[Federal Register Volume 76, Number 168 (Tuesday, August 30, 2011)]
[Notices]
[Page 54004]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-22020]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0768]


Agency Information Collection (Joint Application for 
Comprehensive Assistance and Support Services for Family Caregivers) 
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. 3501-21), 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 includes the actual data collection instrument.

DATES: Comments must be submitted on or before September 29, 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. 2900-0768'' 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. 2900-0768.''

SUPPLEMENTARY INFORMATION: 
    Title: Joint Application for Comprehensive Assistance and Support 
Services for Family Caregivers, VA Form 10-10CG.
    OMB Control Number: OMB Control No. 2900-0768.
    Type of Review: Extension of a previously approved collection.
    Abstracts: 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.
    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 June 14, 2011, at pages 34812-34813.
    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: August 24, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-22020 Filed 8-29-11; 8:45 am]
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