[Federal Register Volume 82, Number 43 (Tuesday, March 7, 2017)]
[Notices]
[Pages 12912-12913]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-04429]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0659]


Agency Information Collection Activity Under OMB Review: Support 
of Claim for Service Connection for Post-Traumatic Stress Disorder 
(PTSD) and Support of Claim for Service Connection for Post-Traumatic 
Stress Disorder (PTSD) Secondary to Personal Assault

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs (VA).

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 
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 April 6, 2017.

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: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
[email protected]. Please refer to ``OMB Control No. 2900-
0659'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-21.
    Title: Support of Claim for Service Connection for Post-Traumatic 
Stress Disorder (PTSD) (VA Form 21-0781) and Support of Claim for 
Service

[[Page 12913]]

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: VA Forms 21-0781 and 21-0781a are used to gather specific 
information about in-service stressors, so VA can assist claimants in 
obtaining credible supporting evidence that the claimed stressors 
occurred. In-service stressors reported by veterans must be verifiable. 
VA cannot thoroughly research military records and other sources of 
information for credible supporting evidence unless the veteran 
provides VA with specific information about the in-service stressors. 
The forms request information that is necessary to conduct meaningful 
research of records.
    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 at 81 FR 241 on December 15, 2016, pages 
90922 and 90923.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 17,780.
    Estimated Average Burden per Respondent: 70 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 15,240.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-04429 Filed 3-6-17; 8:45 am]
BILLING CODE 8320-01-P