[Federal Register Volume 75, Number 188 (Wednesday, September 29, 2010)]
[Notices]
[Pages 60170-60171]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-24439]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0749]
Proposed Information Collection (Disability Benefits
Questionnaires) Activity: Comment Request
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
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SUMMARY: The Veterans Benefits Administration (VBA) 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 extension of a currently approved collection, and allow
60 days for public comment in response to the notice. This notice
solicits comments on information needed to adjudicate a claim for
disability benefits.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before November 29, 2010.
ADDRESSES: Submit written comments on the collection of information
through
[[Page 60171]]
Federal Docket Management System (FDMS) at www.Regulations.gov or to
Nancy J. Kessinger, Veterans Benefits Administration (20M35),
Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC
20420 or e-mail [email protected]. Please refer to ``OMB Control
No. 2900-0749'' in any correspondence. During the comment period,
comments may be viewed online through the FDMS.
FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 461-9769
or FAX (202) 275-5947.
SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44
U.S.C. 3501-3521), Federal agencies must obtain approval from 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.
SUPPLEMENTARY INFORMATION:
Titles:
a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire,
VA Form 21-0960a-1.
b. Hairy Cell and Other B-Cell Leukemias Disability Benefits
Questionnaire, VA Form 21-0960b-1.
c. Parkinson's Disease Disability Benefits Questionnaire, VA Form
21-0960c-1.
OMB Control Number: 2900-0749.
Type of Review: Extension of a currently approved collection.
Abstract: VA Forms 21-0960a-1, 21-0960b-1, and 21-0960b-1 are used
to expedite claims for the following presumptive diseases based on
herbicide exposure: Hairy Cell and Other Chronic B-cell Leukemias,
Parkinson's and Ischemic Heart diseases. Veterans have the option of
providing the forms to their private physician for completion and
submission to VA in lieu of scheduling a VA medical examination. The
data collected will be used to adjudicate veterans claim for disability
benefits.
Affected Public: Individuals or households.
Estimated Annual Burden:
a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire,
VA Form 21-0960a-1--13,750.
b. Hairy Cell and Other B-Cell Leukemias Disability Benefits
Questionnaire, VA Form 21-0960b-1--500.
c. Parkinson's Disease Disability Benefits Questionnaire, VA Form
21-0960c-1--1,250.
Estimated Average Burden per Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire,
VA Form 21-0960a-1--55,000.
b. Hairy Cell and Other B-Cell Leukemias Disability Benefits
Questionnaire, VA Form 21-0960b-1--2,000.
c. Parkinson's Disease Disability Benefits Questionnaire, VA Form
21-0960c-1--5,000.
Dated: September 24, 2010.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-24439 Filed 9-28-10; 8:45 am]
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