Proposed Information Collection (Application for Furnishing Long-Term Care Service to Beneficiaries of Veterans Affairs, and Residential Care Home Program) Activity: Under OMB Review, 38810 [2013-15378]

Agencies

• DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 78, Number 124 (Thursday, June 27, 2013)]
[Notices]
[Page 38810]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-15378]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0616]


Proposed Information Collection (Application for Furnishing Long-
Term Care Service to Beneficiaries of Veterans Affairs, and Residential 
Care Home Program) Activity: Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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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; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before July 29, 2013.

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. 2900-0616'' 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. 2900-0616.''

SUPPLEMENTARY INFORMATION:
    Title: Residential Care Home Program--Sponsor Application, VA Form 
10-2407.
    OMB Control Number: 2900-0616.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 10-2407 is an application used by a residential 
care facility or home that wished 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 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.
    Affected Public: Business or other for-profit.
    Estimated Annual Burden: 42 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 500.

    Dated: June 24, 2013.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2013-15378 Filed 6-26-13; 8:45 am]
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