Privacy Act of 1974; System of Records, 48958-48961 [2023-16020]
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48958
Federal Register / Vol. 88, No. 144 / Friday, July 28, 2023 / Notices
5. Is there anything else you would
like to share with us about this national
standard of practice?
Signing Authority
Denis McDonough, Secretary of
Veterans Affairs, approved and signed
this document on July 10, 2023, 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.
Jeffrey M. Martin,
Assistant Director, Office of Regulation Policy
& Management, Office of General Counsel,
Department of Veterans Affairs.
[FR Doc. 2023–16008 Filed 7–27–23; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
Privacy Act of 1974; System of
Records
Veterans Health
Administration (VHA), Department of
Veterans Affairs (VA).
ACTION: Notice of a modified system of
records.
AGENCY:
Pursuant to the Privacy Act of
1974, notice is hereby given that VA is
modifying the system of records
entitled, ‘‘Community Residential Care
and Medical Foster Home Programs–
VA’’ (142VA114). This system is used
for determining a potential facility’s
initial eligibility and ongoing
participation in the program, provision
of medical and psycho-social services to
Veterans, operation of the programs, and
information required by VA Medical
Centers to complete quarterly statistical
reports.
DATES: Comments on this modified
system of records must be received no
later than 30 days after date of
publication in the Federal Register. If
no public comment is received during
the period allowed for comment or
unless otherwise published in the
Federal Register by VA, the modified
system of records will become effective
a minimum of 30 days after date of
publication in the Federal Register. If
VA receives public comments, VA shall
review the comments to determine
whether any changes to the notice are
necessary.
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SUMMARY:
Comments may be
submitted through www.Regulations.gov
or mailed to VA Privacy Service, 810
Vermont Avenue NW, (005X6F),
Washington, DC 20420. Comments
should indicate that they are submitted
ADDRESSES:
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17:16 Jul 27, 2023
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in response to ‘‘Community Residential
Care and Medical Foster Home
Programs–VA’’ (142VA114). Comments
received will be available at
regulations.gov for public viewing,
inspection or copies.
FOR FURTHER INFORMATION CONTACT:
Stephania Griffin, VHA Chief Privacy
Officer, Department of Veterans Affairs,
810 Vermont Avenue NW, (105HIG)
Washington, DC 20420; telephone 704–
245–2492 (Note: This is not a toll-free
number) or stephania.griffin@va.gov.
SUPPLEMENTARY INFORMATION: VA is
amending the system of records by
revising the System Number; System
Location; System Manager; Categories of
Records in the System; Routine Uses of
Records Maintained in the System;
Policies and Practices for Retention and
Disposal of Records; and
Administrative, Technical and Physical
Safeguards. VA is republishing the
system notice in its entirety.
The System Number is being updated
from 142VA114 to 142VA10 to reflect
the current VHA organizational routing
symbol.
The System Location will be updated
to replace VA Data Processing Center,
with Austin Information Technology
Center (AITC). Also being added,
Community Residential Care (CRC)
locations are listed in VA Appendix 5.
Medical Foster Home (MFH) programs
have been established or are in
development at all VA health care
facilities.
The System Manager is being updated
to include Director, Home and
Community Based Programs. Telephone
number 202–632–8321. (Note: This is
not a toll-free number).
The Categories of Records in the
System is being updated to include
operators and staff of CRC and MFH
Homes.
The language in Routine Use number
4 is being updated. It previously
reflected the following language,
‘‘Disclosure of the records to the
Department of Justice (DoJ) is a use of
the information contained in the records
that is compatible with the purpose for
which VA collected the records and that
VA may disclose records in this system
of records in legal proceedings before a
court or administrative body after
determining that the disclosure of the
records to the court or administrative
body is a use of the information
contained in the records that is
compatible with the purpose for which
VA collected the records.’’
Routine Use number 4 will now read
as follows, ‘‘DoJ, or in a proceeding
before a court, adjudicative body, or
other administrative body before which
VA is authorized to appear, when:
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(a) VA or any component thereof;
(b) Any VA employee in his or her
official capacity;
(c) Any VA employee in his or her
official capacity where DoJ has agreed to
represent the employee; or
(d) The United States, where VA
determines that litigation is likely to
affect the agency or any of its
components,
is a party to such proceedings or has
an interest in such proceedings, and VA
determines that use of such records is
relevant and necessary to the
proceedings.’’
Routine use number 15 is being added
to state, VA may disclose any
information or records to appropriate
agencies, entities and persons when (1)
VA suspects or has confirmed that there
has been a breach of the system of
records; (2) VA has determined that as
a result of the suspected or confirmed
breach there is a risk to individuals, VA
(including its information systems,
programs and operations), the Federal
Government, or national security; and
(3) the disclosure made to such
agencies, entities or persons is
reasonably necessary to assist in
connection with VA efforts to respond
to the suspected or confirmed breach or
to prevent, minimize or remedy such
harm.
Policies and Practices for Retention
and Disposal of Records is being
updated to remove ‘‘Paper records and
information are maintained and
disposed of in accordance with records
disposition authority approved by the
Archivist of the United States.’’ This
section is being updated to state that
Records are scheduled in accordance
with Records Control Schedule (RCS)
10–1, 6110.4, temporary disposition;
Destroy approved applications 1 year
after home withdraws from program.
Destroy disapproved applications after 5
years.
