[Federal Register Volume 61, Number 128 (Tuesday, July 2, 1996)]
[Notices]
[Page 34505]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16785]


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DEPARTMENT OF VETERANS AFFAIRS

Agency Information Collection: Submission for OMB Review; Comment 
Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Health Administration (VHA), Department of 
Veterans Affairs, has submitted to the Office of Management and Budget 
(OMB) the following proposal for the collection of information under 
the provisions of the Paperwork Reduction Act (44 U.S.C. Chapter 35).
    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: Congressional mandate that the 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 the VA are 
unable to provide complete documentation regarding receipt of those 
services. An annual mail survey will be used to obtain 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.

ADDRESSES: A copy of this submission may be obtained from Ron Taylor, 
VA Clearance Officer (045A4), Department of Veterans Affairs, 8l0 
Vermont Avenue, NW, Washington, DC 20420, (202) 273-8015.
    Comments and recommendations concerning the submission should be 
directed to VA's OMB Desk Officer, Allison Eydt, OMB Human Resources 
and Housing Branch, New Executive Office Building, Room 10235, 
Washington, DC 20503 (202) 395-4650. DO NOT send requests for benefits 
to this address.

DATES: Comments on the information collection should be directed to the 
OMB Desk Officer by no later than August 1, 1996.

FOR FURTHER INFORMATION CONTACT: Ron Taylor, VA Clearance Officer 
(045A4), (202) 273-8015.


    Dated: June 24, 1996.

    By direction of the Secretary:
William T. Morgan,
Management Analyst.
[FR Doc. 96-16785 Filed 7-1-96; 8:45 am]
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