Agency Information Collection Activity Under OMB Review: Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program (SSG Fox SPGP), 3779-3781 [2023-01016]
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Federal Register / Vol. 88, No. 13 / Friday, January 20, 2023 / Notices
Dated: January 17, 2023.
Jelessa M. Burney,
Federal Advisory Committee Management
Officer.
[FR Doc. 2023–01080 Filed 1–19–23; 8:45 am]
BILLING CODE P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0820]
Agency Information Collection Activity
Under OMB Review: Adaptive Sport
Grant Application
National Veterans Sports
Programs and Special Events, 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
National Veterans Sports Programs and
Special Events (NVSPSE), 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 and it includes the
actual data collection instrument.
DATES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. Refer to ‘‘OMB Control
No. 2900–0820’’.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20006, (202) 266–4688
or email maribel.aponte@va.gov. Please
refer to ‘‘OMB Control No. 2900–0820’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 38 U.S.C. 521A.
Title: Application for Adaptive Sports
Grant, VA Form 10096.
OMB Control Number: 2900–820.
Type of Review: Recertification.
Abstract: Legal authority for this data
collection is found under 38 U.S.C.
521A that authorizes and mandates the
collection of data during the grant
application, implementation to include
quarterly and annual reporting, and
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SUMMARY:
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closeout phases of the adaptive sports
grant. Mandated collection of data
allows measurement and evaluation of
the adaptive sports grant program, the
goal of which is providing adaptive
sport opportunities for disabled veterans
and members of the Armed Forces.
The information will be used by VA
to evaluate multiple criteria to confirm
grantee eligibility, to score grantee
proposals according to application
criteria, and to ensure program efficacy
and appropriate use of grant funds. The
application information will indicate
whether and to what extent a grant
program is likely to be successful in
meeting the program’s intent for
providing adaptive sports opportunities
for disabled veterans and members of
the Armed Forces.
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 insert
citation date: 87 FR 223 on November
21, 2022, pages 70906 and 70907.
Affected Public: Private sector nonprofit.
Estimated Annual Burden: 83 hours.
Estimated Average Burden per
Respondent: 20 minutes.
Frequency of Response: Annual.
Estimated Number of Respondents:
250.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2023–01003 Filed 1–19–23; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0904]
Agency Information Collection Activity
Under OMB Review: Staff Sergeant
Parker Gordon Fox Suicide Prevention
Grant Program (SSG Fox SPGP)
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 (VA),
will submit the collection of
information abstracted below to the
SUMMARY:
PO 00000
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3779
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: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. Refer to ‘‘OMB Control
No. 2900–0904.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20006, (202) 266–4688
or email maribel.aponte@va.gov. Please
refer to ‘‘OMB Control No. 2900–0904’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–3521.
Title: Staff Sergeant Parker Gordon
Fox Suicide Prevention Grant Program
(SSG Fox SPGP), VA Forms 10–315a–b,
10–316a–f, and 10–317a–d.
OMB Control Number: 2900–0904.
Type of Review: Extension of a
currently approved collection.
Abstract: On October 17, 2020, the
Commander John Scott Hannon
Veterans Mental Health Care
Improvement Act of 2019, Public Law
(Pub. L.) 116–171 (the Act), codified as
a note to section 1720F of title 38,
United States Code (U.S.C.), was
enacted in law. Section 201 of the Act
mandated VA establish the Staff
Sergeant Parker Gordon Fox Suicide
Prevention Grant Program (SSG Fox
SPGP) to reduce Veteran suicide
through the provision of communitybased grants to certain eligible entities
to provide or coordinate the provision of
suicide prevention services to eligible
individuals and their families.
In order to award grants under this
program, and assess services and
compliance with grants provided, VA
requires submission of Applications for
grants and Renewals of grants,
Compliance Reports, Eligibility
Screening, Intake Forms and Screenings,
Participant Satisfaction Surveys,
Program Exit Screenings, and Suicide
Risk Screening Tools.
