[Federal Register Volume 78, Number 221 (Friday, November 15, 2013)]
[Notices]
[Pages 68909-68910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-27409]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900--NEW]


Agency Information Collection (Knee and Lower Leg Conditions 
Disability Benefits Questionnaire) 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.

[[Page 68910]]


DATES: Comments must be submitted on or before December 16, 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--
NEW (Knee and Lower Leg Conditions Disability Benefits Questionnaire)'' 
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-NEW (Knee 
and Lower Leg Conditions Disability Benefits Questionnaire)''.

SUPPLEMENTARY INFORMATION:
    Title: Knee and Lower Leg Conditions Disability Benefits 
Questionnaire, VA Form 21-0960M-9.
    OMB Control Number: 2900--NEW (Knee and Lower Leg Conditions 
Disability Benefits Questionnaire).
    Type of Review: New data collection.
    Abstract: The VA Form 21-0960M-9, Knee and Lower Leg Conditions 
Disability Benefits Questionnaire, will be used for disability 
compensation or pension claims which require an examination and/or 
receiving private medical evidence that may potentially be sufficient 
for rating purposes. The form will be used to gather necessary 
information from a claimant's treating physician regarding the results 
of medical examinations and related to the claimant's diagnosis of a 
knee or lower leg condition. VA will gather medical information related 
to the claimant that is necessary to adjudicate the claim for VA 
disability benefits.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 25,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 50,000.

    Dated: November 12, 2013.

Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2013-27409 Filed 11-14-13; 8:45 am]
BILLING CODE 8320-01-P