 (May 17, 2017)

Page Range		22723-22724
FR Document		2017-09950

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 94 (Wednesday, May 17, 2017)

[Federal Register Volume 82, Number 94 (Wednesday, May 17, 2017)]
[Notices]
[Pages 22723-22724]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-09950]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0805]


Agency Information Collection Activity Under OMB Review: Wrist 
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 June 16, 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.,

[[Page 22724]]

Washington, DC 20503 or sent through electronic mail to 
oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
0805'' 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-
0805'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-21.
    Title: Wrist Conditions Disability Benefits Questionnaire (VA Form 
21-0960M-16).
    OMB Control Number: 2900-0805.
    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-16, Wrist Conditions Disability Benefits Questionnaire, 
will gather information related to the claimant's diagnosis of a wrist 
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 42, on March 6, 2017, pages 12703 
and 12704.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 20,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 40,000.

    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. 2017-09950 Filed 5-16-17; 8:45 am]
 BILLING CODE 8320-01-P

Federal Register / Vol. 82, No. 94 / Wednesday, May 17, 2017 / Notices 22723

VA Desk Officer; 725 17th St. NW., SUMMARY: In compliance with the seventh day after the date the agreement
Washington, DC 20503 or sent through Paperwork Reduction Act (PRA) of was signed, signs the form, and then the
electronic mail to oira_submission@ 1995, this notice announces that the claimant sends the completed form to
omb.eop.gov. Please refer to ‘‘OMB Veterans Benefits Administration the correspondence school. The
Control No. 2900–0458’’ in any (VBA), Department of Veterans Affairs, correspondence school’s Certifying
correspondence. will submit the collection of Official attaches an enrollment
FOR FURTHER INFORMATION CONTACT: information abstracted below to the certification to VA Form 22–1999c and
Cynthia Harvey-Pryor, Enterprise Office of Management and Budget sends both forms to VA for processing.
Records Service (005R1B), Department (OMB) for review and comment. The An agency may not conduct or
of Veterans Affairs, 810 Vermont PRA submission describes the nature of sponsor, and a person is not required to
Avenue NW., Washington, DC 20420, the information collection and its respond to a collection of information
(202) 461–5870 or email cynthia.harvey- expected cost and burden; it includes unless it displays a currently valid OMB
pryor@va.gov. Please refer to ‘‘OMB the actual data collection instrument. control number. The Federal Register
Control No. 2900–0458’’ in any DATES: Comments must be submitted on Notice with a 60-day comment period
correspondence. or before June 16, 2017. soliciting comments on this collection
ADDRESSES: Submit written comments
of information was published at 82 FR
SUPPLEMENTARY INFORMATION:
on the collection of information through 16 on January 26, 2017, page 8568.
Authority: 44 U.S.C. 3501–21.
Title: Certification of School Affected Public: Institutions of Higher
www.Regulations.gov, or to Office of
Attendance or Termination (VA Form Learning.
Information and Regulatory Affairs,
21–8960 & 21–8960–1) Estimated Annual Burden: 22 hours.
Office of Management and Budget, Attn:
OMB Control Number: 2900–0458. Estimated Average Burden per
VA Desk Officer; 725 17th St. NW.,
Type of Review: Revision of a Respondent: 3 minutes.
Washington, DC 20503 or sent through Frequency of Response: Annually.
currently approved collection. electronic mail to oira_submission@
Abstract: VA Forms 21–8960 & 21– Estimated Number of Respondents:
omb.eop.gov. Please refer to ‘‘OMB 445.
8960–1 are used to gather the necessary Control No. 2900–0576’’ in any
information to determine continued correspondence. By direction of the Secretary.
benefit entitlement to or for a child Cynthia Harvey-Pryor,
between the ages of 18 and 23 who is FOR FURTHER INFORMATION CONTACT:
Department Clearance Officer, Enterprise
attending school. Cynthia Harvey-Pryor, Enterprise Records Service, Office of Quality and
An agency may not conduct or Records Service (005R1B), Department Compliance, Department of Veterans Affairs.
sponsor, and a person is not required to of Veterans Affairs, 810 Vermont [FR Doc. 2017–09948 Filed 5–16–17; 8:45 am]
respond to a collection of information Avenue NW., Washington, DC 20420,
BILLING CODE 8320–01–P
unless it displays a currently valid OMB (202) 461–5870 or email cynthia.harvey-
control number. The Federal Register pryor@va.gov. Please refer to ‘‘OMB
Notice with a 60-day comment period Control No. 2900–0576’’ in any DEPARTMENT OF VETERANS
soliciting comments on this collection correspondence. AFFAIRS
of information was published at 82 FR SUPPLEMENTARY INFORMATION:
[OMB Control No. 2900–0805]
19 on January 31, 2017, page 8891. Authority: 44 U.S.C. 3501–3521; 38
Affected Public: Individuals or U.S.C. 3686(b). Agency Information Collection Activity
Households. Title: Certification of Affirmation of
Estimated Annual Burden: 11,667. Under OMB Review: Wrist Conditions
Enrollment Agreement Correspondence Disability Benefits Questionnaire
Estimated Average Burden per Course (VA Form 22–1999c).
Respondent: 10 minutes. OMB Control Number: 2900–0576. AGENCY: Veterans Benefits
Frequency of Response: One time. Administration, Department of Veterans
Estimated Number of Respondents: Type of Review: Revision of a
currently approved collection. Affairs.
70,000.
Abstract: VA Form 22–1999c is used ACTION: Notice.
By direction of the Secretary. to pay education benefits for
Cynthia Harvey-Pryor, correspondence training. This SUMMARY: In compliance with the
Department Clearance Officer, Enterprise information allows VA to determine if Paperwork Reduction Act (PRA) of
Records Service, Office of Quality and the claimant has been informed of the 1995, this notice announces that the
Compliance, Department of Veterans Affairs. 5 day reflection period required by law. Veterans Benefits Administration,
[FR Doc. 2017–09947 Filed 5–16–17; 8:45 am] VA can pay education benefits, the Department of Veterans Affairs, will
BILLING CODE 8320–01–P claimant must affirm in writing the submit the collection of information
enrollment agreement for the abstracted below to the Office of
correspondence course after the Management and Budget (OMB) for
DEPARTMENT OF VETERANS expiration of 5 full days after the date review and comment. The PRA
AFFAIRS that he or she signed the submission describes the nature of the
[OMB Control No. 2900–0576] correspondence contract. Accordingly, information collection and its expected
VA Form 22–1999c, Certificate of cost and burden and it includes the
Agency Information Collection Activity Affirmation of Enrollment Agreement of actual data collection instrument.
Under OMB Review: Certification of Correspondence Course was developed DATES: Comments must be submitted on
nlaroche on DSK30NT082PROD with NOTICES

