Agency Information Collection: (Per Diem for Nursing Home Care of Veterans in State Homes; Per Diem for Domiciliary Adult Day Health Care of Veterans in State Homes), 50382-50383 [2015-20458]
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Federal Register / Vol. 80, No. 160 / Wednesday, August 19, 2015 / Notices
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over the Line either is pending with the
Surface Transportation Board (Board) or
with any U.S. District Court or has been
decided in favor of a complainant
within the two-year period; and (4) the
requirements at 49 CFR 1105.7(c)
(environmental report), 49 CFR 1105.11
(transmittal letter), 49 CFR 1105.12
(newspaper publication), and 49 CFR
1152.50(d)(1) (notice to governmental
agencies) have been met.
As a condition to this exemption, any
employee adversely affected by the
abandonment shall be protected under
Oregon Short Line Railroad—
Abandonment Portion Goshen Branch
Between Firth & Ammon, in Bingham &
Bonneville Counties, Idaho, 360 I.C.C.
91 (1979). To address whether this
condition adequately protects affected
employees, a petition for partial
revocation under 49 U.S.C. 10502(d)
must be filed.
Provided no formal expression of
intent to file an offer of financial
assistance (OFA) has been received, this
exemption will be effective on
September 18, 2015, unless stayed
pending reconsideration. Petitions to
stay that do not involve environmental
issues,1 formal expressions of intent to
file an OFA under 49 CFR
1152.27(c)(2),2 and interim trail use/rail
banking requests under 49 CFR 1152.29
must be filed by August 31, 2015.
Petitions to reopen or requests for
public use conditions under 49 CFR
1152.28 must be filed by September 8,
2015, with the Surface Transportation
Board, 395 E Street SW., Washington,
DC 20423–0001.
A copy of any petition filed with the
Board should be sent to applicant’s
representative: Karl Morell, Karl Morell
& Associates, 655 Fifteenth Street NW.,
Suite 225, Washington, DC 20005.
If the verified notice contains false or
misleading information, the exemption
is void ab initio.
BNSF has filed environmental and
historic reports that address the effects,
if any, of the abandonment on the
environment and historic resources.
OEA will issue an environmental
assessment (EA) by August 24, 2015.
Interested persons may obtain a copy of
the EA by writing to OEA (Room 1100,
1 The Board will grant a stay if an informed
decision on environmental issues (whether raised
by a party or by the Board’s Office of Environmental
Analysis (OEA) in its independent investigation)
cannot be made before the exemption’s effective
date. See Exemption of Out-of-Serv. Rail Lines, 5
I.C.C. 2d 377 (1989). Any request for a stay should
be filed as soon as possible so that the Board may
take appropriate action before the exemption’s
effective date.
2 Each OFA must be accompanied by the filing
fee, which is currently set at $1,600. See 49 CFR
1002.2(f)(25).
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19:14 Aug 18, 2015
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Surface Transportation Board,
Washington, DC 20423–0001) or by
calling OEA at (202) 245–0305.
Assistance for the hearing impaired is
available through the Federal
Information Relay Service at (800) 877–
8339. Comments on environmental and
historic preservation matters must be
filed within 15 days after the EA
becomes available to the public.
Environmental, historic preservation,
public use, or trail use/rail banking
conditions will be imposed, where
appropriate, in a subsequent decision.
Pursuant to the provisions of 49 CFR
1152.29(e)(2), BNSF shall file a notice of
consummation with the Board to signify
that it has exercised the authority
granted and fully abandoned the line. If
consummation has not been effected by
filing of a notice of consummation by
August 19, 2016, and there are no legal
or regulatory barriers to consummation,
the authority to abandon will
automatically expire.
Board decisions and notices are
available on our Web site at
‘‘WWW.STB.DOT.GOV.’’
Decided: August 14, 2015.
By the Board, Rachel D. Campbell,
Director, Office of Proceedings.
Jeffrey Herzig,
Clearance Clerk.
Clearance Officer, 1750 Pennsylvania
Ave. NW., Suite 8140, Washington, DC
20220, or email at PRA@treasury.gov.
FOR FURTHER INFORMATION CONTACT:
Copies of the submission(s) may be
obtained by emailing PRA@treasury.gov
or viewing the entire information
collection request at www.reginfo.gov.
SUPPLEMENTARY INFORMATION:
Departmental Offices, Office of the
Procurement Executive
OMB Number: 1505–0081.
Type of Review: Revision of a
currently approved collection.
Title: Solicitation of Proposal
Information for Award of Public
Contracts.
