[Federal Register Volume 76, Number 34 (Friday, February 18, 2011)]
[Notices]
[Page 9637]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-3648]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (VA Form 10-0513)]


Proposed Information Collection (Veteran Suicide Prevention 
Online Quantitative Surveys) 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 proposed new 
collection, and allow 60 days for public comment in response to the 
notice. This notice solicits comments to support outreach efforts on 
the prevention of suicide among Veterans and their families.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before April 19, 2011.

ADDRESSES: Submit written comments on the collection of information 
through the Federal Docket Management System (FDMS) at http://www.Regulations.gov; or to Cynthia Harvey-Pryor, Veterans Health 
Administration (193E1), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420 or e-mail: [email protected]. Please refer to ``2900-New (VA Form 10-0513)'' in any 
correspondence. During the comment period, comments may be viewed 
online through FDMS.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461-5870 or 
FAX (202) 273-9387.

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. Veterans Online Survey, VA Form 10-0513:
    b. Veterans Family Online Survey, VA Form 10-0513a.
    c. Veterans Primary Care Provider Online Survey, VA Form 10-0513b.
    OMB Control Number: 2900-New (VA Form 10-0513).
    Type of Review: New collection.
    Abstract: VA's top priority is the prevention of Veterans suicide. 
It is imperative to reach these at-risk populations with proactive and 
trust-worthy communications and focused and effective outreach 
activities. As a part of this outreach, VA will collect information 
from Veterans, primary care providers and families of veterans. Data 
collected on the surveys will be used to better understand Veterans and 
their families' awareness of VA's suicide prevention and mental health 
support services. In addition, the surveys will help gauge how Veterans 
view the need for and willingness to accept help when in crises or 
contemplating suicide.
    Affected Public: Individuals and Households.

Estimated Annual Burden

    a. Veterans Online Survey, VA Form 10-0513-300 hours.
    b. Veterans Family Online Survey, VA Form 10-0513a-300 hours.
    c. Veterans Primary Care Provider Online Survey, VA Form 10-0513b-
300 hours.

Estimated Average Burden per Respondent

    a. Veterans Online Survey, VA Form 10-0513-30 mins.
    b. Veterans Family Online Survey, VA Form 10-0513a-30 mins.
    c. Veterans Primary Care Provider Online Survey, VA Form 10-0513b-
30 mins.
    Frequency of Response: Annually.

Estimated Number of Respondents

    a. Veterans Online Survey, VA Form 10-0513-600.
    b. Veterans Family Online Survey, VA Form 10-0513a-600.
    c. Veterans Primary Care Provider Online Survey, VA Form 10-0513b-
600.

    Dated: February 14, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-3648 Filed 2-17-11; 8:45 am]
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