Administrative, Technical and
Physical Safeguards is being updated to
replace Austin VA Data Processing
Center with Austin Information
Technology Center (AITC).
The Report of Intent to Amend a
System of Records Notice and an
advance copy of the system notice have
been sent to the appropriate
Congressional committees and to the
Director of the Office of Management
and Budget (OMB) as required by 5
U.S.C. 552a(r) (Privacy Act) and
guidelines issued by OMB Circular No.
A–108, Federal Agency Responsibilities
for Review, Reporting, and Publication
Under the Privacy Act, 81 FR 94424
(December 23, 2016).
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Federal Register / Vol. 88, No. 144 / Friday, July 28, 2023 / Notices
Signing Authority
The Senior Agency Official for
Privacy, 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. Kurt D. DelBene,
Assistant Secretary for Information and
Technology and Chief Information
Officer, approved this document on
June 19, 2023 for publication.
Dated: July 25, 2023.
Amy L. Rose,
Government Information Specialist, VA
Privacy Service, Office of Compliance, Risk
and Remediation, Office of Information and
Technology, Department of Veterans Affairs.
SYSTEM NAME AND NUMBER:
‘‘Community Residential Care and
Medical Foster Home Programs–VA’’
(142VA10).
SECURITY CLASSIFICATION:
Unclassified.
SYSTEM LOCATION:
Records are maintained at selected
VA health care facilities that have
Community Residential Care (CRC) and
Medical Foster Home (MFH) Programs
(in most cases, back-up computer tape
information is stored at the Austin
Information Technology Center (AITC),
1615 East Woodward Street, Austin,
Texas 78772). Address locations for VA
facilities are listed in VA Appendix 1.
CRC locations are listed in VA
Appendix 5. MFH programs have been
established or are in development at all
VA health care facilities. In addition,
information from these records or copies
of records may be maintained at the
Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC,
Austin Information Technology Center
(AITC), and Veterans Integrated Service
Network (VISN) Offices.
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SYSTEM MANAGER(S):
Official responsible for policies and
procedures: Director, Home and
Community Based Programs, Office of
Geriatrics and Extended Care,
Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC
20420. Telephone number 202–632–
8321. (Note: This is not a toll-free
number).
AUTHORITY FOR MAINTENANCE OF
THE SYSTEM:
38 U.S.C 1730.
PURPOSE(S) OF THE SYSTEM:
The records and information may be
used for determining a potential non-VA
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facility’s initial eligibility and ongoing
participation in the program, provision
of medical and psycho-social services to
Veterans, operation of the programs, and
information required by VA health care
facility to complete quarterly statistical
reports.
CATEGORIES OF INDIVIDUALS
COVERED BY THE SYSTEM:
These records include information
concerning Veterans who reside in CRC
or MFH homes. In addition, the records
include information on the operators
and staff of these homes.
CATEGORIES OF RECORDS IN THE
SYSTEM:
These records may include
information on operators and staff of
CRC and MFH Homes related to:
1. Applications, background checks,
agreements with Veterans, educational
programs, driver’s licenses, health
screenings, etc.
2. Home inspection reports, corrective
plans of action, emergency plans,
correspondence and hearing documents.
3. Personal identifiers (including
name, date of birth, financial
information, pictures, etc.)
These records may include
information on Veterans who reside in
CRC and MFH Homes related to:
1. Personal identifiers (including
name, date of birth, Social Security
Number, VA claim number, financial
information, pictures) and health
records.
RECORD SOURCE CATEGORIES:
Information in this system of records
is provided by individuals requesting
participation in the CRC and MFH
programs.
ROUTINE USES OF RECORDS
MAINTAINED IN THE SYSTEM,
INCLUDING CATEGORIES OF USERS
AND THE PURPOSES OF SUCH USES:
To the extent that records contained
in the system include information
protected by 38 U.S.C. 7332, i.e.,
medical treatment information related to
drug abuse, alcoholism or alcohol abuse,
sickle cell anemia, or infection with the
human immunodeficiency virus, or 45
CFR parts 160 and 164, i.e., individually
identifiable health information of VHA
or any of its business associates, that
information cannot be disclosed under a
routine use unless there is also specific
statutory authority in those provisions.
1. Congress: To a Member of Congress
or staff acting upon the Member’s behalf
when the Member or staff requests the
information on behalf of, and at the
request of, the individual who is the
subject of the record.
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48959
2. National Archives and Records
Administration (NARA): To the NARA
in records management inspections
conducted under 44 U.S.C. 2904 and
2906, or other functions authorized by
laws and policies governing NARA
operations and VA records management
responsibilities. The disclosure of the
names and addresses of Veterans and
their dependents from VA records under
this routine use must also comply with
the provisions of 38 U.S.C. 5701.
3. Law Enforcement: To a Federal,
state, local, territorial, tribal or foreign
law enforcement authority or other
appropriate entity charged with the
responsibility of investigating or
prosecuting such violation or charged
with enforcing or implementing such
law, provided that the disclosure is
limited to information that, either alone
or in conjunction with other
information, indicates a violation or
potential violation of law, whether civil,
criminal or regulatory in nature. The
disclosure of the names and addresses
of Veterans and their dependents from
VA records under this routine use must
also comply with the provisions of 38
U.S.C. 5701.