Affirmation of Enrollment Agreement to assist with this statutory requirement. or before June 16, 2017.
Correspondence Course The claimant either affirms the ADDRESSES: Submit written comments
AGENCY: Veterans Benefits agreement or destroys this form. The on the collection of information through
Administration, Department of Veterans claimant then notifies the www.Regulations.gov, or to Office of
Affairs. correspondence school of this decision. Information and Regulatory Affairs,
If the agreement is affirmed, the Office of Management and Budget, Attn:
ACTION: Notice.
claimant enters a date no later than the VA Desk Officer; 725 17th St. NW.,

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22724 Federal Register / Vol. 82, No. 94 / Wednesday, May 17, 2017 / Notices

Washington, DC 20503 or sent through DEPARTMENT OF VETERANS updates to the form include the
electronic mail to oira_submission@ AFFAIRS following:
omb.eop.gov. Please refer to ‘‘OMB • Change to the Applicant Definition,
Control No. 2900–0805’’ in any [OMB Control No. 2900–0222]
who can apply for a Government
correspondence. headstone, marker or medallion;
Agency Information Collection Activity
FOR FURTHER INFORMATION CONTACT: Under Review: Proposed Information • Information about the Presidential
Cynthia Harvey-Pryor, Enterprise Collection, Claim for Standard Memorial Certificate (PMC) program
Records Service (005R1B), Department Government Headstone or Marker and and the option to receive a PMC in
of Veterans Affairs, 810 Vermont Claim for Government Medallion for addition to the headstone, marker or
Avenue NW., Washington, DC 20420, Placement in a Private Cemetery medallion;
(202) 461–5870 or email cynthia.harvey- AGENCY: National Cemetery • Changes in eligibility for a
pryor@va.gov. Please refer to ‘‘OMB Administration (NCA), Department of medallion, consistent with section 301
Control No. 2900–0805’’ in any Veterans Affairs. of Public Law 114–315;
correspondence.
ACTION: Notice. • Addition of language that clarifies
SUPPLEMENTARY INFORMATION: that ‘‘mandatory’’ and ‘‘optional’’
SUMMARY: In compliance with inscription items are provided in
Authority: 44 U.S.C. 3501–21. Paperwork Reduction Act (PRA) 0f English, and that ‘‘additional’’
Title: Wrist Conditions Disability 1995, this notice announces that the inscription items may be provided in
Benefits Questionnaire (VA Form 21– National Cemetery Administration English or non-English text that consists
0960M–16). (NCA), Department of Veterans Affairs of the Latin Alphabet or numbers;
OMB Control Number: 2900–0805. will submit the collection of
information abstracted below to the • Addition of information on VA
Type of Review: Extension of a Office of Management and Budget Form 40–1330 and VA Form 40–1330M
currently approved collection. (OMB) for review and comment. The related to whether the Veteran was
Abstract: VA Form 21–0960 series is PRA submission describes the nature of previously determined by VA to be
used to gather necessary information the information collection and its eligible for burial, and related to
from a claimant’s treating physician expected cost and burden and it whether the request is initial or for a
regarding the results of medical includes the actual data collection replacement headstone or marker;
examinations. VA gathers medical instrument. • Addition of ‘‘Iraq’’ and
information related to the claimant that ‘‘Afghanistan’’ as indicators of ‘‘War
DATES: Comments must be submitted on
is necessary to adjudicate the claim for Service,’’ consistent with Public Law
or before June 16, 2017.
