Agency Information Collection (Application for Furnishing Long-Term Care Services to Beneficiaries of Veterans Affairs, and Residential Care Home Program) Activities Under OMB Review, 15495 [2010-6845]

Download as PDF Federal Register / Vol. 75, No. 59 / Monday, March 29, 2010 / Notices information will have practical utility; (2) the accuracy of NCA’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. Title: Request for Disinterment, VA Form 40–4970. OMB Control Number: 2900–0365. Type of Review: Extension of a currently approved collection. Abstract: Claimants complete VA Form 40–4970 to request removal of remains from a national cemetery for interment at another location. Interments made in national cemeteries are permanent and final. All immediate family members of the decedent, including the person who initiated the interment, (whether or not he/she is a member of the immediate family) must provide a written consent before disinterment is granted. VA will accept an order from a court of local jurisdiction in lieu of VA Form 40– 4970. Affected Public: Individuals or households. Estimated Annual Burden: 55. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 329. Dated: March 22, 2010. By direction of the Secretary. Denise McLamb, Enterprise Records Service. [FR Doc. 2010–6844 Filed 3–26–10; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0616] cprice-sewell on DSK89S0YB1PROD with NOTICES Agency Information Collection (Application for Furnishing Long-Term Care Services to Beneficiaries of Veterans Affairs, and Residential Care Home Program) 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 VerDate Nov<24>2008 09:18 Apr 05, 2010 Jkt 220001 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 includes the actual data collection instrument. DATES: Comments must be submitted on or before April 28, 2010. 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– 0616’’ 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. 2900–0616.’’ SUPPLEMENTARY INFORMATION: Titles: a. Application for Furnishing LongTerm Care Services to Beneficiaries of Veterans Affairs, VA Form 10–1170. b. Residential Care Home Program— Sponsor Application, VA Form 10– 2407. OMB Control Number: 2900–0616. Type of Review: Extension of a currently approved collection. Abstracts: a. VA Form 10–1170 is completed by community agencies wishing to provide long term care to veterans receiving VA benefits. b. VA Form 10–2407 is an application used by a residential care facility or home that wishes to provide residential home care to veterans. It serves as the agreement between VA and the residential care home that the home will submit to an initial inspection and comply with VA requirements for residential care. 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 January 15, 2010, at pages 2595–2596. Affected Public: Business or other forprofit. Estimated Annual Burden: a. VA Form 10–1170—83 hours. b. VA Form 10–2407—42 hours. Estimated Average Burden per Respondent: PO 00000 Frm 00095 Fmt 4703 Sfmt 4703 15495 a. VA Form 10–1170—10 minutes. b. VA Form 10–2407—5 minutes. Frequency of Response: One time. Estimated Number of Respondents: a. VA Form 10–1170—500. b. VA Form 10–2407—500. Dated: March 22, 2010. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2010–6845 Filed 3–26–10; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–New (CPEP)] Agency Information Collection (Compensation and Pension Examination Program (CPEP)) 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, 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. DATE: Comments must be submitted on or before April 26, 2010. 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– New (CPEP)’’ 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 (CPEP).’’ SUPPLEMENTARY INFORMATION: Title: Compensation and Pension Examination Program (CPEP) Veterans Satisfaction Survey, VA Form 10–0480. Type of Review: New collection. Abstract: The survey will be used to gather feedback from Veterans regarding E:\FR\FM\29MRN1.SGM 29MRN1

Agencies

[Federal Register Volume 75, Number 59 (Monday, March 29, 2010)]
[Notices]
[Page 15495]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-6845]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0616]


Agency Information Collection (Application for Furnishing Long-
Term Care Services to Beneficiaries of Veterans Affairs, and 
Residential Care Home Program) 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, 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 April 28, 2010.

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. 2900-0616'' 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-
0616.''

SUPPLEMENTARY INFORMATION:
    Titles:
    a. Application for Furnishing Long-Term Care Services to 
Beneficiaries of Veterans Affairs, VA Form 10-1170.
    b. Residential Care Home Program--Sponsor Application, VA Form 10-
2407.
    OMB Control Number: 2900-0616.
    Type of Review: Extension of a currently approved collection.
    Abstracts:
    a. VA Form 10-1170 is completed by community agencies wishing to 
provide long term care to veterans receiving VA benefits.
    b. VA Form 10-2407 is an application used by a residential care 
facility or home that wishes to provide residential home care to 
veterans. It serves as the agreement between VA and the residential 
care home that the home will submit to an initial inspection and comply 
with VA requirements for residential care.
    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 January 15, 2010, at pages 2595-2596.
    Affected Public: Business or other for-profit.
    Estimated Annual Burden:
     a. VA Form 10-1170--83 hours.
     b. VA Form 10-2407--42 hours.
    Estimated Average Burden per Respondent:
     a. VA Form 10-1170--10 minutes.
     b. VA Form 10-2407--5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents:
     a. VA Form 10-1170--500.
     b. VA Form 10-2407--500.

    Dated: March 22, 2010.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-6845 Filed 3-26-10; 8:45 am]
BILLING CODE 8320-01-P
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