Agency Information Collection (Nation-Wide Customer Satisfaction Surveys) Activities Under OMB Review, 64382-64383 [2012-25748]

Download as PDF 64382 Federal Register / Vol. 77, No. 203 / Friday, October 19, 2012 / Notices information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information. Approved: October 15, 2012. Allan Hopkins, Tax Analyst. [FR Doc. 2012–25701 Filed 10–18–12; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0567] Proposed Information Collection (PMC) Activity: Comment Request National Cemetery Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The National Cemetery Administration (NCA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of a currently approved collection and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to request additional certificates, replacements or corrections to a PMC. DATES: Written comments and recommendations on the proposed collection of information should be received on or before December 18, 2012. SUMMARY: Submit written comments on the collection of information through the Federal Docket Management System (FDMS) at www.Regulations.gov; or to Mechelle Powell, National Cemetery Administration (41D1), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email: mechelle.powell@va.gov. Please refer to ‘‘OMB Control No. 2900–0567’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Mechelle Powell at (202) 461–4114 or Fax (202) 501–2240. tkelley on DSK3SPTVN1PROD with NOTICES ADDRESSES: VerDate Mar<15>2010 16:06 Oct 18, 2012 Jkt 229001 Under the PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 3501–3521), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA. With respect to the following collection of information, NCA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of NCA’s functions, including whether the 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: President Memorial Certificate (PMC), VA Form 40–0247. OMB Control Number: 2900–0567. Type of Review: Extension of a currently approved collection. Abstract: The President Memorial Certificate is automatically issued without a request from the next of kin as part of processing a death benefits claim. The PMC allows eligible recipients (next of kin, other relatives or friends) to request additional certificates and/or replacement or corrected certificates upon the receipt of the original PMC. Affected Public: Individuals or households. Estimated Annual Burden: 10,545. Estimated Average Burden per Respondent: 2 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 316,346. SUPPLEMENTARY INFORMATION: Dated: October 15, 2012. By direction of the Acting Secretary. William F. Russo, Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs. [FR Doc. 2012–25744 Filed 10–18–12; 8:45 am] BILLING CODE 8320–01–P PO 00000 Frm 00074 Fmt 4703 Sfmt 4703 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0712] Agency Information Collection (NationWide Customer Satisfaction Surveys) Activities Under OMB Review 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 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 November 19, 2012. 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– 0712’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492, fax (202) 632–7583 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900–0712.’’ SUPPLEMENTARY INFORMATION: Title: Nation-wide Customer Satisfaction Surveys, VA Forms 10– 1465–2 through 10–1465–6. OMB Control Number: 2900–0712. Type of Review: Revision of a previously approved collection. Abstract: The Survey of Health Experience of Patients (SHEP) Survey is used to obtain information from VA patients that will be used to identify problems or compliant and to improve the quality of health care services delivered to veterans. Data will be used to measure improvement toward the goal of matching or exceeding non-VA external benchmark performance. 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 SUMMARY: E:\FR\FM\19OCN1.SGM 19OCN1 Federal Register / Vol. 77, No. 203 / Friday, October 19, 2012 / Notices Notice with a 60-day comment period soliciting comments on this collection of information was published on January 17, 2012, at page 2349. Affected Public: Individuals or households. Estimated Annual Burden: a. Inpatient Short Form, VA Form 10– 1465–2—18,750 hours. b. Ambulatory Care Long Form, VA Form 10–1465–3—9,802 hours. c. Ambulatory Care Short Form, VA Form 10–1465–4—42,233 hours. d. Clinician and Group Survey Patient Centered Medical Home, Short Form, VA Form 10–1465–5—20,000 hours. e. Clinician and Group Survey Patient Centered Medical Home, Long Form, VA Form 10–1465–6—3,333 hours. Estimated Average Burden per Respondent: a. Inpatient Short Form, VA Form 10– 1465–2—15 minutes. b. Ambulatory Care Long Form, VA Form 10–1465–3—25 minutes. c. Ambulatory Care Short Form, VA Form 10–1465–4—20 minutes. d. Clinician and Group Survey Patient Centered Medical Home, Short Form, VA Form 10–1465–5—15 minutes. e. Clinician and Group Survey Patient Centered Medical Home, Long Form, VA Form 10–1465–6—25 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. Inpatient Short Form, VA Form 10– 1465–2—75,000. b. Ambulatory Care Long Form, VA Form 10–1465–3—23,524. c. Ambulatory Care Short Form, VA Form 10–1465–4—126,700. d. Clinician and Group Survey Patient Centered Medical Home, Short Form, VA Form 10–1465–5—20,000. e. Clinician and Group Survey Patient Centered Medical Home, Long Form, VA Form 10–1465–6—3,333. Dated: October 15, 2012. By direction of the Secretary. William F. Russo, Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs. [FR Doc. 2012–25748 Filed 10–18–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS tkelley on DSK3SPTVN1PROD with NOTICES [OMB Control No. 2900–0406] Proposed Information Collection (Verification of VA Benefits) Activity: Comment Request Veterans Benefits Administration, Department of Veterans Affairs. AGENCY: VerDate Mar<15>2010 16:06 Oct 18, 2012 Jkt 229001 ACTION: Notice. The Veterans Benefits Administration (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed by lenders to determine whether any benefits related debts exist in the veteran-borrower’s name prior to the closing of any VA-guaranteed loans on an automatic basis. DATES: Written comments and recommendations on the proposed collection of information should be received on or before December 18, 2012. ADDRESSES: Submit written comments on the collection of information through the Federal Docket Management System (FDMS) at www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0406’’ in any correspondence. During the comment period, comments may be viewed online through at FDMS. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632–8924 or Fax (202) 632–8925. SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 3501–3521), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA. With respect to the following collection of information, VBA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VBA’s functions, including whether the information will have practical utility; (2) the accuracy of VBA’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 SUMMARY: PO 00000 Frm 00075 Fmt 4703 Sfmt 4703 64383 the use of other forms of information technology. Title: Verification of VA Benefits, VA Form 26–8937. OMB Control Number: 2900–0406. Type of Review: Extension of a currently approved collection. Abstract: Lenders authorized to make VA-guaranteed home or manufactured loans on an automatic basis are required to determine through VA whether any benefits related debts exist in the veteran-borrower’s name prior to the closing of any automatic loan. Lenders cannot close any proposed automatic loan until evidence is received from VA stating that there is no debt, or if a debt exists, or the veteran has agreed on an acceptable repayment plan, or payments under a plan already in effect are current. VA Form 26–8937 is used to assist lenders and VA in the completion of debt checks in a uniform manner. The form restricts information requested to only that is needed for the debt check and to eliminate unlimited versions of lender-designed forms. The form also informs the lender whether or not the veteran is exempt from paying the funding fee, which must be collected on all VA home loans unless the veteran is receiving service-connected disability compensation. Affected Public: Individuals of households. Estimated Annual Burden: 10,000 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 120,000. Dated: October 15, 2012. By direction of the Secretary. William F. Russo, Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs. [FR Doc. 2012–25750 Filed 10–18–12; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0090] Agency Information Collection (Application for Voluntary Service) Activities Under OMB Review Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–21), this notice SUMMARY: E:\FR\FM\19OCN1.SGM 19OCN1

