[Federal Register Volume 71, Number 245 (Thursday, December 21, 2006)]
[Notices]
[Pages 76727-76728]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-21777]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0616]


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 for 
information needed to determine non-Federal nursing home or residential 
care home qualification in providing care to veteran patients.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before February 20, 2007.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov; or 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. 2900-0616'' in any correspondence. During 
the comment period, comments may be viewed online through the Federal 
Docket Management System (FDMS) at www.Regulations.gov.

FOR FURTHER INFORMATION CONTACT: Ann W. Bickoff (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 76728]]

(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.
    Titles:
    a. Application for Furnishing Long-Term Care Services to 
Beneficiaries of Veterans Affairs, VA Form 10-1170.
    b. Residential Care Home Program--Sponsor Application, VA Form 10-
2407.
    OMB Control Number: 2900-0616.
    Type of Review: Extension of a currently approved collection.
    Abstract:
    a. VA Form 10-1170 is completed by community agencies wishing to 
provide long term care to veterans receiving VA benefits.
    b. VA Form 10-2407 is an application used by a residential care 
facility or home that wishes to provide residential home care to 
veterans. It serves as the agreement between VA and the residential 
care home that the home will submit to an initial inspection and comply 
with VA requirements for residential care.
    Affected Public: Business or other for-profit, Not-for-profit 
institutions, and State, Local or Tribal Government.
    Estimated Annual Burden:
    a. VA Form 10-1170--83 hours.
    b. VA Form 10-2407--42 hours.
    Estimated Average Burden Per Respondent:
    a. VA Form 10-1170--10 minutes.
    b. VA Form 10-2407--5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents:
    a. VA Form 10-1170--500.
    b. VA Form 10-2407--500.

    Dated: December 11, 2006.
    By direction of the Secretary.

Cindy Stewart,
Program Analyst, Initiative Coordination Service.
 [FR Doc. E6-21777 Filed 12-20-06; 8:45 am]
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