Agency Information Collection Activity Under OMB Review: Per Diem to States for Care of Eligible Veterans in State Homes, 74247-74248 [2023-23873]
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Federal Register / Vol. 88, No. 208 / Monday, October 30, 2023 / Notices
Categories
of individuals covered by the system
were individuals who operated a
Community Placement facility
(Community Nursing Home) approved
for placement of VA beneficiaries, and
VA beneficiaries in Community
Placement facilities. Records were
maintained on magnetic tapes which are
stored at the Austin Information
Technology Center, and paper
documents (printouts) were maintained
at VA Central Office and the health care
facilities.
This system of records notice is being
rescinded as a result of the Community
Residential Care being merged with the
Medical Foster Homes. This information
is now located within the system of
records titled, ‘‘Community Residential
Care and Medical Foster Home
Programs–VA’’ (142VA10). The records
associated with the Community
Placement Program were destroyed in
accordance with VHA Records Control
Schedule 10–1, item number 6110.4.
SUPPLEMENTARY INFORMATION:
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
October 24, 2023 for publication.
Dated: October 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:
‘‘Community Placement Program-VA’’
(65VA122).
HISTORY:
74 FR 33024 (July 9, 2009).
[FR Doc. 2023–23878 Filed 10–27–23; 8:45 am]
BILLING CODE P
DEPARTMENT OF VETERANS
AFFAIRS
khammond on DSKJM1Z7X2PROD with NOTICES
[OMB Control No. 2900–0883]
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.
AGENCY:
VerDate Sep<11>2014
18:18 Oct 27, 2023
Jkt 262001
ACTION:
Notice.
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: 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. 2900–0883.’’
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 810 Vermont Avenue
NW, Washington, DC 20420, (202) 266–
4688 or email maribel.aponte@va.gov.
Please refer to ‘‘OMB Control No. 2900–
0883’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–3521.
Title: Per Diem to States for Care of
Eligible Veterans in State Homes (VA
Forms 10–0143, 10–0143A, 10–0144,
10–0144A, 10–0460a, and 10–3567).
OMB Control Number: 2900–0883.
Type of Review: Revision of a
currently approved collection.
Abstract: Authority for this
information collection is from title 38
Code of Federal Regulations (CFR) part
51, Per Diem for Nursing Home,
Domiciliary or Adult Day Health Care of
Veterans in State Veterans Homes,
requiring the VA to ensure that per diem
payments are limited to facilities
providing high quality care for Veterans.
This collection of forms is approved
under OMB Control Number 2900–0883.
These six forms (10–0143, 10–0143A,
10–0144, 10–0144A, 10–0460a, and 10–
3567) are presented to and completed by
State Veterans Homes (SVH)
management under subpart B of the CFR
part 51 and then assessed for
compliance to applicable regulations
under subparts D, E or F by VA
contracted vendors during a VA survey
at each State Veterans Home (SVH)
across the U.S. as a regulatory action.
This collection of forms falls under the
auspices of The Office of Geriatrics and
Extended Care in VA Central Office
SUMMARY:
PO 00000
Frm 00106
Fmt 4703
Sfmt 4703
74247
(12GEC). As per VHA Directive 1145.01,
this collection of forms is part of the VA
survey process. The legal requirements
that necessitate this collection of
information are found specifically at
title 38 CFR 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 10–0460a—38 CFR
51.43—As a condition for receiving
drugs or medicine under this section or
under § 17.96 of this chapter, the State
Home will submit to the VA medical
center of jurisdiction a monthly
completed VA Form 10–0460a 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
E:\FR\FM\30OCN1.SGM
30OCN1
74248
Federal Register / Vol. 88, No. 208 / Monday, October 30, 2023 / Notices
soliciting comments on this collection
of information was published at 88 FR
164 on August 25, 2023, pages 58439
and 58440.
Total Annual Burden: 2,119 hours.
Total Annual Responses: 2,805.
VA Form 10–0143
Affected Public: State, local, and
Tribal governments.
Estimated Annual Burden: 13.75
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
165.
VA Form 10–0143A
Affected Public: State, local, and
Tribal governments.
Estimated Annual Burden: 13.75
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
165.
VA Form 10–0144
Affected Public: State, local, and
Tribal governments.
Estimated Annual Burden: 13.75
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
165.
VA Form 10–0144A
khammond on DSKJM1Z7X2PROD with NOTICES
Affected Public: State, local, and
Tribal governments.
Estimated Annual Burden: 13.75
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
165.
VerDate Sep<11>2014
18:18 Oct 27, 2023
Jkt 262001
VA Form 10–0460a
Affected Public: State, local, and
Tribal governments.
Estimated Annual Burden: 1980
hours.
Estimated Average Burden per
Respondent: 60 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents:
165.
VA Form 10–3567
Affected Public: State, local, and
Tribal governments.
Estimated Annual Burden: 82.50
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
165.
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. 2023–23873 Filed 10–27–23; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
Enhanced-Use Lease (EUL) of
Department of Veterans Affairs (VA)
Real Property for the Development of
Permanent Supportive Housing at the
Doris Miller VA Medical Center (VAMC),
Waco, Texas Campus
Department of Veterans Affairs.
