Agency Information Collection (Millennium Bill Emergency Care Provider Satisfaction Survey) Activities Under OMB Review, 59348 [E9-27587]

Download as PDF 59348 Federal Register / Vol. 74, No. 220 / Tuesday, November 17, 2009 / Notices 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 9, 2009, at page 46485. Affected Public: Individuals or households. Estimated Total Annual Burden: 125 hours. Estimated Average Burden Per Respondent: 5 minutes. Frequency of Response: Bi-Annually. Estimated Number of Respondents: 1,500. Dated: November 12, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–27586 Filed 11–16–09; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–New (10–0473)] Agency Information Collection (Millennium Bill Emergency Care Provider Satisfaction Survey) 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. Comments must be submitted on or before December 17, 2009. ADDRESSES: Submit written comments on the collection of information through 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– New (10–0473)’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461– mstockstill on DSKH9S0YB1PROD with NOTICES DATES: VerDate Nov<24>2008 20:50 Nov 16, 2009 Jkt 220001 7485, fax (202) 273–0443 or e-mail denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–New (10–0473).’’ SUPPLEMENTARY INFORMATION: Title: Millennium Bill Emergency Care Provider Satisfaction Survey, VA Form 10–0473. OMB Control Number: 2900–New (10–0473). Type of Review: New collection. Abstract: VA Form 10–0473 will be used to survey non-VA healthcare providers who participate in the Millennium Bill Fee Reimbursement/ Purchased Care program on their satisfaction with VHA’s claims processing services. VA will use the data collected to improve the claims processing program. 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 9, 2009, at pages 46485– 46486. Affected Public: Individuals or households. Estimated Annual Burden: 9 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 110. Dated: November 12, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–27587 Filed 11–16–09; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0260] Agency Information Collection (Request for and Authorization to Release Medical Records or Health Information) 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 PO 00000 Frm 00236 Fmt 4703 Sfmt 4703 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 17, 2009. ADDRESSES: Submit written comments on the collection of information through 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, 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 denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0260.’’ SUPPLEMENTAL 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. c. My HealtheVet (MHV)— Individuals’ Request for a Copy of Their Own Health Information, VA Form 10– 5345a–MHV. OMB Control Number: 2900–0260. Type of Review: Revision of a currently approved collection. Abstracts: 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– 5345a to request a copy of their health information maintained at Department of Veterans Affairs. c. VA Form 10–5345a–MHV is completed by individuals requesting their health information electronically through My HealtheVet. 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 E:\FR\FM\17NON1.SGM 17NON1

Agencies

[Federal Register Volume 74, Number 220 (Tuesday, November 17, 2009)]
[Notices]
[Page 59348]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-27587]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (10-0473)]


Agency Information Collection (Millennium Bill Emergency Care 
Provider Satisfaction Survey) 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 17, 2009.

ADDRESSES: Submit written comments on the collection of information 
through 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-New (10-0473)'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: 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 
denise.mclamb@mail.va.gov. Please refer to ``OMB Control No. 2900-New 
(10-0473).''

SUPPLEMENTARY INFORMATION:
    Title: Millennium Bill Emergency Care Provider Satisfaction Survey, 
VA Form 10-0473.
    OMB Control Number: 2900-New (10-0473).
    Type of Review: New collection.
    Abstract: VA Form 10-0473 will be used to survey non-VA healthcare 
providers who participate in the Millennium Bill Fee Reimbursement/
Purchased Care program on their satisfaction with VHA's claims 
processing services. VA will use the data collected to improve the 
claims processing program.
    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 9, 2009, at pages 46485-46486.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 9 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 110.

    Dated: November 12, 2009.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9-27587 Filed 11-16-09; 8:45 am]
BILLING CODE 8320-01-P