Agency Information Collection Activities Under OMB Review, 67347 [E7-23099]

Download as PDF ebenthall on PRODPC61 with NOTICES Federal Register / Vol. 72, No. 228 / Wednesday, November 28, 2007 / Notices • Mail: Docket Management Facility: U.S. Department of Transportation, 1200 New Jersey Avenue SE., West Building Ground Floor, Room W12–140, Washington, DC 20590–0001. • Hand Delivery or Courier: West Building Ground Floor, Room W12–140, 1200 New Jersey Avenue SE., between 9 a.m. and 5 p.m. ET, Monday through Friday, except Federal holidays. • Fax: 202–493–2251. Instructions: Comments must be written in the English language, and be no greater than 15 pages in length, although there is no limit to the length of necessary attachments to the comments. If comments are submitted in hard copy form, please ensure that two copies are provided. If you wish to receive confirmation that your comments were received, please enclose a stamped, self-addressed postcard with the comments. Note that all comments received will be posted without change to https:// www.regulations.gov, including any personal information provided. Please see the Privacy Act heading below. Privacy Act: Anyone is able to search the electronic form of all comments received into any of our dockets by the name of the individual submitting the comment (or signing the comment, if submitted on behalf of an association, business, labor union, etc.). You may review DOT’s complete Privacy Act Statement in the Federal Register published on April 11, 2000 (65 FR 19477–78) or you may visit https:// DocketInfo.dot.gov. How to Read Comments submitted to the Docket: You may read the comments received by Docket Management at the address and times given above. You may also see the comments on the Internet. To read the comments on the Internet, take the following steps: (1) Go to the Federal Docket Management System (FDMS) Web page https://www.regulations.gov. (2) On that page, click on ‘‘search for dockets.’’ (3) On the next page (https:// www.regulations.gov/fdmspublic/ component/main), select NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION from the dropdown menu in the Agency field, enter the Docket ID. (4) After entering that information, click on ‘‘submit.’’ (5) The next page contains docket summary information for the docket you selected. Click on the comments you wish to see. You may download the comments. Although the comments are imaged documents, instead of the word processing documents, the ‘‘pdf’’ versions of the documents are word VerDate Aug<31>2005 15:18 Nov 27, 2007 Jkt 214001 searchable. Please note that even after the comment closing date, we will continue to file relevant information in the Docket as it becomes available. Further, some people may submit late comments. Accordingly, we recommend that you periodically search the Docket for new material. Issued on: November 21, 2007. Daniel C. Smith, Associate Administrator for Enforcement. [FR Doc. E7–23109 Filed 11–27–07; 8:45 am] BILLING CODE 4910–59–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0260] Agency Information Collection Activities Under OMB Review Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–3521), this notice announces that the Veterans Health Administration (VHA), 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 includes the actual data collection instrument. DATES: Comments must be submitted on or before December 28, 2007. ADDRESSES: Submit written comments on the collection of information through https://www.Regulations.gov; or to VA’s OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503, (202) 395–7316. Please refer to ‘‘OMB Control No. 2900– 0260’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management Service (005G2), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461–7485, fax (202) 273–0443 or e-mail denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0260.’’ SUPPLEMENTARY INFORMATION: Titles: a. Request for and Authorization to Release Medical Records or Health Information, VA Form 10–5345. b. Individual’s Request for a Copy of their Own Health Information, VA Form 10–5345a. PO 00000 Frm 00082 Fmt 4703 Sfmt 4703 67347 OMB Control Number: 2900–0260. Type of Review: Extension of a currently approved collection. Abstract: a. VA Form 10–5345 is used to obtain a written consent from patients before information concerning his or her treatment for alcoholism or alcohol abuse, drug abuse, sickle cell anemia, or infection with the human immunodeficiency virus (HIV) can be disclosed to private insurance companies, physicians, and other third parties. b. Patients complete VA Form 10– 5345 to request a copy of their medical records from the Department of Veterans Affairs. 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 on September 12, 2007 at pages 52201– 52202. Affected Public: Business or other for profit, Individuals or households, and not for profit institutions. Estimated Total Annual Burden: a. VA Form 10–5345—16,667 hours. b. VA Form 10–5345a—16,667 hours. Estimated Average Burden Per Respondent: a. VA Form 10–5345—2 minutes. b. VA Form 10–5345a—2 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. VA Form 10–5345—29,667. b. VA Form 10–5345a—29,667. Dated: November 19, 2007. By direction of the Secretary. Denise McLamb, Program Analyst, Records Management Service. [FR Doc. E7–23099 Filed 11–27–07; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0568] Agency Information Collection Activities Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–21), this notice announces that the Veterans Benefits Administration (VBA), Department of E:\FR\FM\28NON1.SGM 28NON1

Agencies

[Federal Register Volume 72, Number 228 (Wednesday, November 28, 2007)]
[Notices]
[Page 67347]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-23099]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0260]


Agency Information Collection Activities Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-3521), this notice announces that the Veterans Health 
Administration (VHA), 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 includes the actual data collection instrument.

DATES: Comments must be submitted on or before December 28, 2007.

ADDRESSES: Submit written comments on the collection of information 
through https://www.Regulations.gov; or to VA's OMB Desk Officer, OMB 
Human Resources and Housing Branch, New Executive Office Building, Room 
10235, Washington, DC 20503, (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0260'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management 
Service (005G2), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., Washington, DC 20420, (202) 461-7485, fax (202) 273-0443 or e-mail 
denise.mclamb@mail.va.gov. Please refer to ``OMB Control No. 2900-
0260.''

SUPPLEMENTARY INFORMATION:
    Titles:
    a. Request for and Authorization to Release Medical Records or 
Health Information, VA Form 10-5345.
    b. Individual's Request for a Copy of their Own Health Information, 
VA Form 10-5345a.
    OMB Control Number: 2900-0260.
    Type of Review: Extension of a currently approved collection.
    Abstract:
    a. VA Form 10-5345 is used to obtain a written consent from 
patients before information concerning his or her treatment for 
alcoholism or alcohol abuse, drug abuse, sickle cell anemia, or 
infection with the human immunodeficiency virus (HIV) can be disclosed 
to private insurance companies, physicians, and other third parties.
    b. Patients complete VA Form 10-5345 to request a copy of their 
medical records from the Department of Veterans Affairs.
    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 on September 12, 2007 at pages 52201-52202.
    Affected Public: Business or other for profit, Individuals or 
households, and not for profit institutions.
    Estimated Total Annual Burden:
    a. VA Form 10-5345--16,667 hours.
    b. VA Form 10-5345a--16,667 hours.
    Estimated Average Burden Per Respondent:
    a. VA Form 10-5345--2 minutes.
    b. VA Form 10-5345a--2 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. VA Form 10-5345--29,667.
    b. VA Form 10-5345a--29,667.

    Dated: November 19, 2007.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E7-23099 Filed 11-27-07; 8:45 am]
BILLING CODE 8320-01-P
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.