[Federal Register Volume 79, Number 189 (Tuesday, September 30, 2014)]
[Notices]
[Page 58867]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-23272]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0779]


Agency Information Collection (Disability Benefits 
Questionnaires--Group 1) Activity 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 30, 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. 
2900-0779'' 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. 2900-0779.''

SUPPLEMENTARY INFORMATION:
    Titles:
    a. Hematologic and Lymphatic Conditions, Including Leukemia 
Disability Benefits Questionnaire, VA Form 21-0960B-2.
    b. Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease) Disability 
Benefits Questionnaire, VA Form 21-0960C-2.
    c. Peripheral Nerve Conditions (Not Including Diabetic Sensory-
Motor Peripheral Neuropathy) Disability Benefits Questionnaire, VA Form 
21-0960C-10.
    d. Persian Gulf and Afghanistan Infectious Diseases Disability 
Benefits Questionnaire, VA Form 21-0960I-1.
    e. Tuberculosis Disability Benefits Questionnaire, VA Form 21-
0960I-6.
    f. Kidney Conditions (Nephrology) Disability Benefits 
Questionnaire, VA Form 21-0960J-1.
    g. Male Reproductive Organ Conditions Disability Benefits 
Questionnaire, VA Form 21-0960J-2.
    h. Prostate Cancer Disability Benefits Questionnaire, VA Form 21-
0960J-3.
    l. Eating Disorders Disability Benefits Questionnaire, VA Form 21-
0960P-1.
    m. Mental Disorders (other than PTSD and Eating Disorders) 
Disability Benefits Questionnaire, VA Form 21-0960P-2.
    n. Review Post Traumatic Stress Disorder (PTSD) Disability Benefits 
Questionnaire, VA Form 21-0960P-3.
    OMB Control Number: 2900-0779.
    Type of Review: Revision.
    Abstract: Data collected on VA Form 21-0960 series will be used 
obtain information from claimants treating physician that is necessary 
to adjudicate a 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 July 17, 2014, at pages 41743-41744.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 127, 917.
    Estimated Average Burden per Respondent:
    a. VA Form 21-0960B-2--15 minutes.
    (a) b. VA Form 21-0960C-2--30 minutes.
    (b) c. VA Form 21-0960C-10--45 minutes.
    (c) d. VA Form 21-0960I-1--15 minutes.
    (d) e. VA Form 21-0960I-6--30 minutes.
    (e) f. VA Form 21-0960J-1--30 minutes.
    (f) g. VA Form 21-0960J-2--15 minutes.
    (g) h. VA Form 21-0960J-3--15 minutes.
    (h) l. VA Form 21-0960P-1--15 minutes.
    (i) m. VA Form 21-0960P-2--30 minutes.
    (j) n. VA Form 21-0960P-3--30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: TOTAL: 307,000.
    a. VA Form 21-0960B-2--10,000.
    b. VA Form 21-0960C-2--2,000.
    c. VA Form 21-0960C-10--55,000.
    d. VA Form 21-0960I-1--50,000.
    e. VA Form 21-0960I-6--5,000.
    f. VA Form 21-0960J-1--25,000.
    g. VA Form 21-0960J-2--25,000.
    h. VA Form 21-0960J-3--25,000.
    i. VA Form 21-0960M-13--50,000.
    j. VA Form 21-0960M-14--50,000.
    k. VA Form 21-0960O-1--25,000.
    l. VA Form 21-0960P-1--5,000.
    m. VA Form 21-0960P-2--50,000.
    n. VA Form 21-0960P-3--55,000.

    Dated: September 25, 2014.

    By direction of the Secretary:
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-23272 Filed 9-29-14; 8:45 am]
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