4. Department of Justice (DoJ),
Litigation, Administrative Proceeding:
To the DoJ, or in a proceeding before a
court, adjudicative body, or other
administrative body before which VA is
authorized to appear, when:
(a) VA or any component thereof;
(b) Any VA employee in his or her
official capacity;
(c) Any VA employee in his or her
official capacity where DoJ has agreed to
represent the employee; or
(d) The United States, where VA
determines that litigation is likely to
affect the agency or any of its
components,
is a party to such proceedings or has an
interest in such proceedings, and VA
determines that use of such records is
relevant and necessary to the
proceedings.
5. Contractors: To contractors,
grantees, experts, consultants, students
and others performing or working on a
contract, service, grant, cooperative
agreement or other assignment for VA,
when reasonably necessary to
accomplish an agency function related
to the records.
6. Federal Agencies, Fraud and
Abuse: To other Federal agencies to
assist such agencies in preventing and
detecting possible fraud or abuse by
individuals in their operations and
programs.
7. Data Breach Response and
Remediation, for Another Federal
Agency: To another Federal agency or
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Federal Register / Vol. 88, No. 144 / Friday, July 28, 2023 / Notices
Federal entity, when VA determines
that information from this system of
records is reasonably necessary to assist
the recipient agency or entity in (1)
responding to a suspected or confirmed
breach or (2) preventing, minimizing or
remedying the risk of harm to
individuals, the recipient agency or
entity (including its information
systems, programs and operations), the
Federal Government, or national
security, resulting from a suspected or
confirmed breach.
8. Federal Agencies, for Computer
Matches: To other Federal agencies for
the purpose of conducting computer
matches to obtain information to
determine or verify eligibility of
Veterans receiving VA benefits or
medical care under Title 38, U.S.C.
9. Health Care Providers, for Referral
by VA: To: (1) a Federal agency or
health care provider when VA refers a
patient for medical and other health
services, or authorizes a patient to
obtain such services and the
information is needed by the Federal
agency or health care provider to
perform the services; or (2) a Federal
agency or to health care provider under
the provisions of 38 U.S.C. 513, 7409,
8111, or 8153, when treatment is
rendered by VA under the terms of such
contract or agreement or the issuance of
an authorization, and the information is
needed for purposes of medical
treatment or follow-up, determination of
eligibility for benefits, or recovery by
VA of the costs of the treatment.
10. Office of Management and Budget
(OMB): To OMB for the performance of
its statutory responsibilities for
evaluating Federal programs.
11. Guardians Ad Litem, for
Representation: To a fiduciary or
guardian ad litem in relation to his or
her representation of a claimant in any
legal proceeding as relevant and
necessary to fulfill the duties of the
fiduciary or guardian ad litem.
12. Guardians, Courts, for
Incompetent Veterans: To a court,
magistrate or administrative tribunal in
the course of presenting evidence; in
matters of guardianship, inquests and
commitments; to private attorneys
representing Veterans rated incompetent
in conjunction with issuance of
Certificates of Incompetency; and to
probation and parole officers in
connection with court-required duties.
13. Claims Representatives: At the
request of the claimant, i.e., Veteran or
their beneficiary, to accredited service
organizations, VA-approved claim
agents, and attorneys acting under a
declaration of representation, the name,
address, the basis and nature of a claim,
amount of benefit payment information,
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17:16 Jul 27, 2023
Jkt 259001
medical information, and military
service and active duty separation
information, so that these individuals
can aid claimants in the preparation,
presentation, and prosecution of claims
under the laws administered by VA.
14. Nursing Home, for Pre-Admission
Screening: To a non-VA nursing home
facility that is considering the patient
for admission, when information
concerning the individual’s medical
care is needed for the purpose of
preadmission screening under 42 CFR
483.20(f) to identify patients who are
mentally ill or mentally retarded so they
can be evaluated for appropriate
placement.
15. Data Breach Response and
Remediation, for VA: To appropriate
agencies, entities and persons when (1)
VA suspects or has confirmed that there
has been a breach of the system of
records; (2) VA has determined that as
a result of the suspected or confirmed
breach there is a risk to individuals, VA
(including its information systems,
programs and operations), the Federal
Government, or national security; and
(3) the disclosure made to such
agencies, entities or persons is
reasonably necessary to assist in
connection with VA efforts to respond
to the suspected or confirmed breach or
to prevent, minimize or remedy such
harm.
POLICIES AND PRACTICES FOR
STORAGE OF RECORDS:
Records are maintained on computers,
paper and removable, or external
hardware.
POLICIES AND PRACTICES FOR
RETRIEVAL OF RECORDS:
Records are retrieved by name, Social
Security Number or other assigned
identifiers of the individuals on whom
they are maintained.
POLICIES AND PRACTICES FOR
RETENTION AND DISPOSAL OF
RECORDS:
In accordance with Records Control
Schedule (RCS) 10–1, 6110.4, temporary
disposition; approved applications are
destroyed 1 year after home withdraws
from program, and disapproved
applications are destroyed after 5 years.
ADMINISTRATIVE, TECHNICAL, AND
PHYSICAL SAFEGUARDS:
1. Access to VA working and storage
areas is restricted to VA employees on
a ‘‘need-to- know’’ basis; strict control
measures are enforced to ensure that
disclosure to these individuals is also
based on this same principle. Generally,
VA file areas are locked after normal
duty hours and the facilities are
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protected from outside access by the
Federal Protective Service or other
security personnel.
