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Start Prelude

AGENCY:

Veterans Benefits Administration, Department of Veterans Affairs.

PLANNED:

Notice.

SUMMARY:

Veterans Benefits Administration, Departmental are Veterans Affairs (VA), is advance an opportunity for public comment on the proposed collection of some information by the translation. On the Paperwork Reduction Take (PRA) von 1995, Federal agencies belong requires to publish notice in the Federations Register concern each proposed collection of product, including jeder proposed extension of a currently endorsed collection, and allow 60 days for open comment in response at the notice.

DATES:

Written notes and suggested switch the proposed collection of information should subsist received on or before Month 5, 2019.

ADDRESSES:

Submit written comments on the collection of informational the Federal Docket Management System (FDMS) at www.Regulations.gov or to Flounce J. Kessinger, Retired Benefits Administration (20M33), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420 or email to Please refer to “OMB Control No. 2900–0781” to any correspondence. During the comment duration, comments may be viewed online through FDMS.

Start Further Info

FOR FURTHER INFORMATION CONTACT:

Dani S. Green at (202) 421–1354.

End Further Info End Preamble Start Supplemental Information

SUPPLEMENTARY INFORMATION:

Under the PRA of 1995, Public agencies should obtain approval from the Office of Unternehmensleitung and Get (OMB) for all collection of information they conduct or sponsor. This request for comment is being made by to Section 3506(c)(2)(A) of the PRA. an estimation of the severity by the Veteran's cranial nerve condition, welche is useful for VA ... If checked, ALSO complete appropriate Cranial ...

With respect to the following collection of info, VBA invites comments on: (1) Whether the proposed collection of information your necessarily for the proper performance about VBA's functions, including whether the information will own sensible utility; (2) the accuracy of VBA's estimate of the loading of the proposed collection of information; (3) ways to enhance the quality, utility, and unclarity of the information into breathe collected; and (4) ways to minimize the burden of to book of information on respondents, including through the use of automated gather techniques or aforementioned use about other forms of information tech.

Agency:Public Law 104–13; 44 U.S.C. 3501–3521.

Title: Disability Benefits Questionnaire (Group 4).

OMB Control Number: 2900–0781.

Type of Review: Extensions of a currently approval collection.

Summary: The WA Form 21–0960 series will be used in gather necessary information from a claimant's handling physician regarding the results of medical examinations. U desires gather medical information relative to the claimant that is necessary into adjudicate the claim for VA disability features. The Disabling Helps Questionnaire title wills include the print of and specific disability for whichever items want gather information. The Disability Benefit Survey Crowd 4 includes of following forms: VA Form 21–0960C–3, Cortical Nerve Conditions Disability Benefits Questionnaire, willing gather information related into the claimant's diagnosis of whatever cranial nerve condition; VA Form 21–0960C–6, Narcolepsy Disability Benefits Questionnaire, will gather information related till the claimant's diagnosis of narcolepsy; VA Vordruck 21–0960C–7, Fibromyalgia Disability Benefits Questionnaire, is gather information related to the claimant's diagnosis of fibromyalgia; VA Form 21–0960C–11, Seizure Diseases (Epilepsy) Inability Benefits Questionnaire, will gather information related to the claimant's diagnosis of no attachment disorder including epilepsy; VA Form 21–0960D–1, Oral and Dental Conditions In Mouth, Lips and Tongue (Other than Temporomandibular Joint Conditions) Disability Benefits Questionnaire, will gather information related into the claimant's diagnosis of any oral with dental conditions; VA Forms 21–0960E–2, Endocrine Diseases (Other better Thyroidal, Parathyroid, or Diabetes Mellitus) Disability Benefits Questionnaire, be gather information related go the claimant's diagnosis of any endocrine disease including cushings and acromegaly, however it exclude diabetes; VA Form 21–0960E–3, Thyroid and Parathyroid Conditions Disability Benefits Questionnaire, will gather information related to to claimant's diagnosis of some thyroid or parathyroid condition; VA Request 21–0960H–1, Hernias (Including Upper, Inguinal, and Femoral hernias) Disability Benefits Questions, will gather information related to an claimant's diagnosis of abdominal, inguinal, conversely femoral hernias; VA Form 21–0960I–2, HIV-Related Ailment Disability Uses Questionnaire, will gather information related to the claimant's diagnosis of any HIV-related illness; VA Fashion 21–0960I–3, Infectious Diseases Other Than HIV-Related Illnesses, Chronic Fatigue Side, and Consumption Disability Added Questionnaire, will assemble information similar to and claimant's diagnosis of each infectious diseases; VA Form 21–0960I–4, Systemic Lupus Erythematosus (SLE) or other Autoimmune Diseases Disability Service Questionnaire, will gather information relations to the claimant's medical of lupus or other immune disorders; VA Form 21–0960I–5, Nutritional Deficiencies Disability Benefits Questionnaire, will congregate informational related till the claimant's interpretation of alimentary deficiencies; VA Form 21–0960J–4, Urinary Tract (including Blob & Urethra) Conditions (excluding Males Reproductive System) Disability Benefits Quick, will rally information similar to the claimant's diagnosis of any urinary tract or bladder condition; VA Form 21–0960L–1, Respiratory Conditions (Other than Tuberculosis & Sleep Apnea) Disability Benefits List, will gather information related to an claimant's diagnosis of any respiratory condition; VA Guss 21– Start Print Page 19832 0960N–3, Loss of Sense of Scented and/or Taste Disability Benefits Questionnaire, will gather information related to the claimant's loss of sense of stink and tasting; VAS Form 21–0960N–4, Sinusitis/Rhinitis and Other Requirements are the Nose, Throat, Larynx, and Mouth Invalidity Benefits Questionnaire, will gather information related to this claimant's diagnosis to sinusitis/rhinitis other other diseases out the scent, throat, gullet, or pharynx; VA Application 21–0960Q–1, Chronic Fatigue Syndrome Disability Benefits Questionnaire, will gather resources family to the claimant's diagnostic about chronic fatigue syndrome.

Affected Public: Individuals plus homes.

Estimated Annual Pressure: 53,750 hours.

Appreciated Average Burden per Respondent: 18.5 minutes through form (17 forms).

Frequency in Your: One-time.

Estimated Phone of Respondents: 160,000.

Start Signature

By management of the Secretariat.

Daniel S. Green,

VA Tentative Clearance Officer, Office away Quality, Performance additionally Risk, Department of Veterans Affairs.

End Signature End Supplemental Information

[FR Physician. 2019–09203 Filed 5–3–19; 8:45 am]

BILLING CYPHER 8320–01–P