Abstract: Information requested of
offerors is specific to each procurement
solicitation, and is required for Treasury
to properly evaluate the capabilities and
experience of potential contractors who
desire to provide the supplies or
services to be acquired. Evaluation will
be used to determine which proposal
most benefits the Government.
Affected Public: Private Sector:
Businesses or other for-profits.
Estimated Burden Hours: 203,193.
Dated: August 13, 2015.
Dawn D. Wolfgang,
Treasury PRA Clearance Officer.
[FR Doc. 2015–20519 Filed 8–18–15; 8:45 am]
[FR Doc. 2015–20375 Filed 8–18–15; 8:45 am]
BILLING CODE 4915–01–P
BILLING CODE 4810–25–P
DEPARTMENT OF THE TREASURY
DEPARTMENT OF VETERANS
AFFAIRS
Submission for OMB Review;
Comment Request
[OMB Control No. 2900–0160]
Department of the Treasury
Notice.
AGENCY:
ACTION:
The Department of the
Treasury will submit the following
information collection request to the
Office of Management and Budget
(OMB) for review and clearance in
accordance with the Paperwork
Reduction Act of 1995, Public Law 104–
13, on or after the date of publication of
this notice.
DATES: Comments should be received on
or before September 18, 2015 to be
assured of consideration.
ADDRESSES: Send comments regarding
the burden estimate, or any other aspect
of the information collection, including
suggestions for reducing the burden, to
(1) Office of Information and Regulatory
Affairs, Office of Management and
Budget, Attention: Desk Officer for
Treasury, New Executive Office
Building, Room 10235, Washington, DC
20503, or email at OIRA_Submission@
OMB.EOP.gov and (2) Treasury PRA
SUMMARY:
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Agency Information Collection: (Per
Diem for Nursing Home Care of
Veterans in State Homes; Per Diem for
Domiciliary Adult Day Health Care of
Veterans in State Homes)
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 and allow 60 days for
public comment in response to the
notice. This notice solicits comments on
the information needed to provide
payment of per diem to State homes that
provide nursing home care to eligible
SUMMARY:
E:\FR\FM\19AUN1.SGM
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tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 160 / Wednesday, August 19, 2015 / Notices
veterans and payment of per diem to
State homes that provide adult day
health care to eligible veterans. The
intended effect of these provisions was
to ensure that veterans receive high
quality care in State Homes.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before October 19, 2015.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov; or
Colette Alvarez, Chief Business Office,
Purchased Care, Veterans Health
Administration (10N21R), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420 or
email: Colette.Alvarez@va.gov. Please
refer to ‘‘Per Diem for Nursing Home
Care of Veterans in State Homes; Per
Diem for Domiciliary and Adult Day
Health Care of Veterans in State Homes,
OMB Control No. 2900–0160’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
FOR FURTHER INFORMATION CONTACT:
Colette Alvarez at (775) 842–5755.
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: (Per Diem for Nursing Home
Care of Veterans in State Homes; Per
Diem for Domiciliary Adult Day Health
Care of Veterans in State Homes).
a. Title 38, CFR parts 51 and 52, State
Home Programs.
b. State Home Inspection—Staffing
Profile, VA Form 10–3567.
c. State Home Report and Statement
of Federal Aid Claimed, VA Form 10–
5588.
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19:14 Aug 18, 2015
Jkt 235001
d. Claim for Payment for Nursing
Home Care Provided to Veterans
Awarded Retroactive Service
Connection, VA Form 10–5588A.
e. State Home Program Application
for Veteran Care—Medical Certification,
VA Form 10–10SH.
f. Department of Veterans Affairs
Certification Regarding Drug-Free
Workplace Requirements for Grantees
Other Than Individuals, VA Form 10–
0143.
g. Statement of Assurance of
Compliance with Section 504 of the
Rehabilitation Act of 1973, VA Form
10–0143a.
h. Certification Regarding Lobbying,
VA Form 10–0144.
i. Statement of Assurance of
Compliance with Equal Opportunity
Laws, VA Form 10–0144a.
j. Request for Prescription Drugs from
an Eligible Veteran in a State Home, VA
Form 10–0460.
OMB Control Number: 2900–0160.
Type of Review: Revision of a
currently approved collection.
Abstract: VA pays per diem to State
Veterans Homes (SVHs) providing
nursing home, domiciliary and adult
day health services care to eligible
Veterans. VA pays per diem to SVHs for
the care of Veterans irrespective of
whether the Veteran has wartime or
peacetime service.
VA processes two different types of
state nursing home per diem payments.
