[Federal Register Volume 76, Number 243 (Monday, December 19, 2011)]
[Notices]
[Page 78740]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-32269]



[[Page 78740]]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0719]


Agency Information Collection (Prevalence and Clinical Course of 
Depression Among Patients With Heart Failure) 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, 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 January 18, 2012.

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. 2900-0719'' 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) 632-7479, fax (202) 273-0487 or email 
[email protected]. Please refer to ``OMB Control No. 2900-
0719.''

SUPPLEMENTARY INFORMATION:
    Titles: Prevalence and Clinical Course of Depression Among Patients 
with Heart Failure, VA HSR&D, Nursing Research Initiative No. 05-209-3, 
VA Form 10-21085a-e(NR).
    OMB Control Number: 2900-0719.
    Type of Review: Extension of a currently approved collection.
    Abstracts: The data collected will be used to evaluate the 
prevalence of clinical depression and depressive symptoms among 
Veterans with heart failure during periods of hospitalization and 
outpatient care, and to understand the temporal relationship between 
clinical depression, alterations in physical functioning, and the 
levels of circulating biochemical markers in Veterans heart failure 
patients.
    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 October 12, 2011, at page 63355.
    Affected Public: Individuals or households.

Estimated Annual Burden: 1,362.
    a. VA Form 10-21085a(NR)--18 hours.
    b. VA Form 10-21085b(NR)--109 hours.
    c. VA Form 10-21085c(NR)--872 hours.
    d. VA Form 10-21085d(NR)--218 hours.
    e. VA Form 10-21085e(NR)--145 hours.
Estimated Average Burden per Respondent:
    a. VA Form 10-21085a(NR)--5 minutes.
    b. VA Form 10-21085b(NR)--5 minutes.
    c. VA Form 10-21085c(NR)--40 minutes.
    d. VA Form 10-21085d(NR)--10 minutes.
    e. VA Form 10-21085e(NR)--10 minutes.

Frequency of Response: On occasion.

Estimated Number of Respondents: 5,014.
    a. VA Form 10-21085a(NR)--218.
    b. VA Form 10-21085b(NR)--1,308.
    c. VA Form 10-21085c(NR)--1,308.
    d. VA Form 10-21085d(NR)--1,308.
    e. VA Form 10-21085e(NR)--872.

    Dated: December 13, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-32269 Filed 12-16-11; 8:45 am]
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