Agency Information Collection-Application for Accreditation as Service Organization Representative Activity Under OMB Review, 44203-44204 [2015-18163]
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Federal Register / Vol. 80, No. 142 / Friday, July 24, 2015 / Notices
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 (Patient Aligned
Care Team (PACT) Telehealth in the
Parkinson’s Disease Research, Education
& Clinical Center (PADRECC),
Healthcare Experiences of Patients with
Congestive Heart Failure (CHF))’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
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–
NEW (Patient Aligned Care Team
(PACT) Telehealth in the Parkinson’s
Disease Research, Education & Clinical
Center (PADRECC), Healthcare
Experiences of Patients with Congestive
Heart Failure (CHF))’’ in any
correspondence.
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: PACT Telehealth in the
PADRECC, Healthcare Experiences of
Patients with CHF, VA Forms
10–10135a, 10–10135b, 10–10135c,
10–10135d, 10–10136, 10–10137
OMB Control Number: 2900–NEW.
Type of Review: New data collection.
Abstract The Office of Patient Care
Services, Primary Care Program Office,
asabaliauskas on DSK5VPTVN1PROD with NOTICES
ADDRESSES:
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has undertaken an initiative to
implement a patient-centered medical
home model at all Veterans Health
Administration (VHA) Ambulatory
Primary Care sites. In addition to the
VHA’s Universal Health Care Services
implementation of the Patient Aligned
Care Team (PACT), Patient Care
Services has funded 5 PACT
Demonstration Laboratories across the
country.
Focus Group Survey
Affected Public: Individuals or
households.
Estimated Annual Burden: 20 hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
40.
10–10135a (GDS)
Affected Public: Individuals or
households.
Estimated Annual Burden: 35 hours.
Estimated Average Burden per
Respondent: 7 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
100.
10–10135b (PDQ–8)
Affected Public: Individuals or
households.
Estimated Annual Burden: 35 hours.
Estimated Average Burden per
Respondent: 7 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
100.
10–10135(c) Cost & Patient Outcomes
Affected Public: Individuals or
households.
Estimated Annual Burden: 35 hours.
Estimated Average Burden per
Respondent: 7 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
100.
10135(d) Patient Assessment of
Communication During Telehealth
Affected Public: Individuals or
households.
Estimated Annual Burden: 35 hours.
Estimated Average Burden per
Respondent: 7 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
100.
An agency may not conduct or
sponsor, and a person is not required to
PO 00000
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44203
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 at 79 FR
72249, December 5, 2015.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2015–18171 Filed 7–23–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0018]
Agency Information CollectionApplication for Accreditation as
Service Organization Representative
Activity Under OMB Review
Office of the General Counsel,
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 Office of the General
Counsel (OGC), Department of Veterans
Affairs, has submitted 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 August 24, 2015.
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. 2900–0018’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Dana Raffaelli, Office of the General
Counsel (022O), Department of Veterans
Affairs, 810 Vermont Avenue NW.,
Washington, DC 20420 or email to
dana.raffaelli2@va.gov. Please refer to
‘‘OMB Control No. 2900–0018’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:
Title: Application for Accreditation as
Service Organization Representative,
VA Form 21; Accreditation Cancellation
Information.
SUMMARY:
E:\FR\FM\24JYN1.SGM
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asabaliauskas on DSK5VPTVN1PROD with NOTICES
44204
Federal Register / Vol. 80, No. 142 / Friday, July 24, 2015 / Notices
OMB Control Number: 2900–0018.
Type of Review: Revision of a
currently approved collection and
modification to the collection.
Abstract: Service organizations are
required to file an application with VA
to establish eligibility for accreditation
for representatives of that organization
to represent benefit claimants before
VA. VA Form 21 is completed by
service organizations to establish
accreditation for representatives,
recertify the qualifications of accredited
representatives.
Organizations requesting cancellation
of a representative’s accreditation based
on misconduct or incompetence or
resignation to avoid cancellation of
accreditation based upon misconduct or
incompetence, are required to inform
VA of the specific reason for the
cancellation request. VA will use the
information collected to determine
whether service organizations
representatives continue to meet
regulatory eligibility requirements to
ensure claimants have qualified
representatives to assist in the
preparation, presentation and
prosecution of their claims for benefits.
VA is modifying the collection to
include an optional request to permit
the organization to provide an email
address and phone number in which the
representative may be reached. VA
believes that the additional contact
information pertaining to the
organization will be helpful in that it
provides an additional means of
communication between VA and the
organization as well as provides an
additional way that Veterans and their
family may contact the representative.
The organization may choose to provide
a general phone number and email
address for the organization, e.g.,
tampa@vso.com, or the representative’s
individual email address through the
organization and direct phone number,
e.g., johnsmith@vso.com.VA does not
anticipate the modification request will
result in an additional burden. VA
believes that the organizations already
have the information available to them,
and adding that information to the form
should not take additional time. This is
supported by the fact that many
organizations are already providing the
additional contact information. Finally,
this request will be optional.
