Agency Information Collection Activity Under OMB Review: per Diem to States for Care of Eligible Veterans in State Homes, 53243-53244 [2019-21695]

Download as PDF Federal Register / Vol. 84, No. 193 / Friday, October 4, 2019 / Notices LIMITED, a person whose property and interests in property are blocked pursuant to E.O. 13848, has an interest. Also identified pursuant to E.O. 13694, as amended, for being property in which BERATEX GROUP LIMITED, a person whose property and interests in property are blocked pursuant to E.O. 13694, as amended, has an interest. Also identified pursuant to E.O. 13661, for being property in which BERATEX GROUP LIMITED, a person whose property and interests in property are blocked pursuant to E.O. 13661, has an interest. entry for the following person, whose property and interests in property subject to U.S. jurisdiction continue to be blocked. On September 30, 2019, OFAC updated the Specially Designated Nationals and Blocked Persons List Individual Dated: September 30, 2019. Andrea Gacki, Director, Office of Foreign Assets Control. affordable housing makes it difficult to reduce a community’s population of homeless Veterans. Through the provision of these subsidies, the pool of available housing can be expanded as program participants have access to a broader rental market. Section 62.34(a)(8) states that extremely low-income Veteran families and very low-income Veteran families who meet the criteria of § 62.11 may be eligible to receive a rental subsidy for a 2-year period without recertification. Section 62.34(a)(8) further states that the applicable counties will be published annually in the Federal Register. This notice provides the eligible counties for Fiscal Year 2020. Locations: This rental subsidy will be available in the District of Columbia and the following counties: California: Los Angeles, San Francisco, Alameda, San Diego, Santa Clara, and Contra Costa Washington: King Hawaii: Honolulu Illinois: Cook New York: New York, Bronx, Queens, Kings, and Richmond DEPARTMENT OF VETERANS AFFAIRS BILLING CODE 4810–AL–P DEPARTMENT OF VETERANS AFFAIRS Rental and Utility Assistance for Certain Low-Income Veteran Families Department of Veterans Affairs. Notice. AGENCY: ACTION: The Supportive Services for Veteran Families (SSVF) Program has enabled grantees to augment available housing options for homeless Veterans in high-rent burden communities by increasing the rental assistance for up to 2 years before recertification. This notice will establish locations where the SSVF grantees can place Veterans in housing with this rental subsidy. DATES: SSVF grantees can place Veterans in housing with the rental subsidy described in title 38 Code of Federal Regulations (CFR) section 62.34(a)(8) effective October 1, 2019. FOR FURTHER INFORMATION CONTACT: John Kuhn, Homeless Program Office, Supportive Services for Veteran Families Program Office, 810 Vermont Avenue NW, Washington, DC 20420, (202) 632–8596. (This is not a toll-free number.) SUPPLEMENTARY INFORMATION: In a document published in the Federal Register on August 28, 2019, the Department of Veterans Affairs published a final rule, which revised its regulations that govern the SSVF Program, which are authorized under section 2044 of title 38 United States Code (U.S.C.). 84 FR 45074. This rule, which amended 38 CFR 62.34(a)(6) and (8), extends the ability of SSVF grantees to provide rental assistance in certain areas where the limited availability of SUMMARY: VerDate Sep<11>2014 16:49 Oct 03, 2019 Jkt 250001 Signing Authority The Secretary of Veterans Affairs, or designee, approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. Pamela Powers, Chief of Staff, Department of Veterans Affairs, approved this document on September 30, 2019, for publication. Dated: September 30, 2019. Luvenia Potts, Regulation Development Coordinator, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. [FR Doc. 2019–21607 Filed 10–3–19; 8:45 am] BILLING CODE 8320–01–P PO 00000 Frm 00146 Fmt 4703 Sfmt 4703 [OMB Control No. 2900–NEW] Agency Information Collection Activity Under OMB Review: per Diem to States for Care of Eligible Veterans in State Homes 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 November 4, 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–NEW’’ in any correspondence. SUMMARY: 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–NEW’’ in any correspondence. SUPPLEMENTARY INFORMATION: E:\FR\FM\04OCN1.SGM 04OCN1 EN04OC19.004</GPH> [FR Doc. 2019–21606 Filed 10–3–19; 8:45 am] khammond on DSKJM1Z7X2PROD with NOTICES 53243 khammond on DSKJM1Z7X2PROD with NOTICES 53244 Federal Register / Vol. 84, No. 193 / Friday, October 4, 2019 / Notices Authority: 44 U.S.C. 3501–21. Title: per Diem to States for Care of Eligible Veterans in State Homes (VA Forms 10–0143, 10–0143A, 10–0144, 10–0144A, 10–0460, and 10–3567) OMB Control Number: 2900–NEW. Type of Review: Reinstatement of previously approved collection as a new collection. Abstract: This collection of forms was part of a previously