Agency Information Collection: (PACT Qualitative Evaluation: Patient & Caregiver Interviews); Comment Request, 50548 [2012-20462]
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50548
Federal Register / Vol. 77, No. 162 / Tuesday, August 21, 2012 / Notices
Affected Public: Individuals or
households.
Estimated Annual Burden:
a. VA Form 10–0532—67 hours.
b. VA Form 10–0532a—80 hours.
c. VA Form 10–0532b—200 hours.
d. VA Form 10–0532c—80 hours.
e. VA Form 10–0532d—53 hours.
f. VA Form 10–0532e—53 hours.
g. VA Form 10–0532f—133 hours.
h. VA Form 10–0532g—19 hours.
i. VA Form 10–0532h—27 hours.
j. VA Form 10–0532i—93 hours.
k. VA Form 10–0532j– 67 hours.
l. VA Form 10–0532k—67 hours.
Estimated Average Burden per
Respondent:
a. VA Form 10–0532—5 minutes.
b. VA Form 10–0532a—10 minutes.
c. VA Form 10–0532b—15 minutes.
d. VA Form 10–0532c—15 minutes.
e. VA Form 10–0532d—10 minutes.
f. VA Form 10–0532e—10 minutes.
g. VA Form 10–0532f—10 minutes.
h. VA Form 10–0532g—7 minutes.
i. VA Form 10–0532h—10 minutes.
j. VA Form 10–0532i—7 minutes.
k. VA Form 10–0532j—5 minutes.
l. VA Form 10–0532k—5 minutes,
Frequency of Response: Monthly.
Estimated Number of Respondents:
a. VA Form 10–0532—800.
b. VA Form 10–0532a—480.
c. VA Form 10–0532b—800.
d. VA Form 10–0532c—320.
e. VA Form 10–0532d—320.
f. VA Form 10–0532e—320.
g. VA Form 10–0532f—800.
h. VA Form 10–0532g—160.
i. VA Form 10–0532h—160.
j. VA Form 10–0532i—800.
k. VA Form 10–0532j—800.
l. VA Form 10–0532k—800
Dated: August 16, 2012.
By direction of the Secretary.
Denise McLamb,
Program Analyst Director, Enterprise Records
Service.
[FR Doc. 2012–20457 Filed 8–20–12; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
pmangrum on DSK3VPTVN1PROD with NOTICES
[OMB Control No. 2900–New (Patient &
Caregiver)]
Agency Information Collection: (PACT
Qualitative Evaluation: Patient &
Caregiver Interviews); Comment
Request
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act (PRA) of 1995
SUMMARY:
VerDate Mar<15>2010
15:31 Aug 20, 2012
Jkt 226001
(44 U.S.C., 3501–3521), this notice
announces that the 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 provisions of the
Paperwork Reduction Act (44 U.S.C.
3507(j)(1)). An emergency clearance is
being requested for information needed
to evaluate the universal Patient
Aligned Care Teams (PACT) Systems
Redesign, document patients’ and their
informal caregivers’ experience.
DATES: Comments must be submitted on
or before August 31, 2012.
ADDRESSES: Send comments and
recommendations concerning any
aspect of the information collection to
VA’s OMB Desk Officer, OMB Human
Resources and Housing Branch, New
Executive Office Building, Room 10235,
Washington, DC 20503 (202) 395–7316
or FAX (202) 395–6974. Please refer to
‘‘2900–New (Patient & Caregiver).
FOR FURTHER INFORMATION CONTACT:
Denise McLamb, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7479, FAX (202) 632–7583 or email:
denise.mclamb@va.gov. Please refer to
‘‘OMB Control No. 2900–New (Patient &
Caregiver).
SUPPLEMENTARY INFORMATION:
Title: PACT Qualitative Evaluation:
Patient & Caregiver Interviews.
OMB Control Number: 2900—New
Type of Review: New data collection.
Abstract: The information collected
will be used assess patients’ and
caregivers’ experiences with the PACT
Systems Redesign and the PACT Demo
Lab innovations and will inform the
redesign and demo lab innovations in
real time. It will also gather information
on patient characteristics and their
experiences with self-managing chronic
conditions, using technology to care for
their health, and involving friends and
family members in their health care.