VA Form 10–315a—Application: This
information is needed to award SSG Fox
SPGP grants to eligible entities. The
application requirements are consistent
with section 201(f) of the Act and are
designed to ensure that VA can fully
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Federal Register / Vol. 88, No. 13 / Friday, January 20, 2023 / Notices
evaluate the ability of applicants to
achieve the goals of the grant program.
VA Form 10–315b—Renewal
Application: This data collection
instrument has been developed for
grantees to renew grants previously
awarded. The renewal application
allows VA to fully evaluate the ability
of applicants to achieve the goals of the
SSG Fox SPGP and proposed 38 CFR
part 78. This information is used by VA
to determine whether to award renewal
funds to existing grantees.
VA Forms 10–316a–f—Compliance
Reports: This collection of information
is required to ensure grantees are
complying with all program
requirements set forth in proposed 38
CFR part 78 and their grant agreements.
These reports allow VA to assess the
provision of services under this grant
program. The reports consist of Annual
Performance Reports, Other
Performance and Implementation
Reports, Program & Budget Changes,
Corrective Action Plans, Annual
Financial Expenditure Reports, and
Quarterly Financial Reports.
VA Form 10–317a—Eligibility
Screening: This data is collected by
grantee staff to determine eligibility for
the grant program, prior to enrollment.
The collection instrument includes
suicide risk factors.
VA Form 10–317b—Intake Form &
Screenings: This data collection
instrument is used by grantee staff to
collect demographic and military
service. This information is used by the
VA to identify trends of the Veteran
population the grantees are servicing. In
addition, the intake form includes the
following screenings: Social Economic
Status (SES); Patient Health
Questionnaire (PHQ–9); WarwickEdinburgh Mental Wellbeing Scale
(WEMWS); General Self-Efficacy Scale
(GSE); and Interpersonal Support
Evaluation List (ISEL–12).
VA Form 10–317c—Participant
Satisfaction Survey: This data collection
instrument has been developed to
capture participant feedback about
services and to evaluate the SSG Fox
SPGP. This information is used by VA
to determine the satisfaction of Veterans
participating in the grant program
funded services and the effectiveness of
those services provided under the SSG
Fox SPGP.
VA Form 10–317d—Program Exit
Screenings: These data collection
instruments are used by grantee staff at
the completion of the program to track
the following screenings upon program
exit: Social Economic Status (SES);
Patient Health Questionnaire (PHQ–9);
Warwick-Edinburgh Mental Wellbeing
Scale (WEMWS); General Self-Efficacy
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Jkt 259001
Scale (GSE); and Interpersonal Support
Evaluation List (ISEL–12).
Columbia Suicide Severity Rating
Scale (C–SSRS): Suicide risk screening
is administered by grantees using the
existing C–SSRS to assess suicide risk of
program participants.
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 87 FR 215
on November 8, 2022, pages 67536 and
67537.
Total Annual Number of Responses =
30,205.
Total Annual Time Burden = 21,827
hours.
VA Form 10–315a—Application
Affected Public: Private Sector.
Estimated Annual Burden: 8,750
hours.
Estimated Average Burden per
Respondent: 35 hours.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
250.
VA Form 10–315b—Renewal
Application
Affected Public: Private Sector.
Estimated Annual Burden: 900 hours.
Estimated Average Burden per
Respondent: 10 hours.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
90.
VA Form 10–316a—Annual Grantee
Performance Report
Affected Public: Private Sector.
Estimated Annual Burden: 68 hours.
Estimated Average Burden per
Respondent: 45 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
90.
VA Form 10–316b—Other Grantee
Performance Report
Affected Public: Private Sector.
Estimated Annual Burden: 90 hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Twice
annually.
Estimated Number of Respondents:
90.
VA Form 10–316c—Program Change
Request
Affected Public: Private Sector.
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Estimated Annual Burden: 45 hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: Twice
annually.
Estimated Number of Respondents:
90.
VA Form 10–316d—Corrective Action
Plan (CAP)
Affected Public: Private Sector.
Estimated Annual Burden: 13 hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
25.
VA Form 10–316e—Annual Grantee
Financial Report
Affected Public: Private Sector.
