[Federal Register Volume 70, Number 74 (Tuesday, April 19, 2005)]
[Notices]
[Pages 20420-20421]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-7738]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New]


Agency Information Collection Activities Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-21), this notice announces that the Veterans Health 
Administration (VHA), Department of

[[Page 20421]]

Veterans Affairs, has submitted 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 includes 
the actual data collection instrument.

DATES: Comments must be submitted on or before May 19, 2005.

FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise 
McLamb, Records Management Service (005E3), Department of Veterans 
Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-8030, 
FAX (202) 273-5981 or e-mail: [email protected]. Please refer 
to ``OMB Control No. 2900-New''
    Send comments and recommendations concerning any aspect of the 
information collection to VA's OMB Desk Officer, OMB Human Resources 
and Housing Branch, New Executive Office Building, Room 10235, 
Washington, DC 20503 (202) 395-7316. Please refer to ``OMB Control No. 
2900-New'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Civil Rights Discrimination Complaint, VA Form 10-0381.
    OMB Control Number: 2900-New.
    Type of Review: New collection.
    Abstract: Veterans and other VHA customers who believe that their 
civil rights were violated by agency employees while receiving medical 
care or services in VA medical centers, or institutions such as state 
homes that receive federal financial assistance from VA complete VA 
Form 10-0381 to file a formal complaint of the alleged discrimination.
    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 on December 1, 2004, at page 69993.
    Affected Public: Individuals or Households.
    Estimated Total Annual Burden: 46 hours.
    Estimated Average Burden Per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 183.

    Dated: April 6, 2005.

    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. 05-7738 Filed 4-18-05; 8:45 am]
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