[Federal Register Volume 78, Number 186 (Wednesday, September 25, 2013)]
[Notices]
[Page 59099]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-23295]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0749]


Agency Information Collection (Disability Benefits 
Questionnaires) Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-3521), this notice announces that the Veterans Benefits 
Administration (VBA), 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; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before October 25, 2013.

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-
0749'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0749''.

SUPPLEMENTARY INFORMATION:
    Titles:
    a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, 
VA Form 21-0960a-1.
    b. Hairy Cell and Other B-Cell Leukemias Disability Benefits 
Questionnaire, VA Form 21-0960b-1.
    c. Parkinson's Disease Disability Benefits Questionnaire, VA Form 
21-0960c-1.
    OMB Control Number: 2900-0749.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Forms 21-0960a-1, 21-0960b-1, and 21-0960b-1 are used 
to expedite claims for the following presumptive diseases based on 
herbicide exposure: Hairy Cell and Other Chronic B-cell Leukemias, 
Parkinson's and Ischemic Heart diseases. Veterans have the option of 
providing the forms to their private physician for completion and 
submission to VA in lieu of scheduling a VA medical examination. The 
data collected will be used to adjudicate Veteran's claim for 
disability benefits.
    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 on June 13, 2013, at pages 35661-35662.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, 
VA Form 21-0960a-1--13,750.
    b. Hairy Cell and Other B-Cell Leukemias Disability Benefits 
Questionnaire, VA Form 21-0960b-1--500.
    c. Parkinson's Disease Disability Benefits Questionnaire, VA Form 
21-0960c-1--1,250.
    Estimated Average Burden Per Respondent: 15 minutes for each form. 
Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, 
VA Form 21-0960a-1--55,000.
    b. Hairy Cell and Other B-Cell Leukemias Disability Benefits 
Questionnaire, VA Form 21-0960b-1--2,000.
    c. Parkinson's Disease Disability Benefits Questionnaire, VA Form 
21-0960c-1--5,000.

    Dated: September 20, 2013.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2013-23295 Filed 9-24-13; 8:45 am]
BILLING CODE 8320-01-P