Agency Information Collection Activity: Application for Extended Care Services, 55490-55491 [2017-25176]
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Federal Register / Vol. 82, No. 223 / Tuesday, November 21, 2017 / Notices
collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Authority: 38 U.S.C. 3019.
Title: Application for Individualized
Tutorial Assistance, VA Form 22–
1990T.
OMB Control Number: 2900–0171.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 22–1990t for
Tutorial assistance is a supplementary
allowance payable on a monthly basis
for up to 12 months. The student must
be training at one-half time or more in
a post-secondary degree program, and
must have a deficiency in a unit course
or subject that is required as part of, or
prerequisite to, his or her approved
program. The student uses VA Form 22–
1990t, Application and Enrollment
Certification for Individualized Tutorial
Assistance to apply for the
supplemental allowance.
Affected Public: Individuals or
households.
Estimated Annual Burden: 180 hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Once
Annually.
Estimated Number of Respondents:
359.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Quality, Privacy and Risk, Department of
Veterans Affairs.
[FR Doc. 2017–25175 Filed 11–20–17; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–NEW]
Agency Information Collection
Activity: Longitudinal Investigation of
Gender, Health and Trauma (LIGHT)
Survey
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,
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
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SUMMARY:
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information collection and its expected
cost and burden and it includes the
actual data collection instrument.
DATES: Comments must be submitted on
or before December 21, 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, Office of Quality,
Privacy and Risk (OQPR), 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’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: Under 38 U.S.C., Part I,
Chapter 5, Section 527.
Title: Longitudinal Investigation of
Gender, Health and Trauma (LIGHT)
Survey.
OMB Control Number: 2900–NEW.
Type of Review: New Collection.
Abstract: The purpose of this study is
to understand the cumulative effects of
lifetime exposure to trauma and ongoing
exposure to trauma such as community
and intimate partner violence on
Veterans’ mental and physical health,
including its impact on the reproductive
health of Veterans. To implement this
research, VHA and entities working on
behalf of VHA will conduct a
nationwide longitudinal survey of
Veterans residing in communities with
varying levels of crime. Specifically,
this longitudinal study will involve
surveying Veterans regarding their life
experiences, experiences within their
neighborhood, mental health
symptomatology, physical health,
reproductive health, mental health
service use, social support, and coping
style three times over the course of
approximately 1 year. We will contact a
random sample of 14,000 Veterans
(11,000 female and 3,000 male) between
the ages of 18 and 45 obtained from VA
DoD Identity Repository (VADIR) to
invite them to participate in this study,
with the ultimate goal of achieving a
baseline sample of ∼4,000 Veterans
(∼3,000 female and ∼1,000 male). Given
our primary aim to examine the role of
community violence on outcomes, we
will oversample for residency in high
crime communities using zip codes to
ensure that individuals living in these
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areas are invited to participate and are,
therefore, represented in the study
sample. We will also oversample rural
communities using zip codes. Finally,
as we are explicitly interested in underrepresented populations in the larger
Veteran population, we will also
oversample racial minorities. Our
response rate target for the survey is
∼30%, which is consistent with other
recent surveys of the Veteran
population. After adjusting for
potentially unusable or ineligible
records (estimated at ∼8%), we predict
∼4,000 will complete the study.
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 at 82 FR
37169 on August 8, 2017, page 37169.
Affected Public: Individuals and
households.
Estimated Annual Burden:
Time 1 Survey: 3,000 hours.
Time 2 Survey: 3,000 hours.
Time 3 Survey: 3,000 hours.
Estimated Average Burden per
Respondent:
Time 1 Survey: 45 minutes.
Time 2 Survey: 45 minutes.
Time 3 Survey: 45 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
Time 1 Survey: 4,000.
Time 2 Survey: 4,000.
Time 3 Survey: 4,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Quality, Privacy and Risk, Department of
Veterans Affairs.
[FR Doc. 2017–25177 Filed 11–20–17; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0629]
Agency Information Collection
Activity: Application for Extended Care
Services
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
Veterans Health
Administration, Department of Veterans
Affairs (VA), is announcing an
opportunity for public comment on the
proposed collection of certain
information by the agency. Under the
SUMMARY:
E:\FR\FM\21NON1.SGM
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Federal Register / Vol. 82, No. 223 / Tuesday, November 21, 2017 / Notices
asabaliauskas on DSKBBXCHB2PROD with NOTICES
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
renewal of a currently approved
collection, and allow 60 days for public
comment in response to the notice.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before January 22, 2018.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Brian McCarthy, Office of Regulatory
and Administrative Affairs (10B4),
Department of Veterans Affairs, 810
Vermont Avenue NW., Washington, DC
20420 or email to Brian.McCarthy4@
va.gov. Please refer to ‘‘OMB Control
No. 2900–0629’’ in any correspondence.
During the comment period, comments
may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Brian McCarthy at (202) 461–6345.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995, 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
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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.
Authority: 38 U.S.C. 1705, 1710B,
1722A, 1729.
Title: Application for Extended Care
Services.
OMB Control Number: 2900–0629.
