[Federal Register Volume 80, Number 203 (Wednesday, October 21, 2015)]
[Notices]
[Pages 63876-63877]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-26648]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0704]


Proposed Information Collection (VA/DOD Joint Disability 
Evaluation Claim) Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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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 proposed revision of 
a currently approved collection, and allow 60 days for public comment 
in response to the notice.
    VA Form 21-0819 is used to gather the necessary information to 
determine eligibility for active duty service members who may be 
eligible for DoD Disability Evaluation Board and VA compensation. 
Without this information, determination of entitlement would not be 
possible.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before December 21, 2015.

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 (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email to [email protected]. Please refer to ``OMB Control 
No. 2900-0704'' in any correspondence. During the comment period, 
comments may be viewed online through the 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. 3501-21), 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

[[Page 63877]]

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.
    Title: VA/DOD Joint Disability Evaluation Claim (VA Form 21-0819).
    OMB Control Number: 2900-0704.
    Type of Review: Revision of a currently approved collection.
    Abstract: This form is used to determine an injured or ill Global 
War on Terrorism (GWOT) service member's military readiness fitness for 
military retention, level of disability for retirement, and VA 
Disability Compensation.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 7,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 14,000.

    By direction of the Secretary.

Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records 
Management, Department of Veterans Affairs.
 [FR Doc. 2015-26648 Filed 10-20-15; 8:45 am]
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