Agency Information Collection Activity: Application for Extended Care Services, 55490-55491 [2017-25176]

Download as PDF 55490 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 asabaliauskas on DSKBBXCHB2PROD with NOTICES SUMMARY: VerDate Sep<11>2014 18:56 Nov 20, 2017 Jkt 244001 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 PO 00000 Frm 00147 Fmt 4703 Sfmt 4703 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 21NON1 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 VerDate Sep<11>2014 18:56 Nov 20, 2017 Jkt 244001 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 PO 00000 Frm 00148 Fmt 4703 Sfmt 9990 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 E:\FR\FM\21NON1.SGM 21NON1

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.

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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