VA disability benefits. The Disability 114–315;
Benefit Questionnaire title will include ADDRESSES: Submit written comments
on the collection of information through • Addition of Age at the Time of
the name of the specific disability for Death on VA Form 40–1330 and VA
which it will gather information. VAF www.Regulations.gov; or to Office of
Information and Regulatory Affairs, Form 40–1330M; and
21–0960M–16, Wrist Conditions
Disability Benefits Questionnaire, will Office of Management and Budget, Attn: • Addition of demographic
gather information related to the VA Desk Officer; 725 17th St. NW., information for statistical reporting
claimant’s diagnosis of a wrist Washington, DC 20503 or sent through purposes only on VA Form 40–1330 and
condition. electronic mail to oira_submission@ VA Form 40–1330M.
omb.eop.gov. Please refer to ‘‘OMB An agency may not conduct or
An agency may not conduct or Control No. 2900–0222’’ in any
sponsor, and a person is not required to sponsor, and a person is not required to
correspondence. respond to a collection of information
respond to a collection of information
unless it displays a currently valid OMB FOR FURTHER INFORMATION CONTACT: unless it displays a currently valid OMB
control number. The Federal Register Cynthia Harvey-Pryor, Enterprise control number. The Federal Register
Notice with a 60-day comment period Records Service (005R1B), (202)461– Notice with a 60-day comment period
soliciting comments on this collection 5870 or email Cynthia.harvey-pryor@ soliciting comments on this collection
of information was published at 82 FR va.gov. Please refer to ‘‘OMB Control of information was published at 82 FRN
42, on March 6, 2017, pages 12703 and No. 2900–0222’’ in any correspondence. 17740 on April 12, 2017.
12704. SUPPLEMENTARY INFORMATION: Affected Public: Individuals or
Affected Public: Individuals or Authority: Public Law 104–13; U.S.C. Households.
Households. 3501–21. Estimated Annual Burden: 88,643
Title: VA Form 40–1330, Claim for Burden Hours.
Estimated Annual Burden: 20,000. Standard Government Headstone or
Estimated Average Burden per Marker, and VA Form 40–1330M, Claim Estimated Average Burden per
Respondent: 30 minutes. for Government Medallion for Respondent: 15 Minutes.
Frequency of Response: One time. Placement in a Private Cemetery. Frequency of Response: One-time.
OMB Control Number: 2900–0222. Estimated Number of Respondents:
Estimated Number of Respondents:
Type of Review: Reinstatement of a 166,135.
40,000.
previously approved collection.
nlaroche on DSK30NT082PROD with NOTICES

By direction of the Secretary. Abstract: The National Cemetery By direction of the Secretary.
Cynthia Harvey-Pryor, Administration (NCA) updated its Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise current VA Form 40–1330 and VA Form Department Clearance Officer, Enterprise
Records Service, Office of Quality and 40–1330M. The original VA Form 40– Records Service, Office of Quality and
Compliance, Department of Veterans Affairs. 1330 and 40–1330M is a request for a Compliance, Department of Veterans Affairs.
[FR Doc. 2017–09950 Filed 5–16–17; 8:45 am] Government-furnished headstone or [FR Doc. 2017–09946 Filed 5–16–17; 8:45 am]
BILLING CODE 8320–01–P marker, or medallion, respectively. The BILLING CODE 8320–01–P

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Document Created: 2017-05-17 01:42:11
Document Modified: 2017-05-17 01:42:11

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 June 16, 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- 0805'' in any correspondence.
FR Citation		82 FR 22723