[Federal Register Volume 74, Number 63 (Friday, April 3, 2009)]
[Notices]
[Page 15325]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-7464]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0701]


Agency Information Collection Activities (Bereaved Family Member 
Satisfaction Survey) 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. 3501-3521), this notice announces that the Veterans Health 
Administration (VHA), Department of Veterans Affairs, will submit 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 May 4, 2009.

ADDRESSES: Submit written comments on the collection of information 
through http://www.Regulations.gov; or 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 ``OMB 
Control No. 2900-0701'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., Washington, DC 20420, (202) 461-7485, fax (202) 273-0443 or e-mail 
[email protected]. Please refer to ``OMB Control No. 2900-
0701.''

SUPPLEMENTARY INFORMATION: 
    Title: Bereaved Family Member Satisfaction Survey, VA Form 10-
21081(NR).
    OMB Control Number: 2900-0701.
    Type of Review: Extension of a currently approved 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 care provided to their love 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 January 5, 2009 at pages 335-336.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,650 hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 9,900.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9-7464 Filed 4-2-09; 8:45 am]
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