Estimated Annual Burden: 68 hours.
Estimated Average Burden per
Respondent: 45 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
90.
VA Form 10–316f—Quarterly Grantee
Financial Report
Affected Public: Private Sector.
Estimated Annual Burden: 90 hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Twice
annually.
Estimated Number of Respondents:
90.
VA Form 10–317a—Eligibility Screening
Affected Public: Individuals or
Households.
Estimated Annual Burden: 3,015
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: 67 times
annually.
Estimated Number of Respondents:
90.
VA Form 10–317b—Intake Form &
Screenings
Affected Public: Individuals or
Households.
Estimated Annual Burden: 3,015
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: 67 times
annually.
Estimated Number of Respondents:
90.
VA Form 10–317c—Participant
Satisfaction Survey
Affected Public: Individuals or
Households.
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Federal Register / Vol. 88, No. 13 / Friday, January 20, 2023 / Notices
Estimated Annual Burden: 1,250
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
5,000.
VA Form 10–317d—Program Exit
Screenings
Affected Public: Individuals or
Households.
Estimated Annual Burden: 3,015
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: 67 times
annually.
Estimated Number of Respondents:
90.
Columbia Suicide Severity Rating Scale
(C–SSRS)
Affected Public: Individuals or
Households.
Estimated Annual Burden: 1,508
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: 67 times
annually.
Estimated Number of Respondents:
90.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2023–01016 Filed 1–19–23; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0205]
Agency Information Collection
Activity: Applications and Appraisals
for Title 38 Health Care Positions and
Trainees
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
Veterans Health
Administration (VHA), 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
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SUMMARY:
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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 March 21, 2023.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Grant Bennett, Office of Regulations,
Appeals, and Policy (10BRAP),
Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC
20420 or email to Grant.Bennett@va.gov.
Please refer to ‘‘OMB Control No. 2900–
0205’’ in any correspondence. During
the comment period, comments may be
viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20006, (202) 266–4688
or email maribel.aponte@va.gov. Please
refer to ‘‘OMB Control No. 2900–0205’’
in any correspondence.
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: Public Law 104–13; 44
U.S.C. 3501–3521.
Title: Applications and Appraisals for
Title 38 Health Care Positions and
Trainees, VA Forms 10–2850, 10–2850a,
10–2850c, 10–2850d, and 10–2850e.
OMB Control Number: 2900–0205.
Type of Review: Extension of a
currently approved collection.
Abstract: The collection of this
information is authorized by title 38,
United States Code (U.S.C.) 7403,
(Veterans’ Benefits), which provides
that appointments of title 38 employees
will be made only after qualifications
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3781
have been satisfactorily verified in
accordance with regulations prescribed
by the Secretary. Occupations listed in
38 U.S.C. 7401(1) and 7401(3)
(Appointments in Veterans Health
Administration), are appointed at a
grade and step rate or an assignment
based on careful evaluation of their
education and experience.
VA Forms 10–2850, 10–2850a, and
10–2850c are applications designed
specifically to elicit appropriate
information about each candidate’s
qualifications for employment with
Department of Veterans Affairs (VA) as
well as educational and experience. To
assure that a full evaluation of each
candidate’s credentials can be made
prior to employment, the forms require
disclosure of details about all licenses
ever held, Drug Enforcement
Administration certification, board
certification, clinical privileges, revoked
certification or registration, liability
insurance history, and involvement in
malpractice proceedings. Form 10–
2850d is used to collect appropriate
information about qualifications for
each trainee participating in accredited
educational programs with VA. VA
Form 10–2850e is the pre-employment
reference form used to elicit information
concerning the prior education and/or
performance of the Title 38 applicant.