2. Access to computer rooms at health
care facilities is generally limited by
appropriate locking devices and
restricted to authorized VA employees
and vendor personnel. Automated Data
Processing peripheral devices are placed
in secure areas (areas that are locked or
have limited access) or are otherwise
protected. Information in VistA may be
accessed by authorized VA employees.
Access to file information is controlled
at two levels; the systems recognize
authorized employees by series of
individually unique passwords/codes as
a part of each data message, and the
employees are limited to only that
information in the file which is needed
in the performance of their official
duties. Information that is downloaded
from VistA and maintained on personal
computers is afforded similar storage
and access protections as the data that
is maintained in the original files.
Access to information stored on
automated storage media at other VA
locations is controlled by individually
unique passwords/codes.
3. Access to the AITC is generally
restricted to Center employees,
custodial personnel, Federal Protective
Service, and other security personnel.
Access to computer rooms is restricted
to authorized operational personnel
through electronic locking devices. All
other persons gaining access to
computer rooms are escorted.
Information stored in the computer may
be accessed by authorized VA
employees at remote locations including
VA health care facilities, Information
Systems Centers, VA Central Office, and
VISNs. Access is controlled by
individually unique passwords/codes
which must be changed periodically by
the employee.
RECORD ACCESS PROCEDURES:
Individuals seeking information on
the existence and content of records in
this system pertaining to them should
contact the system manager in writing
as indicated above or write or visit the
VA facility location where they
normally receive their care. A request
for access to records must contain the
requester’s full name, address and
telephone number, be signed by the
requester and describe the records
sought in sufficient detail to enable VA
personnel to locate them with a
reasonable amount of effort.
CONTESTING RECORD PROCEDURES:
Individuals seeking to contest or
amend records in this system pertaining
to them should contact the system
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Federal Register / Vol. 88, No. 144 / Friday, July 28, 2023 / Notices
manager in writing as indicated above.
A request to contest or amend records
must state clearly and concisely what
record is being contested, the reasons
for contesting it, and the proposed
amendment to the record.
NOTIFICATION PROCEDURES:
Generalized notice is provided by the
publication of this notice. For specific
notice, see Record Access Procedure,
above.
EXEMPTIONS PROMULGATED FOR
THE SYSTEM:
None.
HISTORY:
76 FR 67561 (November 1, 2011).
VA Appendix 5
Community Residential Care Programs
Birmingham, AL; Tuscaloosa, AL;
Tuskegee, AL; Fayetteville, AR; Little Rock,
AR; Loma Linda, CA; Long Beach, CA; Los
Angeles, CA; San Diego, CA; Washington,
DC; Wilmington, DE; Bay Pines, FL;
Gainesville, FL; Jacksonville, FL; Pensacola,
FL; Tampa, FL; West Palm Beach, FL;
Atlanta, GA; Augusta, GA; Chicago- Hines,
IL; Danville, IL; Indianapolis, IN; Marion, IN;
Des Moines, IA; Iowa City, IA; Topeka, KS;
Lexington, KY; Louisville, KY; Alexandria,
LA; New Orleans, LA; Shreveport, LA;
Augusta, ME; Perry Point, MD; Bedford, MA;
Boston, MA; Springfield, MA; Battle Creek,
MI; Biloxi, MS; Jackson, MS; St Louis, MO;
Lyons, NJ; Salisbury, NC; Montrose, NY;
Northport, NY; Chillicothe, OH; Cleveland,
OH; Columbus, OH; Dayton, OH; Coatesville,
PA; Lebanon, PA; Philadelphia, PA;
Pittsburgh, PA; Wilkes Barre, PA; San Juan,
PR; Providence, RI; Mountain Home, TN;
Murfreesboro, TN; Nashville, TN; Dallas, TX;
Houston, TX; San Antonio, TX; Waco, TX;
Hampton, VA; Richmond, VA; Salem, VA;
Tacoma, WA; Martinsburg, WV; Tomah, WI.
[FR Doc. 2023–16020 Filed 7–27–23; 8:45 am]
BILLING CODE P
DEPARTMENT OF VETERANS
AFFAIRS
Notice of Request for Information on
the Department of Veterans Affairs
Creative Arts Therapists (Music)
Standard of Practice
Department of Veterans Affairs.
Request for information.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) is requesting information to
assist in developing a national standard
of practice for VA Creative Arts
Therapists (Music). VA seeks comments
on various topics to help inform VA’s
development of this national standard of
practice.
DATES: Comments must be received on
or before September 26, 2023.
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SUMMARY:
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17:16 Jul 27, 2023
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Comments must be
submitted through www.regulations.gov.
Except as provided below, comments
received before the close of the
comment period will be available at
www.regulations.gov for public viewing,
inspection, or copying, including any
personally identifiable or confidential
business information that is included in
a comment. We post the comments
received before the close of the
comment period on the following
website as soon as possible after they
have been received: https://
www.regulations.gov. VA will not post
on Regulations.gov public comments
that make threats to individuals or
institutions or suggest that the
commenter will take actions to harm the
individual. VA encourages individuals
not to submit duplicative comments. We
will post acceptable comments from
multiple unique commenters even if the
content is identical or nearly identical
to other comments. Any public
comment received after the comment
period’s closing date is considered late
and will not be considered in any
potential future rulemaking.
