[Federal Register Volume 70, Number 243 (Tuesday, December 20, 2005)]
[Notices]
[Pages 75541-75542]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E5-7571]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0205]


Proposed Information Collection Activity: Proposed Collection; 
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 (VA), is announcing an opportunity for public comment 
on the proposed collection of certain information by the agency. Under 
the Paperwork Reduction Act (PRA) of 1995, Federal agencies are 
required to publish notice in the Federal Register concerning each 
proposed collection of information, including each proposal revision of 
a currently approved collection, and allow 60 days for public comment 
in response to the notice. This notice solicits comments for 
information needed to evaluate a candidate's credentials for employment 
with VA.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before February 21, 2006.

ADDRESSES: Submit written comments on the collection of information to 
Ann W. Bickoff (193E1), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420 or e-mail: [email protected]. Please 
refer to ``OMB Control No. 2900-0205'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Ann W. Bickoff at (202) 273-8310 or 
FAX (202) 273-9381.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Public Law 104-13; 44 
U.S.C. 3501--3521), Federal agencies must obtain approval from the 
Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. This request for comment is being 
made pursuant to Section 3506(c)(2)(A) of the PRA.
    With respect to the following collection of information, VHA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VHA's functions, including 
whether the information will have practical utility;

[[Page 75542]]

(2) the accuracy of VHA's estimate of the burden of the proposed 
collection of information; (3) ways to enhance the quality, utility, 
and clarity of the information to be collected; and (4) ways to 
minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or the use 
of other forms of information technology.
    Title: Applications & Appraisals for Employment for Title 38 
Positions and Trainees.
    OMB Control Number: 2900-0205.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Forms 10-2850-2850a through c are applications used to 
elicit information from candidate's qualifications for employment with 
VA. VA uses the data collected to conduct background, training and 
education as well as previously held licenses/registrations to meet 
security and screening requirements. VA Forms 10-2850b and 10-285d are 
used to collect information on medical residents, health professions 
trainees and students training appointment. Program directors of 
affiliated programs complete VA Form Letter 10-341b to confirm that the 
information listed has been verified by the sponsoring entity for the 
trainee listed and that the trainee is enrolled in the designated 
training program. VA uses the information collected to evaluate 
qualification for employment and training as well as education and 
professional experience in determining suitability, grade level and 
clinical privileges.
    Affected Public: Individuals or Households, Business or Other For-
Profit, Not-For-Profit Institutions, Federal Government, and State, 
Local or Tribal Government.
    Estimated Annual Burden: 123,894 hours.
    a. Application for Physicians, Dentists, Podiatrists and 
Optometrists, Chiropractors, VA Form 10-2850--7,450 hours.
    b. Application for Nurses and Nurse Anesthetists, VA Form 10-
2850a--29,799 hours.
    c. Application for Residents, VA Form 10-2850b--15,893 hours.
    d. Application for Associated Health Occupations, VA Form 10-
2850c--9,933 hours.
    e. Application for Medical, Dental and Associated Health Students, 
Trainees and Intern VA Form 10-2850d--28,143 hours.
    f. Appraisal of Applicant VA Form FL 10-341a--25,410 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    a. Application for Physicians, Dentists, Podiatrists and 
Optometrists, Chiropractors VA Form 10-2850--30 minutes.
    b. Application for Nurses and Nurse Anesthetists VA Form 10-2850a--
30 minutes.
    c. Application for Residents VA Form 10-2850b--30 minutes.
    d. Application for Associated Health Occupations VA Form 10-2850c--
30 minutes.
    e. Application for Medical, Dental and Associated Health Students, 
Trainees and Intern VA Form 10-2850d--30 minutes.
    f. Appraisal of Applicant VA Form FL 10-341a--30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 320,466.
    a. Application for Physicians, Dentists, Podiatrists and 
Optometrists, Chiropractors VA Form 10-2850-14,900.
    b. Application for Nurses and Nurse Anesthetists VA Form 10-2850a--
59,598.
    c. Application for Residents VA Form 10-2850b--31,786.
    d. Application for Associated Health Occupations VA Form 10-2850c--
19-866.
    e. Application for Medical, Dental and Associated Health Students, 
Trainees and Intern VA Form 10-2850d--56,286.
    f. Appraisal of Applicant--VA Form FL 10-341a--50,820.

    Dated: December 8, 2005.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E5-7571 Filed 12-19-05; 8:45 am]
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