[Federal Register Volume 71, Number 17 (Thursday, January 26, 2006)]
[Notices]
[Pages 4403-4404]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-1011]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0227]


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 proposed extension 
of a currently approved collection, and allow 60 days for public 
comment in response to the notice. This notice solicits comments on 
information needed to determine whether VA is providing quality of 
health-care services to its patients.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before March 27, 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. 2900-0227'' 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 (Pub. L. 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; (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: Nation-wide Customer Satisfaction Surveys.
    a. Survey of Healthcare Experiences of Patients Recently Discharged 
Inpatient, VA Form 10-1465-1.
    b. Survey of Healthcare Experiences of Patients Ambulatory Care, VA 
Form 10-1465-3.
    c. About Your VA Prosthetics Care and Service, VA Form 10-0142b.
    d. Survey on Your VA Home Based Primary Care (HBPC), VA Form 10-
1465-9.
    e. Customer Satisfaction Survey for Nutritional and Food Service, 
VA Form 10-5387.
    OMB Control Number: 2900-0227.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Forms 10-0142b, 10-1465-1, 10-1465-3, 10-1465-9, and 
10-5387 will be used to survey customers regarding their satisfaction 
with VA's healthcare services. VA will use the data collected to 
identify areas where attention is needed and to improve its quality of 
health care services provided to veterans.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 200,507 hours.
    a. Survey of Healthcare Experiences of Patients Recently Discharged 
Inpatient, VA Form 10-1465-1--37,500.
    b. Survey of Healthcare Experiences of Patients Ambulatory Care, VA 
Form 10-1465-3--153,300.
    c. About your VA Prosthetics Care and Service, VA Form 10-0142b--
4,320. d. Survey on Your Home Based Primary Care (HBPC), VA Form 10-
1465-9--1,200.
    e. Customer Satisfaction Survey for Nutritional and Food Service, 
VA Form 10-5387--4,187.
    Estimated Average Burden Per Respondent:
    a. Survey of Healthcare Experiences of Patients Recently Discharged 
Inpatient, VA Form 10-1465-1--30 minutes.
    b. Survey of Healthcare Experiences of Patients Ambulatory Care, VA 
Form 10-1465-3--30 minutes.
    c. About your VA Prosthetics Care and Service, VA Form 10-0142b--24 
minutes.
    d. Survey on Your Home Based Primary Care, VA Form 10-1465-9--15 
minutes.
    e. Customer Satisfaction Survey Nutritional and Food Service, VA 
Form 10-5387--2 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 439,400.
    a. Survey of Healthcare Experiences of Patients Recently Discharged 
Inpatient, VA Form 10-1465-1--75,000.
    b. Survey of Healthcare Experiences of Patients Ambulatory Care, VA 
Form 10-1465-3--306,600.
    c. About your VA Prosthetics Care and Service, VA Form 10-0142b--
21,600.
    d. Survey on Your Home Based Primary Care, VA Form 10-1465-9--
4,800.
    e. Customer Satisfaction Survey Nutritional and Food Service, VA 
Form 10-5387--31,400.
    Estimated Total Annual Responses:
    a. Survey of Healthcare Experiences of Patients Recently Discharged 
Inpatient, VA Form 10-1465-1--75,000.
    b. Survey of Healthcare Experiences of Patients Ambulatory Care, VA 
Form 10-1465-3--306,600.
    c. About your VA Prosthetics Care and Service, VA Form 10-0142b--
10,800.

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    d. Survey on Your Home Based Primary Care, VA Form 10-1465-9--
4,800.
    e. Customer Satisfaction Survey Nutritional and Food Service, VA 
Form 10-5387--125,600.

    Dated: January 17, 2006.

    By direction of the Secretary:
Denise McLamb,
Program Analyst, Records Management Service.
 [FR Doc. E6-1011 Filed 1-25-06; 8:45 am]
BILLING CODE 8320-01-P