Agency Information Collection Activity Under OMB Review: PACT: Veteran's Health and Well-Being, 19310-19311 [2017-08442]

Download as PDF 19310 Federal Register / Vol. 82, No. 79 / Wednesday, April 26, 2017 / Notices the Kimberley Process Certificate accompanying the shipment. List of Participants mstockstill on DSK30JT082PROD with NOTICES Pursuant to Sections 3 and 6 of the Act, Section 2 of Executive Order 13312, Department of State Delegations of Authority No. 245–1 (February 13, 2009), and No. 376 (October 31, 2011), I hereby identify the following entities as Participants under section 6(b) of the Act. Included in this List are the Importing and Exporting Authorities for Participants, as required by Section 6(b) of the Act. This list revises the previously published list of May 18, 2015 to reflect the reinstatement of the Central African Republic and Venezuela. Angola—Ministry of Trade, Ministry of Geology and Mines (Exporting Authority), no Importing Authority specified. Armenia—Ministry of Economy. Australia—Department of Industry, Innovation and Science (Exporting Authority), Department of Immigration and Border Protection (Importing Authority). Bangladesh—Export Promotion Bureau. Belarus—Ministry of Finance. Botswana—Ministry of Minerals Energy and Water Resources—Diamond Office. Brazil—Ministry of Mines and Energy— National Department of Mineral Production. Cambodia—Ministry of Commerce. Cameroon—National Permanent Secretariat for the Kimberley Process in Cameroon. Canada—Ministry of Natural Resources Canada. Central African Republic—Ministry of Mines, Energy and Hydraulics. China—General Administration of Quality Supervision, Inspection and Quarantine; in the Hong Kong Special Administrative Region: Trade and Industry Department. Congo, Democratic Republic of the—Ministry of Mines—Le Centre d’Expertise, d’Evaluation et de Certification des ´ ´ Substances Minerales Precieuses et Semi´ precieuses. Congo, Republic of the—Ministry of Mines— Bureau d’Expertise, d’Evaluation et de ´ Certification des Substances Minerales ´ Precieuses. Cote D’Ivoire (Ivory Coast)—General Directorate of Customs. European Union—European Commission— Foreign Policy Instruments; in Belgium: Federal Public Service of Economy; in the Czech Republic: General Directorate of Customs; in Germany: Hauptzollamt Koblenz (Exporting Authority), Generalzolldirektion—Direktion VI (Importing Authority); in Portugal: ´ Autoridade Tributaria e Aduaneira— Direcao de Servicos de Regulacao ¸˜ ¸ ¸˜ Aduaneira; in Romania: General Department for Precious Metals, Precious Stones and the Kimberley Process— National Authority for Consumer Protection; in the United Kingdom: Foreign and Commonwealth Office—Government Diamond Office. VerDate Sep<11>2014 18:43 Apr 25, 2017 Jkt 241001 Ghana—Precious Minerals Marketing Company Limited. Guinea—Ministry of Mines and Geology. Guyana—Guyana Geology and Mines Commission. India—The Gem and Jewellerry Export Promotion Council. Indonesia—Ministry of Trade—Director General for Foreign Trade. Israel—Ministry of Economy and Industry— Office of the Diamond Controller. Japan—Ministry of Economy, Trade and Industry—Agency for Natural Resources and Energy. Kazakhstan—Ministry for Investments and Development—Committee for Technical Regulation and Metrology. Korea, Republic of (South Korea)—Ministry of Trade, Industry and Energy. Laos—Ministry of Industry and Commerce— Department of Import and Export. Lebanon—Ministry of Economy and Trade. Lesotho—Ministry of Mining—Department of Mines. Liberia—Ministry of Lands, Mines and Energy. Malaysia—Royal Malaysian Customs Department. Mali—Ministry of Mines—Office of Expertise, Evaluation and Certification of Rough Diamonds. Mauritius—Ministry of Industry, Commerce and Consumer Protection—Trade Division. Mexico—Ministry of Economy—DirectorateGeneral for International Trade in Goods. Namibia—Ministry of Mines and Energy— Directorate of Diamond Affairs. New Zealand—New Zealand Customs Service. Norway—Norwegian Customs Service. Panama—National Customs Authority. Russia—Ministry of Finance. Sierra Leone—National Minerals Agency, National Revenue Authority. Singapore—Singapore Customs. South Africa—South African Diamond and Precious Metals Regulator. Sri Lanka—National Gem and Jewellery Authority. Swaziland—Office of the Commissioner of Mines. Switzerland—State Secretariat for Economic Affairs. Taipei—Ministry of Economic Affairs— Bureau of Foreign Trade. Tanzania—Ministry of Energy and Minerals—Commissioner for Minerals. Thailand—Ministry of Commerce— Department of Foreign Trade. Togo—Ministry of Mines and Energy—Head Office of Mines and Geology. Turkey—Borsa Istanbul Precious Metals and Diamond Market. Ukraine—State Gemmological Centre of Ukraine. United Arab Emirates—Dubai Multi Commodities Center Authority. United States of America—U.S. Customs and Border Protection (Importing Authority), United States Census Bureau (Exporting Authority). Venezuela—Central Bank of Venezuela. Vietnam—Ministry of Industry and Trade— Import Export Management Divisions in Hanoi and Ho Chi Minh City. Zimbabwe—Minerals Marketing Corporation of Zimbabwe (Exporting Authority), PO 00000 Frm 00114 Fmt 4703 Sfmt 4703 Zimbabwe Revenue Authority (Importing Authority). Patricia M. Haslach, Acting Assistant Secretary, Bureau of Economic and Business Affairs, Department of State. [FR Doc. 2017–08385 Filed 4–25–17; 8:45 am] BILLING CODE 4710–AE–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–NEW] Agency Information Collection Activity Under OMB Review: PACT: Veteran’s Health and Well-Being Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 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; it includes the actual data collection instrument. DATES: Comments must be submitted on or before May 26, 2017. 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’’ in any correspondence. SUMMARY: FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB Control No. 2900–NEW.’’ SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–3521. Titles: PACT: Veteran’s Health and Well-Being. OMB Control Number: 2900–NEW. Type of Review: New collection. Abstract: The purpose of the study, which is funded by the PACT Demonstration Lab Coordinating Center, E:\FR\FM\26APN1.SGM 26APN1 mstockstill on DSK30JT082PROD with NOTICES Federal Register / Vol. 82, No. 79 / Wednesday, April 26, 2017 / Notices is to conduct a survey of Veterans to capture novel predictors of hospital admission and identify clusters of complex patients based on survey- and claims-based covariates. This study provides the first empirical application of the Cycle of Complexity conceptual model that the study team developed and recently published, which postulates that patient complexity represents more than having multiple chronic conditions. It is critical to evaluate whether complexity defined on the basis of survey-based and claimsbased covariates is more predictive than diagnosis of multiple chronic conditions based on claims data alone. The proposed patient survey is designed to measure a broad range of self-reported patient factors that increase Veterans’ risk for being admitted to hospital, including life stressors, perceived locus of control, grit, resilience, functional status, social support and loneliness, sleep problems, symptoms, food insecurity, and patient activation. This survey will help us understand, for the first time, the extent to which self-reported factors can markedly improve prediction of patient risk for hospital admission, which may help the PACT Demonstration Lab Coordinating Center Intelligence improve its risk prediction models. This project may also identify patientreported outcomes (PROs) that can be effectively integrated into routine VA clinical practice, as the VA begins to explore inclusion of PROs into the VA electronic health record. We are requesting approval to conduct this survey to a nationally representative sample of 10,000 patients who obtain primary care in VA because there are no extant VA surveys that capture the range of patient factors that we propose to collect, which are not available in VA administrative databases. If we did not capture these patient factors, our risk prediction analysis might be incorrect or biased. 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 Thursday, January 26, 2017, Volume 82, No. 16, pages 8563–8564. Affected Public: Individuals or households. Estimated Annual Burden: 2500. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: Annually. Estimated Annual Responses: 5,000. VerDate Sep<11>2014 18:43 Apr 25, 2017 Jkt 241001 By direction of the Secretary. Cynthia Harvey-Pryor, Department Clearance Officer, Enterprise Records Service, Office of Quality and Compliance, Department of Veterans Affairs. [FR Doc. 2017–08442 Filed 4–25–17; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0776] Agency Information Collection Activity: Artery and Vein Conditions (Vascular Diseases Including Varicose Veins) Disability Benefits Questionnaire, Hypertension Disability Benefits Questionnaire, Non-Ischemic Heart Disease (Including Arrhythmias and Surgery) Disability Benefits Questionnaire, Diabetic Peripheral Neuropathy (Diabetic Sensory-Motor Peripheral Neuropathy) Disability Benefits Questionnaire, Diabetes Mellitus Disability Benefits Questionnaire, Scars/Disfigurement Disability Benefits Questionnaire, Skin Diseases Disability Benefits Questionnaire, Amputations Disability Benefits Questionnaire, Muscles Injuries Disability Benefits Questionnaire, Temporomandibular Joint (TMJ) Conditions Disability Benefits Questionnaire, Eye Conditions Disability Benefits Questionnaire Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Veterans Benefits Administration (VBA), 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 revision of a currently approved collection, and allow 60 days for public comment in response to the notice. VA Form 21–0960 series is used to gather necessary information from a claimant’s treating physician regarding the results of medical examinations. VA gathers medical information related to the claimant that is necessary to adjudicate the claim for VA disability benefits. The Disability Benefit Questionnaire title will include the name of the specific disability for which it will gather information. VAF 21– 0960A–2, Artery and Vein Conditions SUMMARY: PO 00000 Frm 00115 Fmt 4703 Sfmt 4703 19311 vascular diseases including varicose veins) Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of arteries, veins, and/or peripheral vascular disease; VAF 21–0960A–3, Hypertension, Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of hypertension; VAF 21– 0960A–4, Non-ischemic Heart Disease (including Arrhythmias and Surgery) Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of any nonischemic heart disease; VAF 21–0960C– 4, Diabetic Peripheral Neuropathy (diabetic sensory-motor peripheral neuropathy) Disability Benefits Questionnaire will gather information related to the claimant’s diagnosis of a diabetic sensory-motor peripheral neuropathy condition; VAF 21–0960E– 1, Diabetes Mellitus Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of diabetes mellitus; VAF 21–0960F–1, Scars/Disfigurement Disability Benefits Questionnaire will gather information related to the claimant’s diagnosis of any scars or disfigurement; VAF 21– 0960F–2, Skin Diseases Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of any skin disease. VAF 21– 0960M–1 Amputations Disability Benefits Questionnaire, will gather information related to the claimant’s amputations; VAF 21–0960M–10 Muscle Injuries Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of a muscle injury disability. VAF 21– 0960M–15 Temporomandibular Joint (TMJ) Conditions Disability Benefits Questionnaire, will gather information related to the claimant’s diagnosis of temporomandibular joint dysfunction or TMJ. VAF 21–0960N–2 Eye Conditions Disability Benefits Questionnaire will gather information related to the claimant’s diagnosis of an eye condition. Written comments and recommendations on the proposed collection of information should be received on or before June 26, 2017. DATES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0776’’ in any correspondence. During the comment ADDRESSES: E:\FR\FM\26APN1.SGM 26APN1

