[Federal Register Volume 82, Number 156 (Tuesday, August 15, 2017)]
[Notices]
[Page 38759]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-17184]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0806]


Agency Information Collection Activity Under OMB Review: Ankle 
Conditions Disability Benefits Questionnaire

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 September 14, 2017.

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 
<a href="/cdn-cgi/l/email-protection#a6c9cfd4c7f9d5d3c4cbcfd5d5cfc9c8e6c9cbc488c3c9d688c1c9d0"><span class="__cf_email__" data-cfemail="ff90968d9ea08c8a9d92968c8c969091bf90929dd19a908fd1989089">[email protected]</span></a>. Please refer to ``OMB Control No. 2900-
0806'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
<a href="/cdn-cgi/l/email-protection#ceadb7a0baa6a7afe0a6afbcb8abb7e3bebcb7a1bc8eb8afe0a9a1b8"><span class="__cf_email__" data-cfemail="1f7c66716b77767e31777e6d697a66326f6d66706d5f697e31787069">[email protected]</span></a>. Please refer to ``OMB Control No. 2900-
0806'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Title: Ankle Conditions Disability Benefits Questionnaire (VA Form 
21-0960M-2).
    OMB Control Number: 2900-0806.
    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 gathers medical information related to the 
claimant that is necessary to adjudicate the claim for VA disability 
benefits. The Disability Benefit Questionnaire title will include the 
name of the specific disability for which it will gather information. 
VAF 21-0960M-2, Ankle Conditions Disability Benefits Questionnaire, 
will gather information related to the claimant's diagnosis of an ankle 
condition.
    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 82 FR 42, on March 6, 2017, pages 12702 
and 12703.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 15,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 30,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Quality and Compliance, 
Department of Veterans Affairs.
[FR Doc. 2017-17184 Filed 8-14-17; 8:45 am]
BILLING CODE 8320-01-P


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