[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 <a href="/cdn-cgi/l/email-protection#80eee1eee3f9aeebe5f3f3e9eee7e5f2c0f6e1aee7eff6"><span class="__cf_email__" data-cfemail="80eee1eee3f9aeebe5f3f3e9eee7e5f2c0f6e1aee7eff6">[email protected]</span></a>. 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]
BILLING CODE 8320-01-P


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