[Federal Register Volume 76, Number 3 (Wednesday, January 5, 2011)]
[Notices]
[Page 624]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-33289]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (VA Form 10-0476)]


Proposed Information Collection (Patient Satisfaction Survey 
Michael E. DeBakey Home Care Program) Activity: Comment Request

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, 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; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before February 4, 2011.

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-New (VA Form 10-0476)'' 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-New (VA 
Form 10-0476).''

SUPPLEMENTARY INFORMATION:
    Title: Patient Satisfaction Survey Michael E. DeBakey Home Care 
Program, VA Form 10-0476.
    OMB Control Number: 2900-New (VA Form 10-0476).
    Type of Review: New collection.
    Abstract: VA Form 10-0476 will be used to gather feedback from 
patients regarding their satisfaction with the quality of services/care 
provided by home care program staff.
    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 October 12, 2010, at page 62635.
    Estimated Annual Burden: 17 hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 50.
    Estimated Number of Responses: 100.

    Dated: December 30, 2010.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-33289 Filed 1-4-11; 8:45 am]
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