[Federal Register Volume 89, Number 32 (Thursday, February 15, 2024)]
[Notices]
[Page 11944]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-03148]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0659]


Agency Information Collection Activity Under OMB Review: 
Statement in Support of Claimed Mental Health Disorder(s) Due to an In-
Service Traumatic Event(s)

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 (VBA), 
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: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Refer to 
``OMB Control No. 2900-0659.

FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise 
and Integration, Data Governance Analytics (008), 810 Vermont Ave. NW, 
Washington, DC 20006, (202) 266-4688 or email [email protected]. 
Please refer to ``OMB Control No. 2900-0659'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 38 U.S.C. 5103(a), 38 U.S.C. 5107(a), Public Law 117-
271, Public Law 117-303, 38 CFR 3.304(f).
    Title: Statement in Support of Claimed Mental Health Disorder(s) 
Due to an In-Service Traumatic Event(s) (VA Form 21-0781).
    OMB Control Number: 2900-0659.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-0781 is primarily used to gather certain 
information about in-service stressors, so VA may assist claimants in 
establishing the occurrence of the claimed stressor(s). To establish a 
grant of service-connected compensation, there must be evidence to 
support the in-service stressor(s) reported by the veteran. This form 
is voluntary, however, without this information, VA cannot thoroughly 
assist certain claimants with the research of military records and 
other sources of information for supporting evidence about the in-
service stressor(s). The form requests information that is necessary to 
conduct meaningful research of evidence to help substantiate the claim.
    This revision combines the two previously approved forms under this 
collection number into one form: resulting in the discontinuance of the 
previously approved VA Form 21-0781a, a new title, and a total 
reduction overall of burden on the claimant.
    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 88 FR 86220 on December 12, 2023.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 87,436.
    Estimated Average Burden per Respondent: 45 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 116, 581.

    By direction of the Secretary.
Dorothy Glasgow,
VA PRA Clearance Officer, (Alt), Office of Enterprise and Integration, 
Data Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2024-03148 Filed 2-14-24; 8:45 am]
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