[Federal Register Volume 79, Number 94 (Thursday, May 15, 2014)]
[Notices]
[Pages 27975-27976]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-11179]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0659]


Agency Information Collection (Statement in Support of Claim for 
Service Connection for PTSD) 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 June 16, 2014.

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-
0659'' 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. 2900-0659.''

SUPPLEMENTARY INFORMATION:
    Titles:
    a. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD), VA Form 21-0781.
    b. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 
21-0781a.
    OMB Control Number: 2900-0659.
    Type of Review: Revision of a currently approved collection.
    Abstract: Veterans seeking compensation for post-traumatic stress 
disorder and need VA's assistance in obtaining evidence from military 
records and other sources to substantiate their claims of in-service 
stressors must complete VA Forms 21-0781 and 21-0781a. Veterans who did 
not serve in combat or were not a prisoner of war and are claiming 
compensation for post-traumatic stress disorder due to in-service 
stressors, he or she must provide credible supporting evidence that the 
claimed in-service stressor occurred.
    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 January 16, 2014, at pages 2941-2942.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD), VA Form 21-0781--16,800 hours.
    b. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 
21-0781a--980 hours.
    Estimated Average Burden per Respondent:
    a. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD), VA Form 21-0781-70 minutes.
    b. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 
21-0781a--70 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD), VA Form 21-0781--14,400.
    b. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD) Secondary to

[[Page 27976]]

Personal Assault, VA Form 21-0781a-840.

    Dated: May 12, 2014.

    By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-11179 Filed 5-14-14; 8:45 am]
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