[Federal Register Volume 84, Number 146 (Tuesday, July 30, 2019)]
[Notices]
[Pages 37016-37017]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-16102]


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

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0160]


Agency Information Collection Activity: State Home Programs for 
Veterans

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: Veterans Health Administration, Department of Veterans Affairs 
(VA), is announcing an opportunity for public comment on the proposed 
collection of certain information by the agency. Under the Paperwork 
Reduction Act (PRA) of 1995, Federal agencies are required to publish 
notice in the Federal Register concerning each proposed collection of 
information, including each proposed extension of a currently approved 
collection, and allow 60 days for public comment in response to the 
notice.

DATES:  Written comments and recommendations on the proposed collection 
of information should be received on or before September 30, 2019.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Brian McCarthy, Office of Regulatory and Administrative Affairs 
(10B4), Department of Veterans Affairs, 810 Vermont Avenue NW, 
Washington, DC 20420 or email to [email protected]. Please refer 
to ``OMB Control No. 2900-0160'' in any correspondence. During the 
comment period, comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 615-9241.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995, Federal agencies must 
obtain approval from the Office of

[[Page 37017]]

Management and Budget (OMB) for each collection of information they 
conduct or sponsor. This request for comment is being made pursuant to 
Section 3506(c)(2)(A) of the PRA.
    With respect to the following collection of information, VHA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VHA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VHA's estimate of the burden of the proposed collection of 
information; (3) ways to enhance the quality, utility, and clarity of 
the information to be collected; and (4) ways to minimize the burden of 
the collection of information on respondents, including through the use 
of automated collection techniques or the use of other forms of 
information technology.
    Authority: Public Law 104-13; 44 U.S.C. 3501-3521.
    Title: State Home Programs for Veterans (VA Forms 10-5588, 10-
5588A, and 10-10SH).
    OMB Control Number: 2900-0160.
    Type of Review: Reinstatement with change of a previously approved 
collection.
    Abstract: Congress passed Public Law 115-159, the State Veterans 
Home Adult Day Health Care Improvement Act of 2017, requiring VA to pay 
State homes for medical model adult day health care to certain eligible 
Veterans, and Title 38, CFR part 52, which provides for the payment of 
per diem to State homes that provide adult day health care to eligible 
Veterans. It also continues to provide for the payment of per diem to 
State homes that provide care to eligible Veterans in accordance with 
Title 38, CFR part 51. The intended effect of these provisions is to 
provide a safeguard that Veterans are receiving high quality care in 
State homes.
    This information collection is necessary to ensure that VA per diem 
payments are limited to facilities providing high quality care. To 
verify this level of care, VA requires those facilities providing 
nursing home care, domiciliary, and adult day health care programs to 
Veterans to supply various kinds of information. The information 
required includes an application/eligibility for admission and 
justification for payment; records and reports which facility 
management must maintain regarding activities of payment for eligible 
residents or participants; and the records and reports that facilities 
management and health care professionals must maintain regarding the 
level of care approved for residents or participants.
    This OMB Control Number previously included six additional forms, 
VA Forms 10-0460, 10-0143, 10-0143A, 10-0144, 10-0144A, and 10-3567, 
which have now been separated out into another information collection 
(to be approved under a separate OMB Control Number). This information 
collection, under OMB Control Number 2900-0160, now includes only three 
forms: VA Forms 10-5588, 10-5588A, and 10-10SH.
    a. VA Form 10-5588: State Home Report and Statement of Federal Aid 
Claimed--38 CFR 51, 52 and Title 38, U.S.C., Sections 1741, 1742, 1743 
and 1745--is used to assess and provide per diem to State homes. This 
collection is used by the State home employees and VA Staff.
    b. VA Form 10-5588A: Claim for Increased Per Diem Payment for 
Veterans Awarded Retroactive Service Connection--38 CFR 51, 52 and 
Title 38, U.S.C., Sections 1741, 1742, 1743 and 1745--is used to assess 
and provide per diem to State homes retroactively. This collection is 
used by the State home employees and VA Staff.
    c. VA Form 10-10SH: State Home Program Application for Veterans 
Care Medical Certification--38 CFR 51, 52 and Title 38, U.S.C., 
Sections 1741, 1742, 1743 and 1745--provides for the collection of 
information to apply for the benefits of this program.

VA Form 10-5588

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 834 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Monthly.
    Estimated Number of Respondents: 139.

VA Form 10-5588A

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 180 hours.
    Estimated Average Burden per Respondent: 20 minutes.
    Frequency of Response: Monthly.
    Estimated Number of Respondents: 45.

VA Form 10-10SH

    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 3,802 hours.
    Estimated Average Burden per Respondent: 20 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 11,406.

    By direction of the Secretary.
Danny S. Green,
Interim VA Clearance Officer, Office of Quality, Performance and Risk 
(OQPR), Department of Veterans Affairs.
[FR Doc. 2019-16102 Filed 7-29-19; 8:45 am]
BILLING CODE 8320-01-P