[Federal Register Volume 76, Number 91 (Wednesday, May 11, 2011)]
[Notices]
[Pages 27384-27385]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-11460]


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DEPARTMENT OF VETERANS AFFAIRS

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


Agency Information Collection Activity (Veteran Suicide 
Prevention Online Quantitative Surveys) 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. 3501-21), 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 it includes the actual data collection instrument.

DATES: Comments must be submitted on or before June 10, 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 10-0513)'' in any correspondence.

For Further Information or a Copy of the Submission Contact: Denise 
McLamb, Enterprise Records Service (005R1B), Department of Veterans 
Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461-7485, 
FAX (202) 461-0966 or e-mail: [email protected]. Please refer to 
``OMB Control No. 2900-New (VA Form 10-0513).''

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.
    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 February 18, 2011, at page 9637.
    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.

[[Page 27385]]

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: May 5, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-11460 Filed 5-10-11; 8:45 am]
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