[Federal Register Volume 76, Number 114 (Tuesday, June 14, 2011)]
[Notices]
[Pages 34812-34813]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-14677]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0768]


Proposed Information Collection (Joint Application for 
Comprehensive Assistance and Support Services for Family Caregivers); 
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 extension 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 determine Veterans and their 
caregivers' eligibility to participate in the Family Caregivers 
Program.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 15, 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 ``OMB Control No. 2900-0768'' 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 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.
    Title: Joint Application for Comprehensive Assistance and Support 
Services for Family Caregivers, VA Form 10-10-10CG.
    OMB Control Number: 2900-0768.
    Type of Review: Extension of a currently approved collection.

[[Page 34813]]

    Abstract: VA Form 10-10CG is completed by Veterans who served in 
Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn 
or active duty service member undergoing medical discharge to determine 
their eligibility to receive certain medical, travel, training, and 
financial benefits under the Caregiver Program. Individuals designated 
as primary or secondary family caregiver also complete VA Form 10-10CG 
to determine whether they meet the criteria to serve as caregiver and 
their eligibility receive stipend and certain benefits under the 
Caregiver Program.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden: 1,250 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 5,000.

    Dated: June 9, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-14677 Filed 6-13-11; 8:45 am]
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