[Federal Register Volume 77, Number 203 (Friday, October 19, 2012)]
[Notices]
[Page 64388]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-25757]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0427]


Agency Information Collection (Former POW Medical History), VA 
Form 10-0048 Activities 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 (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 November 19, 2012.

ADDRESSES: Submit written comments on the collection of information 
through 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. 2900-0427'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492, fax (202) 632-7583 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0427.''

SUPPLEMENTARY INFORMATION:
    Title: Former POW Medical History, VA Form 10-0048.
    OMB Control Number: 2900-0427.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 10-0048 is completed by a VA physician during a 
medical examination of a Former Prisoner of War veteran. VA will use 
the data collected as a guide and reference for treatment planning for 
the FPOW veteran.
    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 August 1, 2012, at page 45717.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden: 113 hours.
    Estimated Average Burden per Respondent: 90 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 75.

    Dated: October 15, 2012.

    By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy and Management, Office of 
the General Counsel, Department of Veterans Affairs.
[FR Doc. 2012-25757 Filed 10-18-12; 8:45 am]
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