FOR FURTHER INFORMATION CONTACT:
Ethan Kalett, Office of Regulations,
Appeals and Policy (10BRAP), Veterans
Health Administration, Department of
Veterans Affairs, 810 Vermont Avenue
NW, Washington, DC 20420, 202–461–
0500. This is not a toll-free number.
SUPPLEMENTARY INFORMATION:
ADDRESSES:
Authority
Chapters 73 and 74 of 38 U.S.C. and
38 U.S.C. 303 authorize the Secretary to
regulate the professional activities of VA
health care professions to make certain
that VA’s health care system provides
safe and effective health care by
qualified health care professionals to
ensure the well-being of those Veterans
who have borne the battle.
On November 12, 2020, VA published
an interim final rule confirming that VA
health care professionals may practice
their health care profession consistent
with the scope and requirements of their
VA employment, notwithstanding any
state license, registration, certification
or other requirements that unduly
interfere with their practice. 38 CFR
17.419; 85 FR 71838. Specifically, this
rulemaking confirmed VA’s current
practice of allowing VA health care
professionals to deliver health care
services in a state other than the health
care professional’s state of licensure,
registration, certification or other state
requirement, thereby enhancing
beneficiaries’ access to critical VA
health care services. The rulemaking
also confirmed VA’s authority to
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48961
establish national standards of practice
for its health care professionals which
would standardize a health care
professional’s practice in all VA medical
facilities.
The rulemaking explained that a
national standard of practice describes
the tasks and duties that a VA health
care professional practicing in the
health care profession may perform and
may be permitted to undertake. Having
a national standard of practice means
that individuals from the same VA
health care profession may provide the
same type of tasks and duties regardless
of the VA medical facility where they
are located or the state license,
registration, certification or other state
requirement they hold. We emphasized
in the rulemaking and reiterate here that
VA will determine, on an individual
basis, that a health care professional has
the necessary education, training and
skills to perform the tasks and duties
detailed in the national standard of
practice and will only be able to
perform such tasks and duties after they
have been incorporated into the
individual’s privileges, scope of practice
or functional statement. The rulemaking
explicitly did not create any such
national standards and directed that all
national standards of practice would be
subsequently created via policy.
Need for National Standards of Practice
As the Nation’s largest integrated
health care system, it is critical that VA
develops national standards of practice
to ensure beneficiaries receive the same
high-quality care regardless of where
they enter the system and to ensure that
VA health care professionals can
efficiently meet the needs of
beneficiaries when practicing within the
scope of their VA employment. National
standards are designed to increase
beneficiaries’ access to safe and effective
health care, thereby improving health
outcomes. The importance of this
initiative has been underscored by the
Coronavirus Disease 2019 pandemic.
With an increased need for mobility in
our workforce, including through VA’s
Disaster Emergency Medical Personnel
System, creating a uniform standard of
practice better supports VA health care
professionals who already frequently
practice across state lines. In addition,
the development of national standards
of practice aligns with VA’s long-term
deployment of a new electronic health
record (EHR). National standards of
practice are critical for optimal EHR
implementation to enable the specific
roles for each health care profession in
EHR to be consistent across the Veterans
Health Administration (VHA) and to
support increased interoperability
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Agencies
[Federal Register Volume 88, Number 144 (Friday, July 28, 2023)]
[Notices]
[Pages 48958-48961]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-16020]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Privacy Act of 1974; System of Records
AGENCY: Veterans Health Administration (VHA), Department of Veterans
Affairs (VA).
ACTION: Notice of a modified system of records.
-----------------------------------------------------------------------
SUMMARY: Pursuant to the Privacy Act of 1974, notice is hereby given
that VA is modifying the system of records entitled, ``Community
Residential Care and Medical Foster Home Programs-VA'' (142VA114). This
system is used for determining a potential facility's initial
eligibility and ongoing participation in the program, provision of
medical and psycho-social services to Veterans, operation of the
programs, and information required by VA Medical Centers to complete
quarterly statistical reports.
DATES: Comments on this modified system of records must be received no
later than 30 days after date of publication in the Federal Register.
If no public comment is received during the period allowed for comment
or unless otherwise published in the Federal Register by VA, the
modified system of records will become effective a minimum of 30 days
after date of publication in the Federal Register. If VA receives
public comments, VA shall review the comments to determine whether any
changes to the notice are necessary.
ADDRESSES: Comments may be submitted through www.Regulations.gov or
mailed to VA Privacy Service, 810 Vermont Avenue NW, (005X6F),
Washington, DC 20420. Comments should indicate that they are submitted
in response to ``Community Residential Care and Medical Foster Home
Programs-VA'' (142VA114). Comments received will be available at
regulations.gov for public viewing, inspection or copies.
FOR FURTHER INFORMATION CONTACT: Stephania Griffin, VHA Chief Privacy
Officer, Department of Veterans Affairs, 810 Vermont Avenue NW,
(105HIG) Washington, DC 20420; telephone 704-245-2492 (Note: This is
not a toll-free number) or [email protected].
SUPPLEMENTARY INFORMATION: VA is amending the system of records by
revising the System Number; System Location; System Manager; Categories
of Records in the System; Routine Uses of Records Maintained in the
System; Policies and Practices for Retention and Disposal of Records;
and Administrative, Technical and Physical Safeguards. VA is
republishing the system notice in its entirety.
The System Number is being updated from 142VA114 to 142VA10 to
reflect the current VHA organizational routing symbol.