The information collected will be used
by the PACT Demonstration Laboratory
and the Ambulatory Care Service to
evaluate the universal VHA PACT
Systems Redesign, document patients’
and their informal caregivers’
experiences over time, and improve
patient care through specific
mechanisms.
Affected Public: Individuals or
households.
Estimated Annual Burden: 50 burden
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One-time.
PO 00000
Frm 00092
Fmt 4703
Sfmt 4703
Estimated Number of Respondents:
100.
Dated: August 16, 2012.
By direction of the Secretary.
Denise McLamb,
Program Analyst Director, Enterprise Records
Service.
[FR Doc. 2012–20462 Filed 8–20–12; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900-New (VA Form 10–
0537)]
Agency Information Collection: (PACT
Clinical Innovation Study: Engaging
Caregivers in the Care of Veterans
With Dementia); Comment Request
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C., 3501–3521), this notice
announces that the 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 provisions of the
Paperwork Reduction Act (44 U.S.C.
3507(j)(1)). An emergency clearance is
being requested for information needed
to improve dementia care for patients
and care givers.
DATES: Comments must be submitted on
or before August 31, 2012.
ADDRESSES: Send comments and
recommendations concerning any
aspect of the information collection to
VA’s OMB Desk Officer, OMB Human
Resources and Housing Branch, New
Executive Office Building, Room 10235,
Washington, DC 20503 (202) 395–7316
or Fax (202) 395–6974. Please refer to
‘‘2900—New (VA Form 10–0537).
FOR FURTHER INFORMATION CONTACT:
Denise McLamb, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7479, Fax (202) 632–7583 or email:
denise.mclamb@va.gov. Please refer to
‘‘OMB Control No. 2900—New (VA
Form 10–0537).
SUPPLEMENTARY INFORMATION:
Title: PACT Clinical Innovation
Study: Engaging Caregivers in the Care
of Veterans with Dementia, VA Form
10–0537, Appendices a–u.
OMB Control Number: 2900—New.
Type of Review: New data collection.
SUMMARY:
E:\FR\FM\21AUN1.SGM
21AUN1
Agencies
[Federal Register Volume 77, Number 162 (Tuesday, August 21, 2012)]
[Notices]
[Page 50548]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-20462]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-New (Patient & Caregiver)]
Agency Information Collection: (PACT Qualitative Evaluation:
Patient & Caregiver Interviews); Comment Request
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 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 provisions of the Paperwork Reduction Act (44
U.S.C. 3507(j)(1)). An emergency clearance is being requested for
information needed to evaluate the universal Patient Aligned Care Teams
(PACT) Systems Redesign, document patients' and their informal
caregivers' experience.
DATES: Comments must be submitted on or before August 31, 2012.
ADDRESSES: Send comments and recommendations concerning any aspect of
the information collection to VA's OMB Desk Officer, OMB Human
Resources and Housing Branch, New Executive Office Building, Room
10235, Washington, DC 20503 (202) 395-7316 or FAX (202) 395-6974.
Please refer to ``2900-New (Patient & Caregiver).
FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632-7479, FAX (202) 632-7583 or email:
denise.mclamb@va.gov. Please refer to ``OMB Control No. 2900-New
(Patient & Caregiver).
SUPPLEMENTARY INFORMATION:
Title: PACT Qualitative Evaluation: Patient & Caregiver Interviews.
OMB Control Number: 2900--New
Type of Review: New data collection.
Abstract: The information collected will be used assess patients'
and caregivers' experiences with the PACT Systems Redesign and the PACT
Demo Lab innovations and will inform the redesign and demo lab
innovations in real time. It will also gather information on patient
characteristics and their experiences with self-managing chronic
conditions, using technology to care for their health, and involving
friends and family members in their health care. The information
collected will be used by the PACT Demonstration Laboratory and the
Ambulatory Care Service to evaluate the universal VHA PACT Systems
Redesign, document patients' and their informal caregivers' experiences
over time, and improve patient care through specific mechanisms.
Affected Public: Individuals or households.
Estimated Annual Burden: 50 burden hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents: 100.
Dated: August 16, 2012.
By direction of the Secretary.
Denise McLamb,
Program Analyst Director, Enterprise Records Service.
[FR Doc. 2012-20462 Filed 8-20-12; 8:45 am]
BILLING CODE 8320-01-P