Each is determined by a Veteran’s
eligibility. One is a higher per diem or
prevailing rate for certain Veterans who
have service-connected disabilities. The
other is a basic rate that is paid to
Veterans who are not eligible for the
higher rate. VA also ensures that SVHs
meet VA standards through surveys,
audits, and reconciliation of records. VA
requires facilities providing nursing
home, domiciliary and adult day health
care to furnish an application for
recognition based on certification;
appeal information, application and
justification for payment; records and
reports which facility management must
maintain regarding activities of
residents or participants; information
relating to whether the facility meets
standards concerning residents’ rights
and responsibilities prior to admission
or enrollment, during admission or
enrollment, and upon discharge; the
records and reports which facilities
management and health care
professionals must maintain regarding
residents or participants and employees;
documents pertain to the management
of the facilities; food menu planning;
pharmaceutical records; and life safety
documentation. Without access to such
information, VA would not be able to
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50383
determine whether high quality care is
being provided to Veterans.
For an eligible Veteran to be
considered for per diem payments for
nursing home, domiciliary or ADHC,
two forms are required to be submitted
to the VA medical center of jurisdiction
for each Veteran, at the time of the
Veteran’s admission to a SVH (VA Form
10–10EZ, Application for Health
Benefits or 10–10EZR, Health Benefits
Renewal Form) and VA Form 10–10SH,
State Home Program Application for
Veteran Care Medical Certification).
Affected Public: State, Local or Private
Government.
Estimated Annual Burden: 6,818
hours.
Home Programs:
a. State Home Inspection Staffing
Profile, VA Form 10–3567—69.5 hrs.
b. State Home Report and State of
Federal Aid Claimed, VA Form 10–
5588—834 hrs.
c. Claim for Payment for Nursing
Home Care Provided to Veterans
Awarded Retroactive Service
Connection, VA Form 10–5588A—180
hrs.
d. State Home Program Application
for Veteran Care—Medical Certification,
VA Form 10–10SH—3,802 hrs.
e. Department of Veterans Affairs
Certification Regarding Drug-Free
Workplace Requirements for Grantees
Other Than Individuals, VA Form 10–
0143—12 hrs.
f. Statement of Assurance of
Compliance with Section 504 of the
Rehabilitation Act of 1973, VA Form
10–1043a—12 hrs.
g. Certification Regarding Lobbying,
VA Form 10–0144—12 hrs.
h. Statement of Assurance of
Compliance with Equal Opportunity
Laws, VA Form 10–0460—12 hrs.
i. Request for Prescription Drugs from
an Eligible Veteran in a State Home, VA
Form 10–0144a—12 hrs.
j. Application for Recognition (Letter
to Under Secretary for Health)—2 hrs.
k. Recognition & Certification
(Sections 51.30 and 52.30)—120 hrs.
l. Quality of Life (Sections 51.100 and
52.100)—350 hrs.
m. Section, Administration and
(Section 51.210 and 52.210)—1,400.
Estimated Average Burden per
Respondent:
Frequency of Response: On Occasion.
Estimated Number of Respondents:
12,884.
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. 2015–20458 Filed 8–18–15; 8:45 am]
BILLING CODE 8320–01–P
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]]>Agencies
[Federal Register Volume 80, Number 160 (Wednesday, August 19, 2015)]
[Notices]
[Pages 50382-50383]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-20458]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0160]
Agency Information Collection: (Per Diem for Nursing Home Care of
Veterans in State Homes; Per Diem for Domiciliary Adult Day Health Care
of Veterans in State Homes)
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 and allow 60 days for public comment
in response to the notice. This notice solicits comments on the
information needed to provide payment of per diem to State homes that
provide nursing home care to eligible
[[Page 50383]]
veterans and payment of per diem to State homes that provide adult day
health care to eligible veterans. The intended effect of these
provisions was to ensure that veterans receive high quality care in
State Homes.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before October 19, 2015.
ADDRESSES: Submit written comments on the collection of information
through Federal Docket Management System (FDMS) at www.Regulations.gov;
or Colette Alvarez, Chief Business Office, Purchased Care, Veterans
Health Administration (10N21R), Department of Veterans Affairs, 810
Vermont Avenue NW., Washington, DC 20420 or email:
Colette.Alvarez@va.gov. Please refer to ``Per Diem for Nursing Home
Care of Veterans in State Homes; Per Diem for Domiciliary and Adult Day
Health Care of Veterans in State Homes, OMB Control No. 2900-0160'' in
any correspondence. During the comment period, comments may be viewed
online through the FDMS.
FOR FURTHER INFORMATION CONTACT: Colette Alvarez at (775) 842-5755.
