[Federal Register Volume 61, Number 49 (Tuesday, March 12, 1996)]
[Notices]
[Page 10063]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-5867]



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DEPARTMENT OF VETERANS AFFAIRS

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Veterans Health Administration, Veterans Affairs.

ACTION: Notice.

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SUMMARY: As part of its continuing effort to reduce paperwork and 
respondent burden, Veterans Health Administration (VHA) invites the 
general public and other Federal agencies to comment on this 
information collection. This request for comment is being made pursuant 
to the Paperwork Reduction Act of 1995 (Public Law 104-13; 44 U.S.C. 
3506(c)(2)(A)). Comments should address the accuracy of the burden 
estimates and ways to minimize the burden including the use of 
automated collection techniques or the use of other forms of 
information technology, as well as other relevant aspects of the 
information collection.

DATES: Written comments and recommendations on the proposal for the 
collection of information should be received on or before May 13, 1996.

ADDRESSES: Direct all written comments to Ann Bickoff, Veterans Health 
Administration (161A4), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420. All comments will become a matter of 
public record and will be summarized in the VHA request for Office of 
Management and Budget (OMB) approval. In this document VHA is 
soliciting comments concerning the following information collection:
    OMB Control Number: None Assigned.
    Title and Form Number: Survey of Health Promotion and Preventative 
Medicine, VA Form 10-21000(NR)
    Type of Review: New collection.
    Need and Uses: Congress has mandated that VA assess the rates that 
veterans are offered and receive critical health promotion and disease 
prevention services, and report these rates to Congress on an annual 
basis, Public Law 102-585. Existing data resources in VA are unable to 
provide complete documentation regarding receipt of those services. An 
annual mail survey is proposed to provide the necessary information.
    Affected Public: Individuals and households.
    Estimated Annual Burden: 5,777 hours.
    Estimated Average Burden Per Respondent: 10 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 51,900.

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of the form should be directed to Department of Veterans 
Affairs, Attn: Jacquie McCray, Information Management Service (045A4), 
Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 
20420, Telephone (202) 565-8266 or FAX (202) 565-8267.

    Dated: March 1, 1996.

    By direction of the Secretary.
Donald L. Neilson,
Director,
Information Management Service.
[FR Doc. 96-5867 Filed 3-11-96; 8:45 am]
BILLING CODE 8320-01-P