[Federal Register Volume 71, Number 105 (Thursday, June 1, 2006)]
[Notices]
[Page 31263]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-8416]


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DEPARTMENT OF VETERANS AFFAIRS

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


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 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 July 3, 2006.

FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise 
McLamb, Records Management Service (005G2), Department of Veterans 
Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 565-8374, 
FAX (202) 565-6950 or e-mail: [email protected]. Please refer 
to 2900--New (VA Form 10-21081).'' 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 ``2900--New (VA Form 10-21081).''

SUPPLEMENTARY INFORMATION: 
    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.
    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 March 29, 2006 at page 15800.
    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: May 18, 2006.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
 [FR Doc. E6-8416 Filed 5-31-06; 8:45 am]
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