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: (Per Diem for Nursing Home Care of Veterans in State Homes;
Per Diem for Domiciliary Adult Day Health Care of Veterans in State
Homes).
a. Title 38, CFR parts 51 and 52, State Home Programs.
b. State Home Inspection--Staffing Profile, VA Form 10-3567.
c. State Home Report and Statement of Federal Aid Claimed, VA Form
10-5588.
d. Claim for Payment for Nursing Home Care Provided to Veterans
Awarded Retroactive Service Connection, VA Form 10-5588A.
e. State Home Program Application for Veteran Care--Medical
Certification, VA Form 10-10SH.
f. Department of Veterans Affairs Certification Regarding Drug-Free
Workplace Requirements for Grantees Other Than Individuals, VA Form 10-
0143.
g. Statement of Assurance of Compliance with Section 504 of the
Rehabilitation Act of 1973, VA Form 10-0143a.
h. Certification Regarding Lobbying, VA Form 10-0144.
i. Statement of Assurance of Compliance with Equal Opportunity
Laws, VA Form 10-0144a.
j. Request for Prescription Drugs from an Eligible Veteran in a
State Home, VA Form 10-0460.
OMB Control Number: 2900-0160.
Type of Review: Revision of a currently approved collection.
Abstract: VA pays per diem to State Veterans Homes (SVHs) providing
nursing home, domiciliary and adult day health services care to
eligible Veterans. VA pays per diem to SVHs for the care of Veterans
irrespective of whether the Veteran has wartime or peacetime service.
VA processes two different types of state nursing home per diem
payments. Each is determined by a Veteran's eligibility. One is a
higher per diem or prevailing rate for certain Veterans who have
service-connected disabilities. The other is a basic rate that is paid
to Veterans who are not eligible for the higher rate. VA also ensures
that SVHs meet VA standards through surveys, audits, and reconciliation
of records. VA requires facilities providing nursing home, domiciliary
and adult day health care to furnish an application for recognition
based on certification; appeal information, application and
justification for payment; records and reports which facility
management must maintain regarding activities of residents or
participants; information relating to whether the facility meets
standards concerning residents' rights and responsibilities prior to
admission or enrollment, during admission or enrollment, and upon
discharge; the records and reports which facilities management and
health care professionals must maintain regarding residents or
participants and employees; documents pertain to the management of the
facilities; food menu planning; pharmaceutical records; and life safety
documentation. Without access to such information, VA would not be able
to determine whether high quality care is being provided to Veterans.
For an eligible Veteran to be considered for per diem payments for
nursing home, domiciliary or ADHC, two forms are required to be
submitted to the VA medical center of jurisdiction for each Veteran, at
the time of the Veteran's admission to a SVH (VA Form 10-10EZ,
Application for Health Benefits or 10-10EZR, Health Benefits Renewal
Form) and VA Form 10-10SH, State Home Program Application for Veteran
Care Medical Certification).
Affected Public: State, Local or Private Government.
Estimated Annual Burden: 6,818 hours.
Home Programs:
a. State Home Inspection Staffing Profile, VA Form 10-3567--69.5
hrs.
b. State Home Report and State of Federal Aid Claimed, VA Form 10-
5588--834 hrs.
c. Claim for Payment for Nursing Home Care Provided to Veterans
Awarded Retroactive Service Connection, VA Form 10-5588A--180 hrs.
d. State Home Program Application for Veteran Care--Medical
Certification, VA Form 10-10SH--3,802 hrs.
e. Department of Veterans Affairs Certification Regarding Drug-Free
Workplace Requirements for Grantees Other Than Individuals, VA Form 10-
0143--12 hrs.
f. Statement of Assurance of Compliance with Section 504 of the
Rehabilitation Act of 1973, VA Form 10-1043a--12 hrs.
g. Certification Regarding Lobbying, VA Form 10-0144--12 hrs.
h. Statement of Assurance of Compliance with Equal Opportunity
Laws, VA Form 10-0460--12 hrs.
i. Request for Prescription Drugs from an Eligible Veteran in a
State Home, VA Form 10-0144a--12 hrs.
j. Application for Recognition (Letter to Under Secretary for
Health)--2 hrs.
k. Recognition & Certification (Sections 51.30 and 52.30)--120 hrs.
l. Quality of Life (Sections 51.100 and 52.100)--350 hrs.
m. Section, Administration and (Section 51.210 and 52.210)--1,400.
Estimated Average Burden per Respondent:
Frequency of Response: On Occasion.
Estimated Number of Respondents: 12,884.
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. 2015-20458 Filed 8-18-15; 8:45 am]
BILLING CODE 8320-01-P