ACTION: Notice of intent to enter into an
EUL.
AGENCY:
The purpose of this Federal
Register notice is to provide the public
with notice that the Secretary of
Veterans Affairs intends to enter into an
EUL of Buildings 19, 20 and 21 on
approximately 3.4 acres of underutilized
land on the campus of the Doris Miller
VAMC.
FOR FURTHER INFORMATION CONTACT: C.
Brett Simms, Executive Director, Office
SUMMARY:
PO 00000
Frm 00107
Fmt 4703
Sfmt 9990
of Asset Enterprise Management, Office
of Management, 810 Vermont Avenue
NW, Washington, DC 20420, 202–632–
7092. This is not a toll-free number.
SUPPLEMENTARY INFORMATION: Pursuant
to 38 U.S.C. 8161, et seq. as amended by
Public Law 117–168, the Secretary of
Veterans Affairs is authorized to enter
into an EUL, for a term of up to 99 years,
that (a) provides supportive housing for
Veterans and their families, or (b)
enhances the use of the leased property
by directly or indirectly benefitting
Veterans. Additionally, the EUL must
not be inconsistent with and not
adversely affect VA’s mission or the
operation of VA’s facilities, programs
and services in the area of the leased
property. Consistent with this authority,
the Secretary intends to enter into an
EUL for the purpose of outleasing
Buildings 19, 20 and 21 on
approximately 3.4 acres of underutilized
land on the campus of the Doris Miller
VAMC, to develop approximately 34
units of permanent supportive housing
for Veterans and their families. The
competitively selected EUL lessee/
developer, Wellington Waco USA, LP,
will finance, design, develop, renovate,
construct, manage, maintain and operate
housing for eligible homeless Veterans
or Veterans at risk of homelessness on
a priority placement basis. Additionally,
the lessee/developer will be required to
provide supportive services that guide
Veteran residents towards long-term
independence and self-sufficiency.
Signing Authority
Denis McDonough, Secretary of
Veterans Affairs, approved and signed
this document on October 19, 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. 2023–23818 Filed 10–27–23; 8:45 am]
BILLING CODE 8320–01–P
E:\FR\FM\30OCN1.SGM
30OCN1
]]>Agencies
[Federal Register Volume 88, Number 208 (Monday, October 30, 2023)]
[Notices]
[Pages 74247-74248]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-23873]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0883]
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: 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. 2900-0883.''
FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise
and Integration, Data Governance Analytics (008), 810 Vermont Avenue
NW, Washington, DC 20420, (202) 266-4688 or email
[email protected]. Please refer to ``OMB Control No. 2900-0883'' in
any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501-3521.
Title: Per Diem to States for Care of Eligible Veterans in State
Homes (VA Forms 10-0143, 10-0143A, 10-0144, 10-0144A, 10-0460a, and 10-
3567).
OMB Control Number: 2900-0883.
Type of Review: Revision of a currently approved collection.
Abstract: Authority for this information collection is from title
38 Code of Federal Regulations (CFR) part 51, Per Diem for Nursing
Home, Domiciliary or Adult Day Health Care of Veterans in State
Veterans Homes, requiring the VA to ensure that per diem payments are
limited to facilities providing high quality care for Veterans. This
collection of forms is approved under OMB Control Number 2900-0883.
These six forms (10-0143, 10-0143A, 10-0144, 10-0144A, 10-0460a,
and 10-3567) are presented to and completed by State Veterans Homes
(SVH) management under subpart B of the CFR part 51 and then assessed
for compliance to applicable regulations under subparts D, E or F by VA
contracted vendors during a VA survey at each State Veterans Home (SVH)
across the U.S. as a regulatory action. This collection of forms falls
under the auspices of The Office of Geriatrics and Extended Care in VA
Central Office (12GEC). As per VHA Directive 1145.01, this collection
of forms is part of the VA survey process. The legal requirements that
necessitate this collection of information are found specifically at
title 38 CFR 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 10-0460a--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 Home will submit to the VA medical center of
jurisdiction a monthly completed VA Form 10-0460a 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
[[Page 74248]]
soliciting comments on this collection of information was published at
88 FR 164 on August 25, 2023, pages 58439 and 58440.
Total Annual Burden: 2,119 hours.
Total Annual Responses: 2,805.
VA Form 10-0143
Affected Public: State, local, and Tribal governments.
Estimated Annual Burden: 13.75 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
VA Form 10-0143A
Affected Public: State, local, and Tribal governments.
Estimated Annual Burden: 13.75 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
VA Form 10-0144
Affected Public: State, local, and Tribal governments.
Estimated Annual Burden: 13.75 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
VA Form 10-0144A
Affected Public: State, local, and Tribal governments.
Estimated Annual Burden: 13.75 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
VA Form 10-0460a
Affected Public: State, local, and Tribal governments.
Estimated Annual Burden: 1980 hours.
Estimated Average Burden per Respondent: 60 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents: 165.
VA Form 10-3567
Affected Public: State, local, and Tribal governments.
Estimated Annual Burden: 82.50 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
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. 2023-23873 Filed 10-27-23; 8:45 am]
BILLING CODE 8320-01-P