This collection of information is
necessary to determine eligibility for
employment and the appropriate grade
and step rate or assignment.
a. VA Form 10–2850, Application for
Physicians, Dentists, Podiatrists,
Optometrists, and Chiropractors, will
collect information used to determine
eligibility for appointment to VHA.
b. VA Form 10–2850a, Application for
Nurses and Nurse Anesthetists, will
collect information used to determine
eligibility for appointment to VHA.
c. VA Form 10–2850c, Application for
Associated Health Occupations, will
collect information used to determine
eligibility for appointment to VHA.
d. VA Form 10–2850d, Health
Professions Trainee Data Collection
Form, will collect information used to
support eligibility for trainee
appointment to VHA.
e. VA Form 10–2850e, Appraisal of
Applicant, will collect information used
to determine if applicant meets the
requirements for employment.
Total Annual Number of Responses:
273,963.
Total Annual Time Burden: 136,982
hours.
VA Form 10–2850
Affected Public: Individuals and
households.
E:\FR\FM\20JAN1.SGM
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]]>Agencies
[Federal Register Volume 88, Number 13 (Friday, January 20, 2023)]
[Notices]
[Pages 3779-3781]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-01016]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0904]
Agency Information Collection Activity Under OMB Review: Staff
Sergeant Parker Gordon Fox Suicide Prevention Grant Program (SSG Fox
SPGP)
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 (VA), 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: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Refer to
``OMB Control No. 2900-0904.
FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise
and Integration, Data Governance Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20006, (202) 266-4688 or email [email protected].
Please refer to ``OMB Control No. 2900-0904'' in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501-3521.
Title: Staff Sergeant Parker Gordon Fox Suicide Prevention Grant
Program (SSG Fox SPGP), VA Forms 10-315a-b, 10-316a-f, and 10-317a-d.
OMB Control Number: 2900-0904.
Type of Review: Extension of a currently approved collection.
Abstract: On October 17, 2020, the Commander John Scott Hannon
Veterans Mental Health Care Improvement Act of 2019, Public Law (Pub.
L.) 116-171 (the Act), codified as a note to section 1720F of title 38,
United States Code (U.S.C.), was enacted in law. Section 201 of the Act
mandated VA establish the Staff Sergeant Parker Gordon Fox Suicide
Prevention Grant Program (SSG Fox SPGP) to reduce Veteran suicide
through the provision of community-based grants to certain eligible
entities to provide or coordinate the provision of suicide prevention
services to eligible individuals and their families.
In order to award grants under this program, and assess services
and compliance with grants provided, VA requires submission of
Applications for grants and Renewals of grants, Compliance Reports,
Eligibility Screening, Intake Forms and Screenings, Participant
Satisfaction Surveys, Program Exit Screenings, and Suicide Risk
Screening Tools.
VA Form 10-315a--Application: This information is needed to award
SSG Fox SPGP grants to eligible entities. The application requirements
are consistent with section 201(f) of the Act and are designed to
ensure that VA can fully
[[Page 3780]]
evaluate the ability of applicants to achieve the goals of the grant
program.
VA Form 10-315b--Renewal Application: This data collection
instrument has been developed for grantees to renew grants previously
awarded. The renewal application allows VA to fully evaluate the
ability of applicants to achieve the goals of the SSG Fox SPGP and
proposed 38 CFR part 78. This information is used by VA to determine
whether to award renewal funds to existing grantees.
VA Forms 10-316a-f--Compliance Reports: This collection of
information is required to ensure grantees are complying with all
program requirements set forth in proposed 38 CFR part 78 and their
grant agreements. These reports allow VA to assess the provision of
services under this grant program. The reports consist of Annual
Performance Reports, Other Performance and Implementation Reports,
Program & Budget Changes, Corrective Action Plans, Annual Financial
Expenditure Reports, and Quarterly Financial Reports.
VA Form 10-317a--Eligibility Screening: This data is collected by
grantee staff to determine eligibility for the grant program, prior to
enrollment. The collection instrument includes suicide risk factors.
VA Form 10-317b--Intake Form & Screenings: This data collection
instrument is used by grantee staff to collect demographic and military
service. This information is used by the VA to identify trends of the
Veteran population the grantees are servicing. In addition, the intake
form includes the following screenings: Social Economic Status (SES);
Patient Health Questionnaire (PHQ-9); Warwick-Edinburgh Mental
Wellbeing Scale (WEMWS); General Self-Efficacy Scale (GSE); and
Interpersonal Support Evaluation List (ISEL-12).
