Proposed Information Collection (Care Coordination Home Telehealth (CCHT) Patient Satisfaction Survey, VA Form 10-0481); Activity: Comment Request, 53506-53507 [2013-21069]

Download as PDF 53506 Federal Register / Vol. 78, No. 168 / Thursday, August 29, 2013 / Notices be summarized and/or included in the request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the 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: August 23, 2013. Allan M. Hopkins, Tax Analyst. [FR Doc. 2013–21133 Filed 8–28–13; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0144] Agency Information Collection (HUD/ VA Addendum to Uniform Residential Loan Application) Activity Under OMB Review Veterans Benefits 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 Benefits Administration (VBA), 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 September 30, 2013. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB sroberts on DSK5SPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 18:34 Aug 28, 2013 Jkt 229001 Control No. 2900–0144’’ in any correspondence. proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of FOR FURTHER INFORMATION CONTACT: 1995, Federal agencies are required to Crystal Rennie, Enterprise Records publish notice in the Federal Register Service (005R1B), Department of concerning each proposed collection of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 632– information, including each extended collection, and allow 60 days for public 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– comment in response to the notice. This notice solicits comments on the 0144.’’ information collection required to SUPPLEMENTARY INFORMATION: obtain patient perspective on Title: HUD/VA Addendum to Uniform satisfaction with the CCHT program and Residential Loan Application, VA Form messaging devices. 26–1802a. DATES: Written comments and OMB Control Number: 2900–0144. recommendations on the proposed Type of Review: Extension of a collection of information should be currently approved collection. Abstract: VA Form 26–1802a serves as received on or before October 28, 2013. a joint loan application for both VA and ADDRESSES: Submit written comments the Department of Housing and Urban on the collection of information through Development (HUD). Lenders and Federal Docket Management System Veterans use the form to apply for home (FDMS) at www.Regulations.gov; or to loans. Cynthia Harvey-Pryor, Veterans Health An agency may not conduct or Administration (10P7BFP), Department sponsor, and a person is not required to of Veterans Affairs, 810 Vermont respond to a collection of information Avenue NW., Washington, DC 20420; or unless it displays a currently valid OMB email: cynthia.harvey-pryor@va.gov. control number. The Federal Register Please refer to ‘‘OMB Control No. 2900– Notice with a 60-day comment period 0766’’ in any correspondence. During soliciting comments on this collection the comment period, comments may be of information was published on May viewed online through the FDMS. 20, 2013, at pages 29436–29437. FOR FURTHER INFORMATION CONTACT: Affected Public: Individuals or Cynthia Harvey-Pryor at (202) 461–5870 households. or fax (202) 495–5397. Estimated Annual Burden: 20,000 SUPPLEMENTARY INFORMATION: Under the hours. PRA of 1995 (Pub. L. 104–13; 44 U.S.C. Estimated Average Burden per 3501–3521), Federal agencies must Respondent: 6 minutes. obtain approval from the Office of Frequency of Response: One time. Management and Budget (OMB) for each Estimated Number of Respondents: collection of information they conduct 200,000. or sponsor. This request for comment is Dated: August 26, 2013. being made pursuant to Section By direction of the Secretary. 3506(c)(2)(A) of the PRA. Crystal Rennie, With respect to the following VA Clearance Officer, U.S. Department of collection of information, VHA invites Veterans Affairs. comments on: (1) Whether the proposed [FR Doc. 2013–21085 Filed 8–28–13; 8:45 am] collection of information is necessary BILLING CODE 8320–01–P for the proper performance of VHA’s functions, including whether the information will have practical utility; DEPARTMENT OF VETERANS (2) the accuracy of VHA’s estimate of AFFAIRS the burden of the proposed collection of [OMB Control No. 2900–0766] information; (3) ways to enhance the quality, utility, and clarity of the Proposed Information Collection (Care information to be collected; and (4) Coordination Home Telehealth (CCHT) ways to minimize the burden of the Patient Satisfaction Survey, VA Form collection of information on 10–0481); Activity: Comment Request respondents, including through the use of automated collection techniques or AGENCY: Veterans Health Administration, Department of Veterans the use of other forms of information technology. Affairs. Titles: Care Coordination Home ACTION: Notice. Telehealth (CCHT) Patient Satisfaction Survey, VA Form 10–0481. SUMMARY: The Veterans Health OMB Control Number: 2900–0766. Administration (VHA), Department of Type of Review: Extension of a Veterans Affairs (VA), is announcing an currently approved collection. opportunity for public comment on the PO 00000 Frm 00085 Fmt 4703 Sfmt 4703 E:\FR\FM\29AUN1.SGM 29AUN1 Federal Register / Vol. 78, No. 168 / Thursday, August 29, 2013 / Notices Abstract: Patients enrolled in the CCHT program will receive survey questions through a messaging device located in their home. Patients can select an answer by the use of buttons, a touch screen application or electronically spoken to them through an Interactive Voice Response if they are visually impaired. Affected Public: Individuals or households. Estimated Annual Burden: 1640 burden hours. Estimated Average Burden per Respondent: 1.5 minutes. Frequency of Response: Quarterly. Estimated Number of Respondents: 65,600. Dated: August 26, 2013. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. [FR Doc. 2013–21069 Filed 8–28–13; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–NEW] Agency Information Collection (Beneficiary Travel Mileage Reimbursement Application Form) Activity 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 September 30, 2013. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–NEW (Beneficiary Travel Mileage Reimbursement sroberts on DSK5SPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 18:34 Aug 28, 2013 Jkt 229001 Application Form)’’ in any correspondence. DEPARTMENT OF VETERANS AFFAIRS FOR FURTHER INFORMATION CONTACT: 53507 [OMB Control No. 2900–0138] Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 632– 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– NEW (Beneficiary Travel Mileage Reimbursement Application Form).’’ SUPPLEMENTARY INFORMATION: Dated: August 26, 2013. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. [FR Doc. 2013–21086 Filed 8–28–13; 8:45 am] PO 00000 Frm 00086 Fmt 4703 Sfmt 4703 Veterans Benefits 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 Benefits Administration (VBA), 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 September 30, 2013. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0138’’ 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 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– 0138.’’ SUPPLEMENTARY INFORMATION: Title: Request for Details of Expenses, VA Form 21–8049. OMB Control Number: 2900–0138. Type of Review: Extension of a currently approved collection. Abstract: VA will use the data collected on VA Form 21–8049 to determine the amounts of any deductible expenses paid by the claimant and/or commercial life insurance received in order to calculate the current rate of pension. Pension is an income-based program, and the payable rate depends on the claimant’s annual income. 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: Title: Beneficiary Travel Mileage Reimbursement Application Form, VA Form 10–3542. OMB Control Number: 2900–NEW. Type of Review: New collection. Abstract: The purpose of the information collection is for beneficiaries to apply for the beneficiary travel mileage reimbursement benefit in an efficient, convenient and accurate manner. VHA must determine the identity of the claimant, the dates and length of the trip being claimed based on addresses of starting and ending points, and whether expenses other than mileage are being claimed. The form is used only when the claimant chooses not to apply verbally and is provided for their convenience. This collection of information is necessary to enable the VHA to provide this benefit and appropriately ensure that funds are being paid to the correct claimant. 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 June 14, 2013, at page 36035. Affected Public: Individuals or households. Estimated Total Annual Burden: 580,000. Estimated Average Burden per Respondent: 3 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 11,600,000. BILLING CODE 8320–01–P Agency Information Collection (Request for Details of Expenses) Activity Under OMB Review E:\FR\FM\29AUN1.SGM 29AUN1