Agencies

[Federal Register Volume 82, Number 79 (Wednesday, April 26, 2017)]
[Notices]
[Pages 19310-19311]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-08442]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Agency Information Collection Activity Under OMB Review: PACT: 
Veteran's Health and Well-Being

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 
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; it 
includes the actual data collection instrument.

DATES: Comments must be submitted on or before May 26, 2017.

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'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
cynthia.harvey-pryor@va.gov. Please refer to ``OMB Control No. 2900-
NEW.''

SUPPLEMENTARY INFORMATION: 

    Authority:  44 U.S.C. 3501-3521.

    Titles: PACT: Veteran's Health and Well-Being.
    OMB Control Number: 2900-NEW.
    Type of Review: New collection.
    Abstract: The purpose of the study, which is funded by the PACT 
Demonstration Lab Coordinating Center,

[[Page 19311]]

is to conduct a survey of Veterans to capture novel predictors of 
hospital admission and identify clusters of complex patients based on 
survey- and claims-based covariates. This study provides the first 
empirical application of the Cycle of Complexity conceptual model that 
the study team developed and recently published, which postulates that 
patient complexity represents more than having multiple chronic 
conditions. It is critical to evaluate whether complexity defined on 
the basis of survey-based and claims-based covariates is more 
predictive than diagnosis of multiple chronic conditions based on 
claims data alone.
    The proposed patient survey is designed to measure a broad range of 
self-reported patient factors that increase Veterans' risk for being 
admitted to hospital, including life stressors, perceived locus of 
control, grit, resilience, functional status, social support and 
loneliness, sleep problems, symptoms, food insecurity, and patient 
activation. This survey will help us understand, for the first time, 
the extent to which self-reported factors can markedly improve 
prediction of patient risk for hospital admission, which may help the 
PACT Demonstration Lab Coordinating Center Intelligence improve its 
risk prediction models. This project may also identify patient-reported 
outcomes (PROs) that can be effectively integrated into routine VA 
clinical practice, as the VA begins to explore inclusion of PROs into 
the VA electronic health record. We are requesting approval to conduct 
this survey to a nationally representative sample of 10,000 patients 
who obtain primary care in VA because there are no extant VA surveys 
that capture the range of patient factors that we propose to collect, 
which are not available in VA administrative databases. If we did not 
capture these patient factors, our risk prediction analysis might be 
incorrect or biased.
    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 Thursday, January 26, 2017, Volume 82, No. 
16, pages 8563-8564.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 2500.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Annually.
    Estimated Annual Responses: 5,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Enterprise Records Service, Office of 
Quality and Compliance, Department of Veterans Affairs.
[FR Doc. 2017-08442 Filed 4-25-17; 8:45 am]
 BILLING CODE 8320-01-P