VA Form 10-317c--Participant Satisfaction Survey: This data
collection instrument has been developed to capture participant
feedback about services and to evaluate the SSG Fox SPGP. This
information is used by VA to determine the satisfaction of Veterans
participating in the grant program funded services and the
effectiveness of those services provided under the SSG Fox SPGP.
VA Form 10-317d--Program Exit Screenings: These data collection
instruments are used by grantee staff at the completion of the program
to track the following screenings upon program exit: Social Economic
Status (SES); Patient Health Questionnaire (PHQ-9); Warwick-Edinburgh
Mental Wellbeing Scale (WEMWS); General Self-Efficacy Scale (GSE); and
Interpersonal Support Evaluation List (ISEL-12).
Columbia Suicide Severity Rating Scale (C-SSRS): Suicide risk
screening is administered by grantees using the existing C-SSRS to
assess suicide risk of program participants.
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 87 FR 215
on November 8, 2022, pages 67536 and 67537.
Total Annual Number of Responses = 30,205.
Total Annual Time Burden = 21,827 hours.
VA Form 10-315a--Application
Affected Public: Private Sector.
Estimated Annual Burden: 8,750 hours.
Estimated Average Burden per Respondent: 35 hours.
Frequency of Response: Once annually.
Estimated Number of Respondents: 250.
VA Form 10-315b--Renewal Application
Affected Public: Private Sector.
Estimated Annual Burden: 900 hours.
Estimated Average Burden per Respondent: 10 hours.
Frequency of Response: Once annually.
Estimated Number of Respondents: 90.
VA Form 10-316a--Annual Grantee Performance Report
Affected Public: Private Sector.
Estimated Annual Burden: 68 hours.
Estimated Average Burden per Respondent: 45 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 90.
VA Form 10-316b--Other Grantee Performance Report
Affected Public: Private Sector.
Estimated Annual Burden: 90 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: Twice annually.
Estimated Number of Respondents: 90.
VA Form 10-316c--Program Change Request
Affected Public: Private Sector.
Estimated Annual Burden: 45 hours.
Estimated Average Burden per Respondent: 15 minutes.
Frequency of Response: Twice annually.
Estimated Number of Respondents: 90.
VA Form 10-316d--Corrective Action Plan (CAP)
Affected Public: Private Sector.
Estimated Annual Burden: 13 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 25.
VA Form 10-316e--Annual Grantee Financial Report
Affected Public: Private Sector.
Estimated Annual Burden: 68 hours.
Estimated Average Burden per Respondent: 45 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 90.
VA Form 10-316f--Quarterly Grantee Financial Report
Affected Public: Private Sector.
Estimated Annual Burden: 90 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: Twice annually.
Estimated Number of Respondents: 90.
VA Form 10-317a--Eligibility Screening
Affected Public: Individuals or Households.
Estimated Annual Burden: 3,015 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: 67 times annually.
Estimated Number of Respondents: 90.
VA Form 10-317b--Intake Form & Screenings
Affected Public: Individuals or Households.
Estimated Annual Burden: 3,015 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: 67 times annually.
Estimated Number of Respondents: 90.
VA Form 10-317c--Participant Satisfaction Survey
Affected Public: Individuals or Households.
[[Page 3781]]
Estimated Annual Burden: 1,250 hours.
Estimated Average Burden per Respondent: 15 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 5,000.
VA Form 10-317d--Program Exit Screenings
Affected Public: Individuals or Households.
Estimated Annual Burden: 3,015 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: 67 times annually.
Estimated Number of Respondents: 90.
Columbia Suicide Severity Rating Scale (C-SSRS)
Affected Public: Individuals or Households.
Estimated Annual Burden: 1,508 hours.
Estimated Average Burden per Respondent: 15 minutes.
Frequency of Response: 67 times annually.
Estimated Number of Respondents: 90.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2023-01016 Filed 1-19-23; 8:45 am]
BILLING CODE 8320-01-P
