Proposed Information Collection (Dental Record Authorization and Invoice for Outpatient Services) Activity: Comment Request, 69550-69551 [2012-28030]
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69550
Federal Register / Vol. 77, No. 223 / Monday, November 19, 2012 / Notices
OMB Control Number: 2900–0774.
Type of Review: Extension of
currently approved collection.
Abstract: The survey will be used to
gather feedback from Veterans regarding
their experience at individual CPEP
examination sites. VA will use the data
collected to determine where and to
what extent services are satisfactory or
where improvement is needed.
Affected Public: Individuals or
households.
Estimated Annual Burden: 153.
Estimated Average Burden per
Respondent: 5.7 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
1,614.
Dated: November 14, 2012.
By direction of the Secretary.
Robert C. McFetridge,
Director, Office of Regulations Policy and
Management, Office of the General Counsel,
Department of Veterans Affairs.
[FR Doc. 2012–28027 Filed 11–16–12; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0775]
Proposed Information Collection
(Patient Satisfaction Survey Michael E.
DeBakey Home Care Program)
Activity: Comment Request
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
The Veterans Health
Administration (VHA), 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 determine patients’
satisfaction with services provided by or
through the Michael E. DeBakey Home
Care Program.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before January 18, 2013.
ADDRESSES: Submit written comments
on the collection of information through
the Federal Docket Management System
pmangrum on DSK3VPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
14:04 Nov 16, 2012
Jkt 229001
(FDMS) at www.Regulations.gov; or to
Cynthia Harvey-Pryor, Veterans Health
Administration (10P7BFP), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420 or
email: cynthia.harvey-pryor@va.gov.
Please refer to ‘‘2900–0775’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor (202) 461–5870 or
FAX (202) 273–9387.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–3521), Federal agencies must
obtain approval from 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, VHA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VHA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VHA’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: Patient Satisfaction Survey
Michael E. DeBakey Home Care
Program, VA Form 10–0476.
OMB Control Number: 2900–0775.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 10–0476 will be
used to gather feedback from patients
regarding their satisfaction with the
quality of services/care provided by
home care program staff.
Affected Public: Individuals and
households.
Estimated Annual Burden: 17 hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
50.
Estimated Number of Responses: 100.
Dated: November 14, 2012.
By Direction of the Secretary.
Robert C. McFetridge,
Director, Office of Regulations Policy and
Management, Office of the General Counsel,
Department of Veterans Affairs.
[FR Doc. 2012–28028 Filed 11–16–12; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0335]
Proposed Information Collection
(Dental Record Authorization and
Invoice for Outpatient Services)
Activity: Comment Request
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
The Veterans Health
Administration (VHA) 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 the
information needed to determine a
veteran’s dental treatment needs, and
the fees associated for these services.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before January 18, 2013.
ADDRESSES: Submit written comments
on the collection of information through
the Federal Docket Management System
(FDMS) at www.Regulations.gov; or to
Cynthia Harvey-Pryor, Veterans Health
Administration (10P7BFP), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420 or
email: cynthia.harvey-pryor@va.gov.
Please refer to ‘‘2900–0335’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor (202) 461–5870 or
Fax (202) 273–9387.
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, VHA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VHA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VHA’s estimate of
SUMMARY:
E:\FR\FM\19NON1.SGM
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Federal Register / Vol. 77, No. 223 / Monday, November 19, 2012 / Notices
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: Dental Record Authorization
and Invoice for Outpatient Services, VA
Form 10–2570d.
OMB Control Number: 2900–0335.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 10–2570d is
essential to the proper administration of
VA outpatient fee dental program. The
associated instructions make it possible
to communicate with clarity the
required procedures, peculiarities, and
precautions associated with VA
authorizations for contracting with
private dentists for the provision of
dental treatment for eligible veteran
beneficiaries. Since most of the veterans
who are authorized fee dental care are
geographically inaccessible to VA dental
clinics, it is necessary to request
information as to the veteran’s oral
condition, treatment needs and the
usual customary fees for these services
from the private fee dentist whom the
veteran has selected. The form lists the
dental treatment needs of the veteran
patient, the cost to VA to provide such
services, and serves as an invoice for
payment. VA uses the data collected to
verify the veteran’s eligibility to receive
dental benefits.
Affected Public: Business and other
for profit.
Estimated Total Annual Burden:
3,666 hours.
Estimated Average Burden per
Respondent: 20 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
11,000.
69551
DEPARTMENT OF VETERANS
AFFAIRS
DEPARTMENT OF VETERANS
AFFAIRS
Advisory Committee on Women
Veterans; Notice of Meeting
Veterans’ Advisory Committee on
Rehabilitation, Notice of Meeting
The Department of Veterans Affairs
(VA) gives notice under the Federal
Advisory Committee Act, 5 U.S.C. App.
2, that the Advisory Committee on
Women Veterans will meet on
December 4–6, 2012, in room 230 at VA
Central Office, 810 Vermont Avenue
NW., Washington, DC, from 8:30 until
4:30 p.m. each day. The meeting is open
to the public.
The purpose of the Committee is to
advise the Secretary of Veterans Affairs
regarding the needs of women Veterans
with respect to health care,
rehabilitation, compensation, outreach,
and other programs and activities
administered by VA designed to meet
such needs. The Committee makes
recommendations to the Secretary
regarding such programs and activities.
