[Federal Register Volume 76, Number 118 (Monday, June 20, 2011)]
[Notices]
[Page 35949]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-15199]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0662]


Agency Information Collection (Civil Rights Discrimination 
Complaint) Activity 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. 3501-3521), 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 includes the actual data collection instrument.

DATES: Comments must be submitted on or before July 20, 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. 2900-0662'' 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) 461-0966 or e-mail 
[email protected]. Please refer to ``OMB Control No. 2900-0662.''

SUPPLEMENTARY INFORMATION: 
    Title: Civil Rights Discrimination Complaint, VA Form 10-0381.
    OMB Control Number: 2900-0662.
    Type of Review: Extension of a currently approved collection.
    Abstract: Veterans and other VHA customers who believe that their 
civil rights were violated by agency employees while receiving medical 
care or services in VA medical centers, or institutions such as state 
homes receiving Federal financial assistance from VA, complete VA Form 
10-0381 to file a formal complaint of the alleged discrimination.
    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 April 13, 2011, at page 20821.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden: 46 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 183.

    By direction of the Secretary.

    Dated: June 15, 2011.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-15199 Filed 6-17-11; 8:45 am]
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