The System Location will be updated to replace VA Data Processing
Center, with Austin Information Technology Center (AITC). Also being
added, Community Residential Care (CRC) locations are listed in VA
Appendix 5. Medical Foster Home (MFH) programs have been established or
are in development at all VA health care facilities.
The System Manager is being updated to include Director, Home and
Community Based Programs. Telephone number 202-632-8321. (Note: This is
not a toll-free number).
The Categories of Records in the System is being updated to include
operators and staff of CRC and MFH Homes.
The language in Routine Use number 4 is being updated. It
previously reflected the following language, ``Disclosure of the
records to the Department of Justice (DoJ) is a use of the information
contained in the records that is compatible with the purpose for which
VA collected the records and that VA may disclose records in this
system of records in legal proceedings before a court or administrative
body after determining that the disclosure of the records to the court
or administrative body is a use of the information contained in the
records that is compatible with the purpose for which VA collected the
records.''
Routine Use number 4 will now read as follows, ``DoJ, or in a
proceeding before a court, adjudicative body, or other administrative
body before which VA is authorized to appear, when:
(a) VA or any component thereof;
(b) Any VA employee in his or her official capacity;
(c) Any VA employee in his or her official capacity where DoJ has
agreed to represent the employee; or
(d) The United States, where VA determines that litigation is
likely to affect the agency or any of its components,
is a party to such proceedings or has an interest in such
proceedings, and VA determines that use of such records is relevant and
necessary to the proceedings.''
Routine use number 15 is being added to state, VA may disclose any
information or records to appropriate agencies, entities and persons
when (1) VA suspects or has confirmed that there has been a breach of
the system of records; (2) VA has determined that as a result of the
suspected or confirmed breach there is a risk to individuals, VA
(including its information systems, programs and operations), the
Federal Government, or national security; and (3) the disclosure made
to such agencies, entities or persons is reasonably necessary to assist
in connection with VA efforts to respond to the suspected or confirmed
breach or to prevent, minimize or remedy such harm.
Policies and Practices for Retention and Disposal of Records is
being updated to remove ``Paper records and information are maintained
and disposed of in accordance with records disposition authority
approved by the Archivist of the United States.'' This section is being
updated to state that Records are scheduled in accordance with Records
Control Schedule (RCS) 10-1, 6110.4, temporary disposition; Destroy
approved applications 1 year after home withdraws from program. Destroy
disapproved applications after 5 years.
Administrative, Technical and Physical Safeguards is being updated
to replace Austin VA Data Processing Center with Austin Information
Technology Center (AITC).
The Report of Intent to Amend a System of Records Notice and an
advance copy of the system notice have been sent to the appropriate
Congressional committees and to the Director of the Office of
Management and Budget (OMB) as required by 5 U.S.C. 552a(r) (Privacy
Act) and guidelines issued by OMB Circular No. A-108, Federal Agency
Responsibilities for Review, Reporting, and Publication Under the
Privacy Act, 81 FR 94424 (December 23, 2016).
[[Page 48959]]
Signing Authority
The Senior Agency Official for Privacy, 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. Kurt D.
DelBene, Assistant Secretary for Information and Technology and Chief
Information Officer, approved this document on June 19, 2023 for
publication.
Dated: July 25, 2023.
Amy L. Rose,
Government Information Specialist, VA Privacy Service, Office of
Compliance, Risk and Remediation, Office of Information and Technology,
Department of Veterans Affairs.
SYSTEM NAME AND NUMBER:
``Community Residential Care and Medical Foster Home Programs-VA''
(142VA10).
SECURITY CLASSIFICATION:
Unclassified.
SYSTEM LOCATION:
Records are maintained at selected VA health care facilities that
have Community Residential Care (CRC) and Medical Foster Home (MFH)
Programs (in most cases, back-up computer tape information is stored at
the Austin Information Technology Center (AITC), 1615 East Woodward
Street, Austin, Texas 78772). Address locations for VA facilities are
listed in VA Appendix 1. CRC locations are listed in VA Appendix 5. MFH
programs have been established or are in development at all VA health
care facilities. In addition, information from these records or copies
of records may be maintained at the Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC, Austin Information Technology Center
(AITC), and Veterans Integrated Service Network (VISN) Offices.
SYSTEM MANAGER(S):
Official responsible for policies and procedures: Director, Home
and Community Based Programs, Office of Geriatrics and Extended Care,
Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC
20420. Telephone number 202-632-8321. (Note: This is not a toll-free
number).
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
38 U.S.C 1730.
PURPOSE(S) OF THE SYSTEM:
The records and information may be used for determining a potential
non-VA facility's initial eligibility and ongoing participation in the
program, provision of medical and psycho-social services to Veterans,
operation of the programs, and information required by VA health care
facility to complete quarterly statistical reports.
CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
These records include information concerning Veterans who reside in
CRC or MFH homes. In addition, the records include information on the
operators and staff of these homes.
CATEGORIES OF RECORDS IN THE SYSTEM:
These records may include information on operators and staff of CRC
and MFH Homes related to:
1. Applications, background checks, agreements with Veterans,
educational programs, driver's licenses, health screenings, etc.
2. Home inspection reports, corrective plans of action, emergency
plans, correspondence and hearing documents.
3. Personal identifiers (including name, date of birth, financial
information, pictures, etc.)
