[Federal Register Volume 77, Number 162 (Tuesday, August 21, 2012)]
[Notices]
[Page 50549]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-20456]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900--New (VA Form 10-0533a-c)]


Agency Information Collection: Emergency Submission for OMB 
Review (Telehealth in the Parkinson's Disease Research, Education and 
Clinical Center (PADRECC): The Key to the Patient-Centered Medical 
Home?); 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), will submit 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 improve the care and clinical 
outcomes of patients with Parkinson's disease.

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 10-0533a-c).

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 10-0533a-c).''

SUPPLEMENTARY INFORMATION: 
    Titles:
    a. PACT ``Telehealth in the Parkinson's Disease Research, Education 
and Clinical Center (PADRECC): The Key to the Patient-Centered Medical 
Home?'', VA Form 10-0533.
    b. Geriatric Depression Scale (GDS) Short Form, VA Form 10-5033a.
    c. Quality of Life in Parkinson's Disease, VA Form 10-0533b.
    d. Cost and Patient Outcomes Questions, VA Form 10-0533c.
    OMB Control Number: 2900--New (VA Form 10-0533a-c).
    Type of Review: New data collection.
    Abstract: The data collected on VA Forms 10-0533a-c will be used to 
obtain data on the cost, clinical outcomes, and patient satisfaction 
associated with expanded access to PADRECC care through the use of 
telehealth. VA will use the information to assess whether or not the 
use of telehealth is feasible, cost-effective, and clinically 
equivalent alternative to routine face-to-face care for patients with 
Parkinson's disease.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 116 burden hours.
    Estimated Average Burden per Respondent: 4.4 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 400.
    Estimated Number of Responses: 1,600.

    Dated: August 16, 2012.

    By direction of the Secretary.
Denise McLamb,
 Program Analyst Director, Enterprise Records Service.
[FR Doc. 2012-20456 Filed 8-20-12; 8:45 am]
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