[Federal Register Volume 77, Number 162 (Tuesday, August 21, 2012)]
[Notices]
[Page 50546]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-20454]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (VA Form 10-0534)]


Agency Information Collection: Emergency Submission for OMB 
Review (CEPACT (Center for Evaluation of PACT) Demographic 
Questionnaire and Patient Focus Group); Comment Request

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 United States 
Department of Veterans Affairs (VA), has submitted to the Office of 
Management and Budget (OMB) the following emergency proposal for the 
collection of information under the provisions of the Paperwork 
Reduction Act (44 U.S.C. 3507(j)(1)). An emergency clearance is being 
requested for information needed to focus on patient experiences with 
and views on barriers and facilitators to specific aspects of the 
Patient-Aligned Care Team (PACT) care model: High risk care management, 
telemedicine and shared medical appointments.

DATES: Comments must be submitted on or before August 31, 2012.

ADDRESSES: Send comments and recommendations concerning any aspect of 
the information collection to VA's OMB Desk Officer, OMB Human 
Resources and Housing Branch, New Executive Office Building, Room 
10235, Washington, DC 20503 (202) 395-7316 or Fax (202) 395-6974. 
Please refer to ``2900-New (VA Form 10-0534).

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) 632-7583 or email: 
[email protected]. Please refer to ``OMB Control No. 2900-New (VA 
Form 10-0534).

SUPPLEMENTARY INFORMATION: 

    Title: CEPACT (Center for Evaluation of PACT) Demographic 
Questionnaire, VA Form 10-0534 and Patient Focus Group.
    OMB Control Number: 2900-New (VA Form 10-0534).
    Type of Review: New data collection.
    Abstract: The data collected on VA Form 10-0534 will be used to 
implement the PACT model that will in turn improve health care for 
Veterans and sustain VA's leadership in health care quality. This will 
be done to evaluate the effectiveness of various types of care 
delivered to patients throughout the PACT model.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 226.
    Estimated Average Burden per Respondent: 85 minutes for focus 
group; 5 minutes for questionnaire.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 150.
    Estimated Number of Responses: 300.

    Dated: August 16, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst Director, Enterprise Records Service.
[FR Doc. 2012-20454 Filed 8-20-12; 8:45 am]
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