Agencies

[Federal Register Volume 77, Number 203 (Friday, October 19, 2012)]
[Notices]
[Pages 64382-64383]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-25748]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0712]


Agency Information Collection (Nation-Wide Customer Satisfaction 
Surveys) 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 November 19, 2012.

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. 2900-0712'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492, fax (202) 632-7583 or email 
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-0712.''

SUPPLEMENTARY INFORMATION:
    Title: Nation-wide Customer Satisfaction Surveys, VA Forms 10-1465-
2 through 10-1465-6.
    OMB Control Number: 2900-0712.
    Type of Review: Revision of a previously approved collection.
    Abstract: The Survey of Health Experience of Patients (SHEP) Survey 
is used to obtain information from VA patients that will be used to 
identify problems or compliant and to improve the quality of health 
care services delivered to veterans. Data will be used to measure 
improvement toward the goal of matching or exceeding non-VA external 
benchmark performance.
    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

[[Page 64383]]

Notice with a 60-day comment period soliciting comments on this 
collection of information was published on January 17, 2012, at page 
2349.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. Inpatient Short Form, VA Form 10-1465-2--18,750 hours.
    b. Ambulatory Care Long Form, VA Form 10-1465-3--9,802 hours.
    c. Ambulatory Care Short Form, VA Form 10-1465-4--42,233 hours.
    d. Clinician and Group Survey Patient Centered Medical Home, Short 
Form, VA Form 10-1465-5--20,000 hours.
    e. Clinician and Group Survey Patient Centered Medical Home, Long 
Form, VA Form 10-1465-6--3,333 hours.
    Estimated Average Burden per Respondent:
    a. Inpatient Short Form, VA Form 10-1465-2--15 minutes.
    b. Ambulatory Care Long Form, VA Form 10-1465-3--25 minutes.
    c. Ambulatory Care Short Form, VA Form 10-1465-4--20 minutes.
    d. Clinician and Group Survey Patient Centered Medical Home, Short 
Form, VA Form 10-1465-5--15 minutes.
    e. Clinician and Group Survey Patient Centered Medical Home, Long 
Form, VA Form 10-1465-6--25 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. Inpatient Short Form, VA Form 10-1465-2--75,000.
    b. Ambulatory Care Long Form, VA Form 10-1465-3--23,524.
    c. Ambulatory Care Short Form, VA Form 10-1465-4--126,700.
    d. Clinician and Group Survey Patient Centered Medical Home, Short 
Form, VA Form 10-1465-5--20,000.
    e. Clinician and Group Survey Patient Centered Medical Home, Long 
Form, VA Form 10-1465-6--3,333.

    Dated: October 15, 2012.

    By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy and Management, Office of 
the General Counsel, Department of Veterans Affairs.
[FR Doc. 2012-25748 Filed 10-18-12; 8:45 am]
BILLING CODE 8320-01-P
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