[Federal Register Volume 71, Number 60 (Wednesday, March 29, 2006)]
[Notices]
[Page 15800]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-4496]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900--New (VA Form 10-21081)]


Proposed Information Collection Activity: Proposed Collection; 
Comment Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

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 new collection, and 
allow 60 days for public comment in response to the notice. This notice 
solicits comments for information needed to assess the quality of care 
provided to veterans prior to his or her death.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before May 30, 2006.

ADDRESSES: Submit written comments on the collection of information to 
Ann W. Bickoff, Veterans Health Administration (193E1), Department of 
Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-
mail [email protected]. Please refer to ``OMB Control No. 
2900--New (VA Form 10-21081)'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Ann W. Bickoff (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: After Death Bereaved Family Member Satisfaction Survey, VA 
Form 10-21081(NR).
    OMB Control Number: 2900--New (VA Form 10-21081).
    Type of Review: New collection.
    Abstract: The data collected on VA Form 10-21081(NR) will be used 
to survey family members of deceased veterans on their satisfaction 
with the quality of care provided to their loved one prior to his or 
her death at a VA facility.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 588 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 2,351.

    Dated: March 20, 2006.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E6-4496 Filed 3-28-06; 8:45 am]
BILLING CODE 8320-01-P