Type of Review: Renewal of a
currently approved collection.
Abstract: Title 38 U.S.C. Chapter 17
authorizes VA to provide hospital care,
medical services, domiciliary care and
nursing home care to eligible Veterans.
Title 38 U.S.C. 1705 requires VA to
design, establish and operate a system of
annual patient enrollment in accordance
with a series of stipulated priorities. A
consequence of this is that many groups
of Veterans who are in a lower priority
group (WWI Veterans, Veterans with
disabilities rated as 0% serviceconnected seeking treatment for other
than their service-connected conditions,
Veterans exposed to a toxic substance,
radiation, or environmental hazard and
nonservice-connected Veterans) may
request that they be allowed to be
income tested in order to gain a higher
priority. Title 38 U.S.C. 1722 establishes
eligibility assessment procedures for
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55491
cost-free VA medical care, based on
income levels, which will determine
whether nonservice-connected and 0%
service-connected non-compensable
Veterans are able to defray the necessary
expenses of care for nonserviceconnected conditions. Title 38 U.S.C.
1722A establishes the eligibility
assessment procedures, based on
income levels, for determining Veterans’
eligibility for cost-free medications and
Title 38 U.S.C. 1710B defines the
procedures for establishing eligibility
for cost-free Extended Care benefits.
Title 38 U.S.C. 1729 authorizes VA to
recover from Veterans’ health insurance
carriers the cost of care furnished for
their nonservice-connected conditions.
VA Form 10–10EC, Application for
Extended Care Services, is used to
collect financial information necessary
to determine a Veteran’s copayment
obligation for extended care services,
also known as long term care (LTC).
Affected Public: Individuals and
households.
Estimated Annual Burden: 3,000
hours.
Estimated Average Burden per
Respondent: 90 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
2,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of
Quality, Privacy and Risk, Department of
Veterans Affairs.
[FR Doc. 2017–25176 Filed 11–20–17; 8:45 am]
BILLING CODE 8320–01–P
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]]>Agencies
[Federal Register Volume 82, Number 223 (Tuesday, November 21, 2017)]
[Notices]
[Pages 55490-55491]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-25176]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0629]
Agency Information Collection Activity: Application for Extended
Care Services
AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: Veterans Health Administration, Department of Veterans Affairs
(VA), is announcing an opportunity for public comment on the proposed
collection of certain information by the agency. Under the
[[Page 55491]]
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 renewal of a
currently approved collection, and allow 60 days for public comment in
response to the notice.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before January 22, 2018.
ADDRESSES: Submit written comments on the collection of information
through Federal Docket Management System (FDMS) at www.Regulations.gov
or to Brian McCarthy, Office of Regulatory and Administrative Affairs
(10B4), Department of Veterans Affairs, 810 Vermont Avenue NW.,
Washington, DC 20420 or email to Brian.McCarthy4@va.gov. Please refer
to ``OMB Control No. 2900-0629'' in any correspondence. During the
comment period, comments may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 461-6345.
SUPPLEMENTARY INFORMATION: Under the PRA of 1995, 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.
Authority: 38 U.S.C. 1705, 1710B, 1722A, 1729.
Title: Application for Extended Care Services.
OMB Control Number: 2900-0629.
Type of Review: Renewal of a currently approved collection.
Abstract: Title 38 U.S.C. Chapter 17 authorizes VA to provide
hospital care, medical services, domiciliary care and nursing home care
to eligible Veterans. Title 38 U.S.C. 1705 requires VA to design,
establish and operate a system of annual patient enrollment in
accordance with a series of stipulated priorities. A consequence of
this is that many groups of Veterans who are in a lower priority group
(WWI Veterans, Veterans with disabilities rated as 0% service-connected
seeking treatment for other than their service-connected conditions,
Veterans exposed to a toxic substance, radiation, or environmental
hazard and nonservice-connected Veterans) may request that they be
allowed to be income tested in order to gain a higher priority. Title
38 U.S.C. 1722 establishes eligibility assessment procedures for cost-
free VA medical care, based on income levels, which will determine
whether nonservice-connected and 0% service-connected non-compensable
Veterans are able to defray the necessary expenses of care for
nonservice-connected conditions. Title 38 U.S.C. 1722A establishes the
eligibility assessment procedures, based on income levels, for
determining Veterans' eligibility for cost-free medications and Title
38 U.S.C. 1710B defines the procedures for establishing eligibility for
cost-free Extended Care benefits. Title 38 U.S.C. 1729 authorizes VA to
recover from Veterans' health insurance carriers the cost of care
furnished for their nonservice-connected conditions. VA Form 10-10EC,
Application for Extended Care Services, is used to collect financial
information necessary to determine a Veteran's copayment obligation for
extended care services, also known as long term care (LTC).
Affected Public: Individuals and households.
Estimated Annual Burden: 3,000 hours.
Estimated Average Burden per Respondent: 90 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents: 2,000.
By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Quality, Privacy and Risk,
Department of Veterans Affairs.
[FR Doc. 2017-25176 Filed 11-20-17; 8:45 am]
BILLING CODE 8320-01-P
