[Federal Register Volume 79, Number 158 (Friday, August 15, 2014)]
[Notices]
[Pages 48296-48297]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-19392]


-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0778]


Proposed Information Collection (Disability Benefits 
Questionnaires--Group 3) Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

[[Page 48297]]

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 revised collection 
and allow 60 days for public comment in response to the notice. This 
notice solicits comments for information needed to obtain medical 
evidence to adjudicate a claim for disability benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before October 14, 2014.

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 (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email to [email protected]. Please refer to ``OMB Control 
No. 2900-0778'' in any correspondence. During the comment period, 
comments may be viewed online through 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. 3501-3521), 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.
    Titles:
    a. Central Nervous System and Neuromusculo Diseases, Disability 
Benefits Questionnaire, VA Form 21-0960C-5.
    b. Headaches (Including Migraine Headaches), Disability Benefits 
Questionnaire, VA Form 21-0960C-8.
    c. Multiple Sclerosis (MS), Disability Benefits Questionnaire, VA 
Form 21-0960C-9.
    d. Esophageal Disorders (Including GERD), Hiatal Hernia and Other 
Esophageal Disorders Disability Benefits Questionnaire, VA Form 21-
0960G-1.
    e. Gallbladder and Pancreas Conditions, Disability Benefits 
Questionnaire, VA Form 21-0960G-2.
    f. Intestinal Disorders (Other Than Surgical or Infectious) 
(Including Irritable Bowel Syndrome, Crohn's Disease, Ulcerative 
Colitis, and Diverticulitis) Disability Benefits Questionnaire, VA Form 
21-0960G-3.
    g. Infectious Intestinal Disorders (including Bacterial and 
Parasitic Infections) Disability Benefits Questionnaire, VA Form 21-
0960G-4.
    h. Hepatitis, Cirrhosis and Other Liver Conditions, Disability 
Benefits Questionnaire, VA Form 21-0960G-5.
    i. Peritoneal Adhesions Disability Benefits Questionnaire, VA Form 
21-0960G-6.
    j. Stomach and Duodenal Conditions (Not Including GERD or 
Esophageal Disorders) Disability Benefits Questionnaire, VA Form 21-
0960G-7.
    k. Rectum and Anus (Including Hemorrhoids) Disability Benefits 
Questionnaire, VA Form 21-0960H-2.
    l. Breast Conditions and Disorders Disability Benefits 
Questionnaire, VA Form 21-0960K-1.
    m. Gynecological Conditions Disability Benefits Questionnaire, VA 
Form 21-0960K-2.
    n. Sleep Apnea Disability Benefits Questionnaire, VA Form 21-0960L-
2.
    o. Osteomyelitis Disability Benefits Questionnaire, VA Form 21-
0960M-11.
    p. Ear Conditions (Including Vestibular and Infectious) Disability 
Benefits Questionnaire, VA Form 21-0960N-1.
    OMB Control Number: 2900-0778.
    Type of Review: Revision.
    Abstract: Data collected on VA Form 21-0960 series will be used to 
obtain information from claimants treating physician that is necessary 
to adjudicate a claim for disability benefits.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 77,500.
    a. VAF 21-0960C-5--5,000.
    b. VAF 21-0960C-8--3,750.
    c. VAF 21-0960C-9--7,500.
    d. VAF 21-0960G-1--10,000.
    e. VAF 21-0960G -2--1,250.
    f. VAF 21-0960G-3--1,250.
    g. VAF 21-0960G-4--1,250.
    h. VAF 21-0960G-5--5,000.
    i. VAF 21-0960G-6--1,250.
    j. VAF 21-0960G-7--2,500.
    k. VAF 21-0960G-8--1,250
    l. VAF 21-0960H-2--2,500.
    m. VAF 21-0960K-1--7,500.
    n. VAF 21-0960K-2--10,000.
    o. VAF 21-0960L-2--1,250.
    p. VAF 21-0960M-11--10,000.
    q. VAF 21-0960N-1--6,250.
    Estimated Average Burden Per Respondent:
    a. VAF 21-0960C-5--30 minutes.
    b. VAF 21-0960C-8--15 minutes.
    c. VAF 21-0960C-9--45 minutes.
    d. VAF 21-0960G-1--15 minutes.
    e. VAF 21-0960G -2--15 minutes.
    f. VAF 21-0960G-3--15 minutes.
    g. VAF 21-0960G-4--15 minutes.
    h. VAF 21-0960G-5--30 minutes.
    i. VAF 21-0960G-6--15 minutes.
    j. VAF 21-0960G-7--15 minutes.
    k. VAF 21-0960G-8--15 minutes.
    l. VAF 21-0960H-2--15 minutes.
    m. VAF 21-0960K-1--15 minutes
    n. VAF 21-0960K-2--30 minutes
    o. VAF 21-0960L-2--15 minutes.
    p. VAF 21-0960M-11--15 minutes.
    q. VAF 21-0960N-1--15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 250,000.
    a. VAF 21-0960C-5--10,000.
    b. VAF 21-0960C-8--15,000.
    c. VAF 21-0960C-9--10,000.
    d. VAF 21-0960G-1--40,000.
    e. VAF 21-0960G -2--5,000.
    f. VAF 21-0960G-3--5,000.
    g. VAF 21-0960G-4--5,000.
    h. VAF 21-0960G-5--10,000.
    i. VAF 21-0960G-6- 5,000.
    j. VAF 21-0960G-7- 10,000.
    k. VAF 21-0960G-8--5,000.
    l. VAF 21-0960H-2--10,000.
    m. VAF 21-0960K-1--30,000.
    n. VAF 21-0960K-2--20,000.
    o. VAF 21-0960L-2--5,000.
    p. VAF 21-0960M-11--40,000.
    q. VAF 21-0960N-1--25,000.

    Dated: August 12, 2014.
    By direction of the Secretary:
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-19392 Filed 8-14-14; 8:45 am]
BILLING CODE 8320-01-P