82 FR 4461 - Agency Information Collection Activity: (Non-Degenerative Arthritis (Including Inflammatory, Autoimmune, Crystalline and Infectious Arthritis) and Dysbaric Osteonecrosis Disability Benefits Questionnaire (VA Form 21-0960M-3)

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 9 (January 13, 2017)

Page Range		4461-4462
FR Document		2017-00624

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-3 is used to gather necessary information from a claimant's treating physician regarding the results of medical examinations.

Federal Register, Volume 82 Issue 9 (Friday, January 13, 2017)

[Federal Register Volume 82, Number 9 (Friday, January 13, 2017)]
[Notices]
[Pages 4461-4462]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-00624]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0801]


Agency Information Collection Activity: (Non-Degenerative 
Arthritis (Including Inflammatory, Autoimmune, Crystalline and 
Infectious Arthritis) and Dysbaric Osteonecrosis Disability Benefits 
Questionnaire (VA Form 21-0960M-3)

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.

[[Page 4462]]

    VA Forms 21-0960M-3 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 March 14, 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. 2900-0801'' 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: (Non-Degenerative Arthritis (including inflammatory, 
autoimmune, crystalline and infectious arthritis) and Dysbaric 
Osteonecrosis Disability Benefits Questionnaire (VA Form 21-0960M-3).
    OMB Control Number: 2900-0801.
    Type of Review: Extension of an approved collection.
    Abstract: VA Forms 21-0960M-3 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: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 100,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-00624 Filed 1-12-17; 8:45 am]
 BILLING CODE 8320-01-P

$4462 Federal Register / Vol. 82, No. 9 / Friday, January 13, 2017 / Notices VA Forms 21–0960M–3 is used to approval from the Office of Management Dysbaric Osteonecrosis Disability gather necessary information from a and Budget (OMB) for each collection of Benefits Questionnaire (VA Form 21– claimant’s treating physician regarding information they conduct or sponsor. 0960M–3). the results of medical examinations. This request for comment is being made OMB Control Number: 2900–0801. DATES: Written comments and pursuant to Section 3506(c)(2)(A) of the Type of Review: Extension of an recommendations on the proposed PRA. approved collection. collection of information should be With respect to the following Abstract: VA Forms 21–0960M–3 is received on or before March 14, 2017. collection of information, VBA invites used to gather necessary information ADDRESSES: Submit written comments comments on: (1) Whether the proposed from a claimant’s treating physician on the collection of information through collection of information is necessary regarding the results of medical Federal Docket Management System for the proper performance of VBA’s examinations. (FDMS) at www.Regulations.gov or to functions, including whether the Affected Public: Individuals or Nancy J. Kessinger, Veterans Benefits information will have practical utility; households. Administration (20M33), Department of (2) the accuracy of VBA’s estimate of the Estimated Annual Burden: 25,000 Veterans Affairs, 810 Vermont Avenue burden of the proposed collection of hours. NW., Washington, DC 20420 or email to information; (3) ways to enhance the Estimated Average Burden per nancy.kessinger@va.gov. Please refer to quality, utility, and clarity of the Respondent: 15 minutes. ‘‘OMB Control No. 2900–0801’’ in any information to be collected; and (4) Frequency of Response: One time. correspondence. During the comment ways to minimize the burden of the Estimated Number of Respondents: period, comments may be viewed online collection of information on 100,000. through the FDMS. respondents, including through the use By direction of the Secretary. FOR FURTHER INFORMATION CONTACT: of automated collection techniques or Cynthia Harvey-Pryor, Nancy J. Kessinger at (202) 632–8924 or the use of other forms of information Department Clearance Officer, Office of FAX (202) 632–8925. technology. Privacy and Records Management, SUPPLEMENTARY INFORMATION: Under the Title: (Non-Degenerative Arthritis Department of Veterans Affairs. PRA of 1995 (Pub. L. 104–13; 44 U.S.C. (including inflammatory, autoimmune, [FR Doc. 2017–00624 Filed 1–12–17; 8:45 am] 3501–21), Federal agencies must obtain crystalline and infectious arthritis) and BILLING CODE 8320–01–P asabaliauskas on DSK3SPTVN1PROD with NOTICES VerDate Sep<11>2014 19:06 Jan 12, 2017 Jkt 241001 PO 00000 Frm 00184 Fmt 4703 Sfmt 9990 E:\FR\FM\13JAN1.SGM 13JAN1$

Document Created: 2017-01-13 02:45:22
Document Modified: 2017-01-13 02:45:22

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		Written comments and recommendations on the proposed collection of information should be received on or before March 14, 2017.
Contact		Nancy J. Kessinger at (202) 632-8924 or FAX (202) 632-8925.
FR Citation		82 FR 4461