The agenda will include overviews of
the Veterans Health Administration, the
Veterans Benefits Administration, and
the National Cemetery Administration;
and briefings on health care for women
Veterans, mental health, women
Veterans’ legislative issues, military
sexual trauma, the claims process, and
homeless initiatives for women
Veterans.
No time will be allocated at this
meeting for receiving oral presentations
from the public. Interested parties
should provide written comments for
review by the Committee to Ms.
Shannon L. Middleton, VA, Center for
Women Veterans (00W), 810 Vermont
Avenue NW., Washington, DC 20420, or
email at 00W@mail.va.gov, or fax to
(202) 273–7092. Individuals who wish
to attend the meeting or want additional
information should contact Ms.
Middleton at (202) 461–6193.
The Department of Veterans Affairs
(VA) gives notice under the Federal
Advisory Committee Act, 5 U.S.C. App.
2, that a meeting of the Veterans’
Advisory Committee on Rehabilitation
will be held on December 12–13, 2012,
in Room 501K at the Department of
Veterans Affairs, 1800 G Street NW.,
Washington, DC. The meeting sessions
will begin at 8 a.m. each day and
adjourn at 5 p.m. on December 12 and
at noon on December 13. The meeting
is open to the public.
The purpose of the Committee is to
provide advice to the Secretary on the
rehabilitation needs of Veterans with
disabilities and on the administration of
VA’s rehabilitation programs.
During the meeting, Committee
members will be provided updated
briefings on various VA programs
designed to enhance the rehabilitative
potential of recently-discharged
Veterans. Members will also begin
consideration of potential
recommendations to be included in the
Committee’s next annual report.
No time will be allocated at this
meeting for oral presentations from the
public. Interested parties should
provide written comments for review by
the Committee to Teri Nguyen,
Designated Federal Officer, VA,
Veterans Benefits Administration (28),
810 Vermont Avenue NW., Washington,
DC 20420, or via email at
Teri.Nguyen1@va.gov. In the
communication with the Committee,
writers must identify themselves and
state the organization, association or
person(s) they represent. Individuals
who wish to attend the meeting should
contact Teri Nguyen at (202) 461–9634.
Robert C. McFetridge,
Director, Office of Regulations Policy and
Management, Office of the General Counsel,
Department of Veterans Affairs.
Dated: November 14, 2012.
By Direction of the Secretary.
Vivian Drake,
Committee Management Officer.
Dated: November 14, 2012.
By Direction of the Secretary.
Vivian Drake,
Committee Management Officer.
[FR Doc. 2012–28030 Filed 11–16–12; 8:45 am]
[FR Doc. 2012–28102 Filed 11–16–12; 8:45 am]
[FR Doc. 2012–28052 Filed 11–16–12; 8:45 am]
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pmangrum on DSK3VPTVN1PROD with NOTICES
Dated: November 14, 2012.
By direction of the Secretary.
VerDate Mar<15>2010
14:04 Nov 16, 2012
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]]>Agencies
[Federal Register Volume 77, Number 223 (Monday, November 19, 2012)]
[Notices]
[Pages 69550-69551]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-28030]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0335]
Proposed Information Collection (Dental Record Authorization and
Invoice for Outpatient Services) Activity: Comment Request
AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Veterans Health Administration (VHA) 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 the information needed to determine a veteran's
dental treatment needs, and the fees associated for these services.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before January 18, 2013.
ADDRESSES: Submit written comments on the collection of information
through the Federal Docket Management System (FDMS) at
www.Regulations.gov; or to Cynthia Harvey-Pryor, Veterans Health
Administration (10P7BFP), Department of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420 or email: cynthia.harvey-pryor@va.gov.
Please refer to ``2900-0335'' in any correspondence. During the comment
period, comments may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461-5870 or
Fax (202) 273-9387.
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, VHA
invites comments on: (1) Whether the proposed collection of information
is necessary for the proper performance of VHA's functions, including
whether the information will have practical utility; (2) the accuracy
of VHA's estimate of
[[Page 69551]]
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: Dental Record Authorization and Invoice for Outpatient
Services, VA Form 10-2570d.
OMB Control Number: 2900-0335.
Type of Review: Extension of a currently approved collection.
Abstract: VA Form 10-2570d is essential to the proper
administration of VA outpatient fee dental program. The associated
instructions make it possible to communicate with clarity the required
procedures, peculiarities, and precautions associated with VA
authorizations for contracting with private dentists for the provision
of dental treatment for eligible veteran beneficiaries. Since most of
the veterans who are authorized fee dental care are geographically
inaccessible to VA dental clinics, it is necessary to request
information as to the veteran's oral condition, treatment needs and the
usual customary fees for these services from the private fee dentist
whom the veteran has selected. The form lists the dental treatment
needs of the veteran patient, the cost to VA to provide such services,
and serves as an invoice for payment. VA uses the data collected to
verify the veteran's eligibility to receive dental benefits.
Affected Public: Business and other for profit.
Estimated Total Annual Burden: 3,666 hours.
Estimated Average Burden per Respondent: 20 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 11,000.
Dated: November 14, 2012.
By direction of the Secretary.
Robert C. McFetridge,
Director, Office of Regulations Policy and Management, Office of the
General Counsel, Department of Veterans Affairs.
[FR Doc. 2012-28030 Filed 11-16-12; 8:45 am]
BILLING CODE 8320-01-P
