[Federal Register Volume 81, Number 91 (Wednesday, May 11, 2016)]
[Notices]
[Page 29328]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11048]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0781]


Proposed Information Collection (Disability Benefits 
Questionnaire (Group 4)) 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. 3501-21), this notice announces that the Veterans Benefits 
Administration, 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 and it includes the actual data collection instrument.

DATES: Comments must be submitted on or before June 10, 2016.

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-
0781'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, 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-
0781'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Disability Benefits Questionnaires (Group 4).
    OMB Control Number: 2900-0781.
    Type of Review: Revision of a currently approved collection.
    Abstract: The VA Form 21-0960 series will be used to gather 
necessary information from a claimant's treating physician regarding 
the results of medical examinations. 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: 53,750.
    Estimated Average Burden per Respondent:
    i. VAF 21-0960C-3--30 minutes.
    ii. VAF 21-0960C-6--15 minutes.
    iii. VAF 21-0960C-7--15 minutes.
    iv. VAF 21-0960C-11--15 minutes.
    v. VAF 21-0960D-1--15 minutes.
    vi. VAF 21-0960E-2--15 minutes.
    vii. VAF 21-0960E-3--15 minutes.
    viii. VAF 21-0960H-1--15 minutes.
    ix. VAF 21-0960I-2--15 minutes.
    x. VAF 21-0960I-3--15 minutes.
    xi. VAF 21-0960I-4--30 minutes.
    xii. VAF 21-0960I-5--15 minutes.
    xiii. VAF 21-0960J-4--15 minutes.
    xiv. VAF 21-0960L-1--30 minutes.
    xv. VAF 21-0960N-3--15 minutes.
    xvi. VAF 21-0960N-4--30 minutes.
    xvii. VAF 21-0960Q-1--15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 160,000.

    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. 2016-11048 Filed 5-10-16; 8:45 am]
 BILLING CODE 8320-01-P