[Federal Register Volume 84, Number 145 (Monday, July 29, 2019)]
[Notices]
[Page 36665]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-16024]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0781]


Agency Information Collection Activity Under OMB Review: 
Disability Benefits Questionnaire (Group 4)

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, 
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 August 28, 2019.

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: Danny S. Green, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 811 Vermont Avenue 
NW, Washington, DC 20420, (202) 421-1354 or email [email protected]. 
Please refer to ``OMB Control No. 2900-0781'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Authority: 44 U.S.C. 3501-21.
    Title: Disability Benefits Questionnaires (Group 4).
    OMB Control Number: 2900-0781.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-0960 series is 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. No changes are proposed. This is an extension 
request only.
    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 84 FR 87 on May 6, 2019, pages 19831 and 
19832.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 53,750 hours.
    Estimated Average Burden per Respondent: 18.5 minutes per form (17 
forms).
    Frequency of Response: One time.
    Estimated Number of Respondents: 160,000.

    By direction of the Secretary.
Danny S. Green,
VA Interim Clearance Officer, Office of Quality, Performance and Risk 
(OQPR), Department of Veterans Affairs.
[FR Doc. 2019-16024 Filed 7-26-19; 8:45 am]
BILLING CODE 8320-01-P