Agencies

[Federal Register Volume 78, Number 168 (Thursday, August 29, 2013)]
[Notices]
[Pages 53506-53507]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-21069]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0766]


Proposed Information Collection (Care Coordination Home 
Telehealth (CCHT) Patient Satisfaction Survey, VA Form 10-0481); 
Activity: Comment Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: 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 extended collection, 
and allow 60 days for public comment in response to the notice. This 
notice solicits comments on the information collection required to 
obtain patient perspective on satisfaction with the CCHT program and 
messaging devices.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before October 28, 2013.

ADDRESSES: Submit written comments on the collection of information 
through 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 ``OMB 
Control No. 2900-0766'' in any correspondence. During the comment 
period, comments may be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor at (202) 461-5870 
or fax (202) 495-5397.

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 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.
    Titles: Care Coordination Home Telehealth (CCHT) Patient 
Satisfaction Survey, VA Form 10-0481.
    OMB Control Number: 2900-0766.
    Type of Review: Extension of a currently approved collection.

[[Page 53507]]

    Abstract: Patients enrolled in the CCHT program will receive survey 
questions through a messaging device located in their home. Patients 
can select an answer by the use of buttons, a touch screen application 
or electronically spoken to them through an Interactive Voice Response 
if they are visually impaired.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1640 burden hours.
    Estimated Average Burden per Respondent: 1.5 minutes.
    Frequency of Response: Quarterly.
    Estimated Number of Respondents: 65,600.

    Dated: August 26, 2013.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2013-21069 Filed 8-28-13; 8:45 am]
BILLING CODE 8320-01-P
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