These records may include information on Veterans who reside in CRC
and MFH Homes related to:
1. Personal identifiers (including name, date of birth, Social
Security Number, VA claim number, financial information, pictures) and
health records.
RECORD SOURCE CATEGORIES:
Information in this system of records is provided by individuals
requesting participation in the CRC and MFH programs.
ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES
OF USERS AND THE PURPOSES OF SUCH USES:
To the extent that records contained in the system include
information protected by 38 U.S.C. 7332, i.e., medical treatment
information related to drug abuse, alcoholism or alcohol abuse, sickle
cell anemia, or infection with the human immunodeficiency virus, or 45
CFR parts 160 and 164, i.e., individually identifiable health
information of VHA or any of its business associates, that information
cannot be disclosed under a routine use unless there is also specific
statutory authority in those provisions.
1. Congress: To a Member of Congress or staff acting upon the
Member's behalf when the Member or staff requests the information on
behalf of, and at the request of, the individual who is the subject of
the record.
2. National Archives and Records Administration (NARA): To the NARA
in records management inspections conducted under 44 U.S.C. 2904 and
2906, or other functions authorized by laws and policies governing NARA
operations and VA records management responsibilities. The disclosure
of the names and addresses of Veterans and their dependents from VA
records under this routine use must also comply with the provisions of
38 U.S.C. 5701.
3. Law Enforcement: To a Federal, state, local, territorial, tribal
or foreign law enforcement authority or other appropriate entity
charged with the responsibility of investigating or prosecuting such
violation or charged with enforcing or implementing such law, provided
that the disclosure is limited to information that, either alone or in
conjunction with other information, indicates a violation or potential
violation of law, whether civil, criminal or regulatory in nature. The
disclosure of the names and addresses of Veterans and their dependents
from VA records under this routine use must also comply with the
provisions of 38 U.S.C. 5701.
4. Department of Justice (DoJ), Litigation, Administrative
Proceeding: To the DoJ, or in a proceeding before a court, adjudicative
body, or other administrative body before which VA is authorized to
appear, when:
(a) VA or any component thereof;
(b) Any VA employee in his or her official capacity;
(c) Any VA employee in his or her official capacity where DoJ has
agreed to represent the employee; or
(d) The United States, where VA determines that litigation is
likely to affect the agency or any of its components,
is a party to such proceedings or has an interest in such proceedings,
and VA determines that use of such records is relevant and necessary to
the proceedings.
5. Contractors: To contractors, grantees, experts, consultants,
students and others performing or working on a contract, service,
grant, cooperative agreement or other assignment for VA, when
reasonably necessary to accomplish an agency function related to the
records.
6. Federal Agencies, Fraud and Abuse: To other Federal agencies to
assist such agencies in preventing and detecting possible fraud or
abuse by individuals in their operations and programs.
7. Data Breach Response and Remediation, for Another Federal
Agency: To another Federal agency or
[[Page 48960]]
Federal entity, when VA determines that information from this system of
records is reasonably necessary to assist the recipient agency or
entity in (1) responding to a suspected or confirmed breach or (2)
preventing, minimizing or remedying the risk of harm to individuals,
the recipient agency or entity (including its information systems,
programs and operations), the Federal Government, or national security,
resulting from a suspected or confirmed breach.
8. Federal Agencies, for Computer Matches: To other Federal
agencies for the purpose of conducting computer matches to obtain
information to determine or verify eligibility of Veterans receiving VA
benefits or medical care under Title 38, U.S.C.
9. Health Care Providers, for Referral by VA: To: (1) a Federal
agency or health care provider when VA refers a patient for medical and
other health services, or authorizes a patient to obtain such services
and the information is needed by the Federal agency or health care
provider to perform the services; or (2) a Federal agency or to health
care provider under the provisions of 38 U.S.C. 513, 7409, 8111, or
8153, when treatment is rendered by VA under the terms of such contract
or agreement or the issuance of an authorization, and the information
is needed for purposes of medical treatment or follow-up, determination
of eligibility for benefits, or recovery by VA of the costs of the
treatment.
10. Office of Management and Budget (OMB): To OMB for the
performance of its statutory responsibilities for evaluating Federal
programs.
11. Guardians Ad Litem, for Representation: To a fiduciary or
guardian ad litem in relation to his or her representation of a
claimant in any legal proceeding as relevant and necessary to fulfill
the duties of the fiduciary or guardian ad litem.
12. Guardians, Courts, for Incompetent Veterans: To a court,
magistrate or administrative tribunal in the course of presenting
evidence; in matters of guardianship, inquests and commitments; to
private attorneys representing Veterans rated incompetent in
conjunction with issuance of Certificates of Incompetency; and to
probation and parole officers in connection with court-required duties.
13. Claims Representatives: At the request of the claimant, i.e.,
Veteran or their beneficiary, to accredited service organizations, VA-
approved claim agents, and attorneys acting under a declaration of
representation, the name, address, the basis and nature of a claim,
amount of benefit payment information, medical information, and
military service and active duty separation information, so that these
individuals can aid claimants in the preparation, presentation, and
prosecution of claims under the laws administered by VA.
14. Nursing Home, for Pre-Admission Screening: To a non-VA nursing
home facility that is considering the patient for admission, when
information concerning the individual's medical care is needed for the
purpose of preadmission screening under 42 CFR 483.20(f) to identify
patients who are mentally ill or mentally retarded so they can be
evaluated for appropriate placement.
