[Federal Register Volume 77, Number 162 (Tuesday, August 21, 2012)]
[Notices]
[Page 50551]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-20460]



[[Page 50551]]

-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (VA Form 10-0535)]


Agency Information Collection: Emergency Submission for OMB 
Review (PACT VISN20 Health Care Experiences of Patients With Congestive 
Heart Failure, Patient Needs Assessment for Clinical Innovations); 
Comment Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C., 3501-3521), this notice announces that the 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 congestive heart failure (CHF).

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 10-0535).

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 10-0535).

SUPPLEMENTARY INFORMATION: 
    Title: PACT VISN20 Health Care Experiences of Patients with 
Congestive Heart Failure, Patient Needs Assessment for Clinical 
Innovations, VA Form 10-0535.
    OMB Control Number: 2900--New.
    Type of Review: New data collection.
    Abstract: The data collected on VA Form 10-0535 will be used to 
identify strengths and weaknesses in the current care delivery system 
for patients with congestive heart failure.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 100 burden hours.
    Estimated Average Burden per Respondent: 75 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 80.

    Dated: August 16, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst Director, Enterprise Records Service.
[FR Doc. 2012-20460 Filed 8-20-12; 8:45 am]
BILLING CODE 8320-01-P