Department of Veterans Affairs.
Notice and request for comments.
In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–3521), this notice announces that the United States Department of Veterans Affairs (VA) will submit to the Office of Management and Budget (OMB) the following emergency proposal for the collection of information under the PRA. The reason for the emergency clearance is to allow VA to collect information from private physicians in the form of making available standardized disability benefits questionnaires that private physicians can complete at the request and consent of individual veterans applying for VA disability benefits. The medical information provided by the private physicians will be used as supporting medical documentation for veterans' disability claims.
Comments should be submitted on or before June 29, 2010.
Submit written comments on the collection of information through
Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461–7485, FAX (202) 273–0443 or e-mail
a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, VA Form 21–0960A.
b. Hairy Cell and Other B-Cell Leukemias Disability Benefits Questionnaire, VA Form 21–0960B.
c. Parkinson's Disease Disability Benefits Questionnaire, VA Form 21–0960C.
a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, VA Form 21–0960A—13,750.
b. Hairy Cell and Other B–Cell Leukemias Disability Benefits Questionnaire, VA Form 21–0960B—500.
c. Parkinson's Disease Disability Benefits Questionnaire, VA Form 21–0960C—1,250.
a. Ischemic Heart Disease (IHD) Disability Benefits Questionnaire, VA Form 21–0960A—55,000.
b. Hairy Cell and Other B–Cell Leukemias Disability Benefits Questionnaire, VA Form 21–0960B—2,000.
c. Parkinson's Disease Disability Benefits Questionnaire, VA Form 21–0960C—5,000.
By direction of the Secretary.