Agency Information Collection Activity: State Home Programs for Veterans, 37016-37017 [2019-16102]

Download as PDF 37016 Federal Register / Vol. 84, No. 146 / Tuesday, July 30, 2019 / Notices Dated: July 24, 2019. Patrick Hernandez, Chief Administrative Officer, United States Mint. [FR Doc. 2019–16081 Filed 7–29–19; 8:45 am] BILLING CODE P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0860] Agency Information Collection Activity Under OMB Review: Reimbursement of Adoption Expenses for Certain Veterans 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 information collection and its expected cost and burden and it includes the actual data collection instrument. DATES: Comments must be submitted on or before August 29, 2019. 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. 2900–0860’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Danny S. Green, Office of Quality, Performance and Risk (OQPR), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 421–1354 or email danny.green2@va.gov. Please refer to ‘‘OMB Control No. 2900–0860’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–21. Title: Reimbursement of Adoption Expenses for Certain Veterans (VA Form 10–10152). OMB Control Number: 2900–0860. Type of Review: Extension and revision of a currently approved collection. Abstract: Section 260 of the Continuing Appropriations and Military jspears on DSK3GMQ082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 16:42 Jul 29, 2019 Jkt 247001 Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act (Pub. L. 114–223) states that VA may use appropriated funds available to VA for the Medical Services account to provide, among other things, reimbursement of adoption expenses to a covered Veteran. ‘‘Covered Veteran’’ means a Veteran who has a service-connected disability that results in the inability of the Veteran to procreate without the use of fertility treatment. The term ‘‘adoption reimbursement’’ is defined at Public Law 114–223 section 260(a)(4) to mean reimbursement for the adoption-related expenses for an adoption that is finalized after the date of the enactment of the Act under the same terms as apply under the adoption reimbursement program of the Department of Defense, as authorized in Department of Defense Instruction 1341.09, including the reimbursement limits and requirements set forth in such instruction. This law was enacted on September 29, 2016, and funding for the program is authorized through September 30, 2018. VA’s authority to provide reimbursement of qualifying adoption expenses to the same cohort described in Public Law 114–223 section 260 was subsequently renewed and extended in nearly identical form in section 236 of Division J, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2018, Public Law 115–141 (March 23, 2018) (the ‘‘2018 Act’’). Under this most recent authority, VA’s adoption expense reimbursement program remains subject to the funding period covered by the 2018 Act and the availability of appropriations. To implement this benefit, VA has developed VA Form 10–10152, paralleling DD 2675, which requires any Veteran requesting reimbursement of qualifying adoption expenses to submit the same types of evidence as required under the DoD policy, as mandated by Public Law 114–223 section 260. VA Form 10–10152 was previously approved by OMB through the PRA clearance process, and VA now seeks an extension of that approval of this information collection. 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 84 FR 24201 on May 24, 2019, pages 24201 and 24202. PO 00000 Frm 00133 Fmt 4703 Sfmt 4703 Affected Public: Individuals or Households. Estimated Annual Burden: 480 hours. Estimated Average Burden per Respondent: 6 hours. Frequency of Response: One time. Estimated Number of Respondents: 80. By direction of the Secretary. Danny S. Green, Interim VA Clearance Officer, Office of Quality, Performance and Risk (OQPR), Department of Veterans Affairs. [FR Doc. 2019–16103 Filed 7–29–19; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0160] Agency Information Collection Activity: State Home Programs for Veterans 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 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 extension 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 September 30, 2019. SUMMARY: 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. 2900–0160’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 615–9241. SUPPLEMENTARY INFORMATION: Under the PRA of 1995, Federal agencies must obtain approval from the Office of ADDRESSES: E:\FR\FM\30JYN1.SGM 30JYN1 Federal Register / Vol. 84, No. 146 / Tuesday, July 30, 2019 / Notices jspears on DSK3GMQ082PROD with NOTICES 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: Public Law 104–13; 44 U.S.C. 3501–3521. Title: State Home Programs for Veterans (VA Forms 10–5588, 10– 5588A, and 10–10SH). OMB Control Number: 2900–0160. Type of Review: Reinstatement with change of a previously approved collection. Abstract: Congress passed Public Law 115–159, the State Veterans Home Adult Day Health Care Improvement Act of 2017, requiring VA to pay State homes for medical model adult day health care to certain eligible Veterans, and Title 38, CFR part 52, which provides for the payment of per diem to State homes that provide adult day health care to eligible Veterans. It also continues to provide for the payment of per diem to State homes that provide care to eligible Veterans in accordance with Title 38, CFR part 51. The intended effect of these provisions is to provide a safeguard that Veterans are receiving high quality care in State homes. VerDate Sep<11>2014 16:42 Jul 29, 2019 Jkt 247001 This information collection is necessary to ensure that VA per diem payments are limited to facilities providing high quality care. To verify this level of care, VA requires those facilities providing nursing home care, domiciliary, and adult day health care programs to Veterans to supply various kinds of information. The information required includes an application/ eligibility for admission and justification for payment; records and reports which facility management must maintain regarding activities of payment for eligible residents or participants; and the records and reports that facilities management and health care professionals must maintain regarding the level of care approved for residents or participants. This OMB Control Number previously included six additional forms, VA Forms 10–0460, 10–0143, 10–0143A, 10–0144, 10–0144A, and 10–3567, which have now been separated out into another information collection (to be approved under a separate OMB Control Number). This information collection, under OMB Control Number 2900–0160, now includes only three forms: VA Forms 10–5588, 10–5588A, and 10– 10SH. a. VA Form 10–5588: State Home Report and Statement of Federal Aid Claimed—38 CFR 51, 52 and Title 38, U.S.C., Sections 1741, 1742, 1743 and 1745—is used to assess and provide per diem to State homes. This collection is used by the State home employees and VA Staff. b. VA Form 10–5588A: Claim for Increased Per Diem Payment for Veterans Awarded Retroactive Service Connection—38 CFR 51, 52 and Title 38, U.S.C., Sections 1741, 1742, 1743 and 1745—is used to assess and provide per diem to State homes retroactively. PO 00000 Frm 00134 Fmt 4703 Sfmt 9990 37017 This collection is used by the State home employees and VA Staff. c. VA Form 10–10SH: State Home Program Application for Veterans Care Medical Certification—38 CFR 51, 52 and Title 38, U.S.C., Sections 1741, 1742, 1743 and 1745—provides for the collection of information to apply for the benefits of this program. VA Form 10–5588 Affected Public: State, Local, and Tribal Governments. Estimated Annual Burden: 834 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: Monthly. Estimated Number of Respondents: 139. VA Form 10–5588A Affected Public: State, Local, and Tribal Governments. Estimated Annual Burden: 180 hours. Estimated Average Burden per Respondent: 20 minutes. Frequency of Response: Monthly. Estimated Number of Respondents: 45. VA Form 10–10SH Affected Public: State, Local, and Tribal Governments. Estimated Annual Burden: 3,802 hours. Estimated Average Burden per Respondent: 20 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 11,406. By direction of the Secretary. Danny S. Green, Interim VA Clearance Officer, Office of Quality, Performance and Risk (OQPR), Department of Veterans Affairs. [FR Doc. 2019–16102 Filed 7–29–19; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\30JYN1.SGM 30JYN1

