[Federal Register Volume 82, Number 79 (Wednesday, April 26, 2017)]
[Notices]
[Pages 19312-19313]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-08438]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0720]


Agency Information Collection Activity: Operation Enduring 
Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member 
Veteran Worksheet

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 21-0773 is a checklist for Veterans 
Service Representatives to verify they have given information, 
applications, and/or referral service to our Operation Enduring Freedom 
or Operation Iraqi Freedom service members who have at least six months 
remaining on active duty and who may have suffered a serious injury or 
illness. This form will be maintained in the veteran's claims folder.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before June 26, 2017.

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. 2900-0720 '' in any correspondence. During the comment period, 
comments may be viewed online through the FDMS.

[[Page 19313]]


FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or FAX (202) 632-8925.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995, 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.
    Authority: Public Law 104-13; 44 U.S.C. 3501-21.
    Title: Operation Enduring Freedom/Operation Iraqi Freedom Seriously 
Injured/Ill Service Member Veteran Worksheet (VA Form 21-0773).
    OMB Control Number: 2900-0720.
    Type of Review: Revision of an approved collection.
    Abstract: VA Form 21-0773 is a checklist for Veterans Service 
Representatives to verify they have given information, applications, 
and/or referral service to our Operation Enduring Freedom or Operation 
Iraqi Freedom service members who have at least six months remaining on 
active duty and who may have suffered a serious injury or illness. This 
form will be maintained in the veteran's claims folder.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 7,000 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 14,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise Records Service, Office of 
Quality and Compliance, Department of Veterans Affairs.
[FR Doc. 2017-08438 Filed 4-25-17; 8:45 am]
 BILLING CODE 8320-01-P