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 May
20, 2015, at 80 FR 29158.
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19:59 Jul 23, 2015
Jkt 235001
Affected Public: Not-for profit
institutions.
Estimated Annual Burden: 782 hours.
Estimated Average Burden per
Respondent: 15 minutes for new
applicants, 10 minutes for
recertification, and 30 minutes for
accreditation cancellation information
responses.
Frequency of Response: On occasion.
Estimated Number of Respondents:
3,157 (2962 new applicants, 170
recertification, and 25 accreditation
cancellation information responses).
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2015–18163 Filed 7–23–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0205]
Agency Information Collection:
Applications and Appraisals for
Employment for Title 38 Positions and
Trainees
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice; Activities: Under OMB
Review.
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
revised collection, and allow 60 days for
public comment in response to the
notice. This notice solicits comments on
information needed to furnish hospital
care and medical services to the family
members of certain veterans who were
stationed at Camp Lejeune. In order to
furnish such care, VA must collect
certain information from the family
members to ensure that they meet the
requirements of the law. The specific
hospital care and medical services that
VA must provide are for a number of
illnesses and conditions connected to
exposure to contaminated drinking
water while at Camp Lejeune.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before August 24, 2015.
SUMMARY:
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Fmt 4703
Sfmt 4703
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. 2900–0205, Applications
and Appraisals for Employment for Title
38 Positions and Trainees’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
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–
0205, Applications and Appraisals for
Employment for Title 38 Positions and
Trainees’’ in any correspondence.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Public Law 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.
Title: Applications and Appraisals for
Employment for Title 38 Positions and
Trainees.
OMB Control Number: 2900–0205.
Type of Review: Revision of a
currently existing collection.
Abstract: VA Forms 10–2850 and
2850a through c are applications
designed specifically to elicit
appropriate information about each
candidate’s qualifications for
employment with Department of
Veterans Affairs (VA) as well as
educational and experience. To assure
that a full evaluation of each candidate’s
credentials can be made prior to
ADDRESSES:
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]]>Agencies
[Federal Register Volume 80, Number 142 (Friday, July 24, 2015)]
[Notices]
[Pages 44203-44204]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-18163]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0018]
Agency Information Collection-Application for Accreditation as
Service Organization Representative Activity Under OMB Review
AGENCY: Office of the General Counsel, 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 Office of the
General Counsel (OGC), Department of Veterans Affairs, has submitted
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 August 24, 2015.
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-
0018'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Dana Raffaelli, Office of the General
Counsel (022O), Department of Veterans Affairs, 810 Vermont Avenue NW.,
Washington, DC 20420 or email to dana.raffaelli2@va.gov. Please refer
to ``OMB Control No. 2900-0018'' in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Application for Accreditation as Service Organization
Representative, VA Form 21; Accreditation Cancellation Information.
[[Page 44204]]
OMB Control Number: 2900-0018.
Type of Review: Revision of a currently approved collection and
modification to the collection.
Abstract: Service organizations are required to file an application
with VA to establish eligibility for accreditation for representatives
of that organization to represent benefit claimants before VA. VA Form
21 is completed by service organizations to establish accreditation for
representatives, recertify the qualifications of accredited
representatives.
Organizations requesting cancellation of a representative's
accreditation based on misconduct or incompetence or resignation to
avoid cancellation of accreditation based upon misconduct or
incompetence, are required to inform VA of the specific reason for the
cancellation request. VA will use the information collected to
determine whether service organizations representatives continue to
meet regulatory eligibility requirements to ensure claimants have
qualified representatives to assist in the preparation, presentation
and prosecution of their claims for benefits. VA is modifying the
collection to include an optional request to permit the organization to
provide an email address and phone number in which the representative
may be reached. VA believes that the additional contact information
pertaining to the organization will be helpful in that it provides an
additional means of communication between VA and the organization as
well as provides an additional way that Veterans and their family may
contact the representative. The organization may choose to provide a
general phone number and email address for the organization, e.g.,
tampa@vso.com, or the representative's individual email address through
the organization and direct phone number, e.g., johnsmith@vso.com.VA
does not anticipate the modification request will result in an
additional burden. VA believes that the organizations already have the
information available to them, and adding that information to the form
should not take additional time. This is supported by the fact that
many organizations are already providing the additional contact
information. Finally, this request will be optional.
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 May 20, 2015, at 80 FR 29158.
Affected Public: Not-for profit institutions.
Estimated Annual Burden: 782 hours.
Estimated Average Burden per Respondent: 15 minutes for new
applicants, 10 minutes for recertification, and 30 minutes for
accreditation cancellation information responses.
Frequency of Response: On occasion.
Estimated Number of Respondents: 3,157 (2962 new applicants, 170
recertification, and 25 accreditation cancellation information
responses).
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records
Management, Department of Veterans Affairs.
[FR Doc. 2015-18163 Filed 7-23-15; 8:45 am]
BILLING CODE 8320-01-P
