[Federal Register Volume 75, Number 10 (Friday, January 15, 2010)]
[Notices]
[Pages 2595-2596]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-658]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0616]


Proposed Information Collection (Application for Furnishing Long-
Term Care Services to Beneficiaries of Veterans Affairs, and 
Residential Care Home Program) Activity: 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 new 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 to provide care to 
veteran patients.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before March 16, 2010.

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

FOR FURTHER INFORMATION CONTACT: Mary Stout at (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 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. 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.
    Abstracts:

a. VA Form 10-1170 is completed by community agencies wishing to

[[Page 2596]]

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.
    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: January 12, 2010.

    By direction of the Secretary:
Denise McLamb,
Enterprise Records Service.
[FR Doc. 2010-658 Filed 1-14-10; 8:45 am]
BILLING CODE 8320-01-P