15. Data Breach Response and Remediation, for VA: To appropriate
agencies, entities and persons when (1) VA suspects or has confirmed
that there has been a breach of the system of records; (2) VA has
determined that as a result of the suspected or confirmed breach there
is a risk to individuals, VA (including its information systems,
programs and operations), the Federal Government, or national security;
and (3) the disclosure made to such agencies, entities or persons is
reasonably necessary to assist in connection with VA efforts to respond
to the suspected or confirmed breach or to prevent, minimize or remedy
such harm.
POLICIES AND PRACTICES FOR STORAGE OF RECORDS:
Records are maintained on computers, paper and removable, or
external hardware.
POLICIES AND PRACTICES FOR RETRIEVAL OF RECORDS:
Records are retrieved by name, Social Security Number or other
assigned identifiers of the individuals on whom they are maintained.
POLICIES AND PRACTICES FOR RETENTION AND DISPOSAL OF RECORDS:
In accordance with Records Control Schedule (RCS) 10-1, 6110.4,
temporary disposition; approved applications are destroyed 1 year after
home withdraws from program, and disapproved applications are destroyed
after 5 years.
ADMINISTRATIVE, TECHNICAL, AND PHYSICAL SAFEGUARDS:
1. Access to VA working and storage areas is restricted to VA
employees on a ``need-to- know'' basis; strict control measures are
enforced to ensure that disclosure to these individuals is also based
on this same principle. Generally, VA file areas are locked after
normal duty hours and the facilities are protected from outside access
by the Federal Protective Service or other security personnel.
2. Access to computer rooms at health care facilities is generally
limited by appropriate locking devices and restricted to authorized VA
employees and vendor personnel. Automated Data Processing peripheral
devices are placed in secure areas (areas that are locked or have
limited access) or are otherwise protected. Information in VistA may be
accessed by authorized VA employees. Access to file information is
controlled at two levels; the systems recognize authorized employees by
series of individually unique passwords/codes as a part of each data
message, and the employees are limited to only that information in the
file which is needed in the performance of their official duties.
Information that is downloaded from VistA and maintained on personal
computers is afforded similar storage and access protections as the
data that is maintained in the original files. Access to information
stored on automated storage media at other VA locations is controlled
by individually unique passwords/codes.
3. Access to the AITC is generally restricted to Center employees,
custodial personnel, Federal Protective Service, and other security
personnel. Access to computer rooms is restricted to authorized
operational personnel through electronic locking devices. All other
persons gaining access to computer rooms are escorted. Information
stored in the computer may be accessed by authorized VA employees at
remote locations including VA health care facilities, Information
Systems Centers, VA Central Office, and VISNs. Access is controlled by
individually unique passwords/codes which must be changed periodically
by the employee.
RECORD ACCESS PROCEDURES:
Individuals seeking information on the existence and content of
records in this system pertaining to them should contact the system
manager in writing as indicated above or write or visit the VA facility
location where they normally receive their care. A request for access
to records must contain the requester's full name, address and
telephone number, be signed by the requester and describe the records
sought in sufficient detail to enable VA personnel to locate them with
a reasonable amount of effort.
CONTESTING RECORD PROCEDURES:
Individuals seeking to contest or amend records in this system
pertaining to them should contact the system
[[Page 48961]]
manager in writing as indicated above. A request to contest or amend
records must state clearly and concisely what record is being
contested, the reasons for contesting it, and the proposed amendment to
the record.
NOTIFICATION PROCEDURES:
Generalized notice is provided by the publication of this notice.
For specific notice, see Record Access Procedure, above.
EXEMPTIONS PROMULGATED FOR THE SYSTEM:
None.
HISTORY:
76 FR 67561 (November 1, 2011).
VA Appendix 5
Community Residential Care Programs
Birmingham, AL; Tuscaloosa, AL; Tuskegee, AL; Fayetteville, AR;
Little Rock, AR; Loma Linda, CA; Long Beach, CA; Los Angeles, CA;
San Diego, CA; Washington, DC; Wilmington, DE; Bay Pines, FL;
Gainesville, FL; Jacksonville, FL; Pensacola, FL; Tampa, FL; West
Palm Beach, FL; Atlanta, GA; Augusta, GA; Chicago- Hines, IL;
Danville, IL; Indianapolis, IN; Marion, IN; Des Moines, IA; Iowa
City, IA; Topeka, KS; Lexington, KY; Louisville, KY; Alexandria, LA;
New Orleans, LA; Shreveport, LA; Augusta, ME; Perry Point, MD;
Bedford, MA; Boston, MA; Springfield, MA; Battle Creek, MI; Biloxi,
MS; Jackson, MS; St Louis, MO; Lyons, NJ; Salisbury, NC; Montrose,
NY; Northport, NY; Chillicothe, OH; Cleveland, OH; Columbus, OH;
Dayton, OH; Coatesville, PA; Lebanon, PA; Philadelphia, PA;
Pittsburgh, PA; Wilkes Barre, PA; San Juan, PR; Providence, RI;
Mountain Home, TN; Murfreesboro, TN; Nashville, TN; Dallas, TX;
Houston, TX; San Antonio, TX; Waco, TX; Hampton, VA; Richmond, VA;
Salem, VA; Tacoma, WA; Martinsburg, WV; Tomah, WI.
[FR Doc. 2023-16020 Filed 7-27-23; 8:45 am]
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