approved collection under OMB Control Number 2900–0160. However, it has been determined that these six forms will be separated from the other three forms in 2900–0160, and renewal is requested under a new OMB Control Number. Title 38 CFR part 51 State Veterans Homes (SVH) regulations published in the Federal Register as final rule on November 28, 2018 (RIN 2900–A088) require the VA to ensure per diem payments are limited to facilities providing high quality care. These six forms are presented to and completed by SVH management and then assessed and utilized by VA SVH Representatives designated by the Medical Center Director of VA of jurisdiction during the annual VA survey process at each SVH across the U.S. as a regulatory action. This collection of forms falls under the auspices of Geriatrics and Extended Care in VA Central Office (10NC4). As per VHA Directive 1145.01, this collection of forms is part of the annual VA survey process. The legal requirements that necessitate this collection of information are found specifically at 38 CFR parts 51.31, 51.43, and 51.210 for all three levels of care; nursing home, domiciliary, and adult day health care. The information required at time of the VA survey includes the application and justification for medications for a basic rate Veteran; records and reports that SVH management must maintain regarding activities of residents or participants; information relating to whether the SVH meets standards concerning residents’ rights and responsibilities prior to admission or enrollment, during admission or enrollment, and upon discharge; the records and reports which SVH management and SVH health care professionals must maintain regarding residents or participants and employees; various types of documents pertaining to the management of the SVH; VerDate Sep<11>2014 16:49 Oct 03, 2019 Jkt 250001 pharmaceutical records; and staffing documentation. a. VA Form 10–0143—38 CFR 51.210(c)(9)—is used for the annual certification pursuant to the Drug-Free Workplace Act of 1988. b. VA Form 10–0143A—38 CFR 51.210(c)(8)—is used for annual certification from the responsible State Agency showing compliance with Section 504 of the Rehabilitation Act of 1973 (Public Law 93–112). c. VA Form 10–0144—38 CFR 51.210(c)(10)—is used for annual certification regarding lobbying, in compliance with Public Law 101–121. d. VA Form 10–0144A—38 CFR 51.210(c)(11)—is used for annual certification of compliance with Title VI of the Civil Rights Act of 1964, as incorporated in Title 38 CFR 18.1–18.3. e. VA Form 10–0460—38 CFR 51.43— As a condition for receiving drugs or medicine under this section or under § 17.96 of this chapter, the State must submit to the VA medical center of jurisdiction a completed VA Form 10– 0460 with the corresponding prescription(s) for each eligible Veteran. f. VA Form 10–3567—38 CFR 51.31— is completed by SVH management during the annual VA survey and used to record and then assess the following: operating beds versus recognized beds, total FTEE authorized and vacancies, as well as resident census. 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 35453 on July 23, 2019, pages 35453 and 35454. VA Form 10–0143 Affected Public: State, Local, and Tribal Governments. Estimated Annual Burden: 13 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 156. VA Form 10–0143A Affected Public: State, Local, and Tribal Governments. PO 00000 Frm 00147 Fmt 4703 Sfmt 9990 Estimated Annual Burden: 13 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 156. VA Form 10–0144 Affected Public: State, Local, and Tribal Governments. Estimated Annual Burden: 13 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 156. VA Form 10–0144A Affected Public: State, Local, and Tribal Governments. Estimated Annual Burden: 13 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 156. VA Form 10–0460 Affected Public: State, Local, and Tribal Governments. Estimated Annual Burden: 5500 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 11,000. VA Form 10–3567 Affected Public: State, Local, and Tribal Governments. Estimated Annual Burden: 78 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 156. 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. 2019–21695 Filed 10–3–19; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\04OCN1.SGM 04OCN1

Agencies

[Federal Register Volume 84, Number 193 (Friday, October 4, 2019)]
[Notices]
[Pages 53243-53244]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-21695]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Agency Information Collection Activity Under OMB Review: per Diem 
to States for Care of Eligible Veterans in State Homes

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, 
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 November 4, 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 
[email protected]. Please refer to ``OMB Control No. 2900-
NEW'' 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 
[email protected] Please refer to ``OMB Control No. 2900-NEW'' in any 
correspondence.

