46614 Federal Register / Vol. 82, No. 192 / Thursday, October 5, 2017 / Notices 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–NEW] 

Agency Information Collection Activity 

Under OMB Review: General Release 

for Medical Provider Information to the 

Department of Veterans Affairs (VA) 

and Authorization and Consent To 

Release Information to the Department 

of Veterans Affairs 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

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 November 6, 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 oira_submission@

omb.eop.gov. Please refer to ‘‘OMB 

Control No. 2900–NEW’’ in any 

correspondence. 

FOR FURTHER INFORMATION CONTACT: 

Cynthia Harvey-Pryor, Enterprise 

Records Service (005R1B), Department 

of Veterans Affairs, 811 Vermont 

Avenue NW., Washington, DC 20420, 

(202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB 

Control No. 2900–NEW’’ in any 

correspondence. 

SUPPLEMENTARY INFORMATION: 

Authority: 44 U.S.C. 3501–21. 

Title: General Release for Medical 

Provider Information to the Department 

of Veterans Affairs (VA) (VA Form 21– 

4142) and Authorization and Consent to 

Release Information to the Department 

of Veterans Affairs (VA Form 21–4142a). 

OMB Control Number: 2900–NEW. 

Type of Review: New collection. 

Abstract: VA Forms 21–4142 will be 

used to authorize the disclosure of 

information to the VA and 21–4142a 

will be used to gather the necessary 

information to request medical provider 

information to the VA. 

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 

125 on June 30, 2017, page 30004. 

Affected Public: Individuals or 

Households. 

Estimated Annual Burden: 11,033. 

Estimated Average Burden per 

Respondent: 5 minutes. 

Frequency of Response: One time. 

Estimated Number of Respondents: 

132,400. 

By direction of the Secretary. 

Cynthia Harvey-Pryor, 

Department Clearance Officer, Office of 

Quality, Privacy and Risk, Department of 

Veterans Affairs. 

[FR Doc. 2017–21433 Filed 10–4–17; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–NEW] 

Agency Information Collection Activity 

Under OMB Review: Decision Ready 

Claims (DRC) Exam Review 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

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 November 6, 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 oira_submission@

omb.eop.gov. Please refer to ‘‘OMB 

Control No. 2900–NEW’’ in any 

correspondence. 

FOR FURTHER INFORMATION CONTACT: 

Cynthia Harvey-Pryor, Enterprise 

Records Service (005R1B), Department 

of Veterans Affairs, 811 Vermont 

Avenue NW., Washington, DC 20420, 

(202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB 

Control No. 2900–NEW’’ in any 

correspondence. 

SUPPLEMENTARY INFORMATION: 

Authority: 44 U.S.C. 3501–21. 

Title: Decision Ready Claims (DRC) 

Exam Review (VA Form 21–0985). 

OMB Control Number: 2900–NEW. 

Type of Review: New collection. 

Abstract: VA Form 21–0985 will be 

used to identify the condition(s) that a 

veteran would like VA to schedule a 

contract examination for in support of 

his/her Decision Ready Claim. 

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 

142 on July 26, 2017, pages 34748. 

Affected Public: Individuals or 

Households. 

Estimated Annual Burden: 2,500. 

Estimated Average Burden per 

Respondent: 15 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents: 

10,000. 

By direction of the Secretary. 

Cynthia Harvey-Pryor, 

Department Clearance Officer, Office of 

Quality, Privacy and Risk, Department of 

Veterans Affairs. 

[FR Doc. 2017–21432 Filed 10–4–17; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0666] 

Agency Information Collection 

Activity: Information Regarding 

Apportionment of Beneficiary’s Award 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: Veterans Benefits 

Administration, Department of Veterans 

Affairs (VA), 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 


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Federal Register / Vol. 82, No. 192 / Thursday, October 5, 2017 / Notices 46615 

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. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before December 4, 2017. 

ADDRESSES: Submit written comments 

on the collection of information through 

Federal Docket Management System 

(FDMS) at www.Regulations.gov or to 

Nancy J. Kessinger, Veterans Benefits 

Administration (20M33), Department of 

Veterans Affairs, 810 Vermont Avenue 

NW., Washington, DC 20420 or email to 

nancy.kessinger@va.gov. Please refer to 

‘‘OMB Control No. 2900–0666’’ in any 

correspondence. During the comment 

period, comments may be viewed online 

through FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Cynthia Harvey-Pryor at (202) 461– 

5870. 

SUPPLEMENTARY INFORMATION: Under the 

PRA of 1995, Federal agencies must 

obtain approval from the Office of 

Management and Budget (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. 

Authority: Public Law 104–13; 44 U.S.C. 

3501–3521. 

Title: Information Regarding 

Apportionment of Beneficiary’s Award 

(VA Form 21–0788). 

OMB Control Number: 2900–0666. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA Form 21–0788 is used to 

collect the information that is necessary 

to determine whether an apportionment 

may be authorized and the reasonable 

amount that may be awarded. Without 

this collection of information, VA 

would be unable to properly authorize 

apportionments of compensation and 

pension benefits. 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 12,500 

hours. 

Estimated Average Burden per 

Respondent: 30 minutes. 

Frequency of Response: Once. 

Estimated Number of Respondents: 

25,000. 

By direction of the Secretary. 

Cynthia Harvey-Pryor, 

Department Clearance Officer, Office of 

Quality, Privacy and Risk, Department of 

Veterans Affairs. 

[FR Doc. 2017–21431 Filed 10–4–17; 8:45 am] 

BILLING CODE 8320–01–P 


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