Agencies

DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 84, Number 146 (Tuesday, July 30, 2019)]
[Notices]
[Pages 37016-37017]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-16102]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0160]


Agency Information Collection Activity: State Home Programs for 
Veterans

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 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 extension 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 September 30, 2019.

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 [email protected]. Please refer 
to ``OMB Control No. 2900-0160'' in any correspondence. During the 
comment period, comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 615-9241.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995, Federal agencies must 
obtain approval from the Office of

[[Page 37017]]

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: Public Law 104-13; 44 U.S.C. 3501-3521.
    Title: State Home Programs for Veterans (VA Forms 10-5588, 10-
5588A, and 10-10SH).
    OMB Control Number: 2900-0160.
    Type of Review: Reinstatement with change of a previously approved 
collection.
    Abstract: Congress passed Public Law 115-159, the State Veterans 
Home Adult Day Health Care Improvement Act of 2017, requiring VA to pay 
State homes for medical model adult day health care to certain eligible 
Veterans, and Title 38, CFR part 52, which provides for the payment of 
per diem to State homes that provide adult day health care to eligible 
Veterans. It also continues to provide for the payment of per diem to 
State homes that provide care to eligible Veterans in accordance with 
Title 38, CFR part 51. The intended effect of these provisions is to 
provide a safeguard that Veterans are receiving high quality care in 
State homes.
    This information collection is necessary to ensure that VA per diem 
payments are limited to facilities providing high quality care. To 
verify this level of care, VA requires those facilities providing 
nursing home care, domiciliary, and adult day health care programs to 
Veterans to supply various kinds of information. The information 
required includes an application/eligibility for admission and 
justification for payment; records and reports which facility 
management must maintain regarding activities of payment for eligible 
residents or participants; and the records and reports that facilities 
management and health care professionals must maintain regarding the 
level of care approved for residents or participants.
    This OMB Control Number previously included six additional forms, 
VA Forms 10-0460, 10-0143, 10-0143A, 10-0144, 10-0144A, and 10-3567, 
which have now been separated out into another information collection 
(to be approved under a separate OMB Control Number). This information 
collection, under OMB Control Number 2900-0160, now includes only three 
forms: VA Forms 10-5588, 10-5588A, and 10-10SH.
    a. VA Form 10-5588: State Home Report and Statement of Federal Aid 
Claimed--38 CFR 51, 52 and Title 38, U.S.C., Sections 1741, 1742, 1743 
and 1745--is used to assess and provide per diem to State homes. This 
collection is used by the State home employees and VA Staff.
    b. VA Form 10-5588A: Claim for Increased Per Diem Payment for 
Veterans Awarded Retroactive Service Connection--38 CFR 51, 52 and 
Title 38, U.S.C., Sections 1741, 1742, 1743 and 1745--is used to assess 
and provide per diem to State homes retroactively. This collection is 
used by the State home employees and VA Staff.
    c. VA Form 10-10SH: State Home Program Application for Veterans 
Care Medical Certification--38 CFR 51, 52 and Title 38, U.S.C., 
Sections 1741, 1742, 1743 and 1745--provides for the collection of 
information to apply for the benefits of this program.

VA Form 10-5588

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 834 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Monthly.
    Estimated Number of Respondents: 139.

VA Form 10-5588A

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 180 hours.
    Estimated Average Burden per Respondent: 20 minutes.
    Frequency of Response: Monthly.
    Estimated Number of Respondents: 45.

VA Form 10-10SH

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 3,802 hours.
    Estimated Average Burden per Respondent: 20 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 11,406.

    By direction of the Secretary.
Danny S. Green,
Interim VA Clearance Officer, Office of Quality, Performance and Risk 
(OQPR), Department of Veterans Affairs.
[FR Doc. 2019-16102 Filed 7-29-19; 8:45 am]
BILLING CODE 8320-01-P

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