SUPPLEMENTARY INFORMATION: 

[[Page 53244]]

    Authority: 44 U.S.C. 3501-21.
    Title: per Diem to States for Care of Eligible Veterans in State 
Homes (VA Forms 10-0143, 10-0143A, 10-0144, 10-0144A, 10-0460, and 10-
3567)
    OMB Control Number: 2900-NEW.
    Type of Review: Reinstatement of previously approved collection as 
a new collection.
    Abstract: This collection of forms was part of a previously 
approved collection under OMB Control Number 2900-0160. However, it has 
been determined that these six forms will be separated from the other 
three forms in 2900-0160, and renewal is requested under a new OMB 
Control Number.
    Title 38 CFR part 51 State Veterans Homes (SVH) regulations 
published in the Federal Register as final rule on November 28, 2018 
(RIN 2900-A088) require the VA to ensure per diem payments are limited 
to facilities providing high quality care. These six forms are 
presented to and completed by SVH management and then assessed and 
utilized by VA SVH Representatives designated by the Medical Center 
Director of VA of jurisdiction during the annual VA survey process at 
each SVH across the U.S. as a regulatory action. This collection of 
forms falls under the auspices of Geriatrics and Extended Care in VA 
Central Office (10NC4). As per VHA Directive 1145.01, this collection 
of forms is part of the annual VA survey process. The legal 
requirements that necessitate this collection of information are found 
specifically at 38 CFR parts 51.31, 51.43, and 51.210 for all three 
levels of care; nursing home, domiciliary, and adult day health care.
    The information required at time of the VA survey includes the 
application and justification for medications for a basic rate Veteran; 
records and reports that SVH management must maintain regarding 
activities of residents or participants; information relating to 
whether the SVH meets standards concerning residents' rights and 
responsibilities prior to admission or enrollment, during admission or 
enrollment, and upon discharge; the records and reports which SVH 
management and SVH health care professionals must maintain regarding 
residents or participants and employees; various types of documents 
pertaining to the management of the SVH; pharmaceutical records; and 
staffing documentation.
    a. VA Form 10-0143--38 CFR 51.210(c)(9)--is used for the annual 
certification pursuant to the Drug-Free Workplace Act of 1988.
    b. VA Form 10-0143A--38 CFR 51.210(c)(8)--is used for annual 
certification from the responsible State Agency showing compliance with 
Section 504 of the Rehabilitation Act of 1973 (Public Law 93-112).
    c. VA Form 10-0144--38 CFR 51.210(c)(10)--is used for annual 
certification regarding lobbying, in compliance with Public Law 101-
121.
    d. VA Form 10-0144A--38 CFR 51.210(c)(11)--is used for annual 
certification of compliance with Title VI of the Civil Rights Act of 
1964, as incorporated in Title 38 CFR 18.1-18.3.
    e. VA Form 10-0460--38 CFR 51.43--As a condition for receiving 
drugs or medicine under this section or under Sec.  17.96 of this 
chapter, the State must submit to the VA medical center of jurisdiction 
a completed VA Form 10-0460 with the corresponding prescription(s) for 
each eligible Veteran.
    f. VA Form 10-3567--38 CFR 51.31--is completed by SVH management 
during the annual VA survey and used to record and then assess the 
following: operating beds versus recognized beds, total FTEE authorized 
and vacancies, as well as resident census.
    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 35453 on July 23, 2019, pages 35453 
and 35454.

VA Form 10-0143

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 13 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 156.

VA Form 10-0143A

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 13 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 156.

VA Form 10-0144

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 13 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 156.

VA Form 10-0144A

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 13 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 156.

VA Form 10-0460

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 5500 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 11,000.

VA Form 10-3567

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 78 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 156.

    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. 2019-21695 Filed 10-3-19; 8:45 am]
 BILLING CODE 8320-01-P