[Federal Register Volume 74, Number 173 (Wednesday, September 9, 2009)]
[Notices]
[Pages 46484-46485]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-21574]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0260]


Proposed Information Collection (Request for and Authorization To 
Release Medical Records or Health Information) Activity: Comment 
Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Health Administration (VHA) 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 revision 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 obtain a patient written consent to 
disclose medical records or health information to individuals or third 
parties.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before November 9, 2009.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov; 
or to Mary Stout, 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. 2900-0260'' 
in any correspondence. During the comment period, comments may be 
viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Mary Stout, (202) 461-5867 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

[[Page 46485]]

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.
    Titles:
    a. Request for and Authorization To Release Medical Records or 
Health Information, VA Form 10-5345.
    b. Individual's Request for a Copy of Their Own Health Information, 
VA Form 10-5345a.
    c. My HealtheVet (MHV)--Individuals' Request for a Copy of Their 
Own Health Information, VA Form 10-5345a-MHV.
    OMB Control Number: 2900-0260.
    Type of Review: Revision of a currently approved collection.
    Abstract:
    a. VA Form 10-5345 is used to obtain a written consent from 
patients before information concerning his or her treatment for 
alcoholism or alcohol abuse, drug abuse, sickle cell anemia, or 
infection with the human immunodeficiency virus (HIV) can be disclosed 
to private insurance companies, physicians and other third parties.
    b. Patients complete VA Form 10-5345a to request a copy of their 
health information maintained at Department of Veterans Affairs.
    c. VA Form 10-5345a-MHV is completed by individuals requesting 
their health information electronically through My HealtheVet.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden:
    a. VA Form 10-5345--15,000 hours.
    b. VA Form 10-5345a--15,000 hours.
    c. VA Form 10-5345a-MVH--35,000 hours.
    Estimated Average Burden per Respondent:
    a. VA Form 10-5345--3 minutes.
    b. VA Form 10-5345a--3 minutes.
    c. VA Form 10-5345a-MVH--3 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. VA Form 10-5345--300,000.
    b. VA Form 10-5345a--300,000.
    c. 10-5345a-MVH--700,000.

    Dated: September 2, 2009.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9-21574 Filed 9-8-09; 8:45 am]
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