[Federal Register Volume 88, Number 118 (Wednesday, June 21, 2023)]
[Notices]
[Pages 40402-40403]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-13159]



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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.

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SUMMARY: Veterans Health Administration (VHA), 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 August 21, 2023.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Grant Bennett, Office of Regulations, Appeals, and Policy 
(10BRAP), 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: Maribel Aponte, Office of Enterprise 
and Integration, Data Governance Analytics (008), 810 Vermont Ave. NW, 
Washington, DC 20006, (202) 266-4688 or email [email protected]. 
Please refer to ``OMB Control No. 2900-0160'' in any correspondence.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995, Federal agencies must 
obtain approval from the Office of 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: Revision of a currently approved collection.
    Abstract: Authority for this information collection can be found in 
two public laws affecting State homes: Public Law 115-159, the State 
Veterans Home Adult Day Health Care Improvement Act of 2017, which 
requires VA to pay State Veteran Homes (SVHs) for medical model adult 
day health care provided to certain eligible Veterans; and Public Law 
116-315, Section 3007, Waiver of Requirements of Department of Veterans 
Affairs for Receipt of Per Diem Payments for Domiciliary Care at State 
Homes and Modification of Eligibility for such Payments. This 
information collection also enables 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 create a 
safeguard that Veterans are receiving a high quality of care in SVHs.
    To ensure that high quality care is furnished to Veterans, VA 
requires those facilities providing nursing home care, domiciliary 
care, and adult day health care programs to Veterans to supply various 
kinds of information. The information required includes an application 
and justification for payment; records and reports that facility 
management must maintain regarding payment activities of residents or 
participants; and records and reports that facilities management and 
health care professionals must maintain regarding eligible residents or 
participants. The following three forms are included in this 
information collection:
    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 instrument 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. 1741, 1742, 1743 and 1745--is used to assess and 
provide per diem to State homes retroactively. This collection 
instrument 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. 1741, 
1742, 1743 and 1745--provides for the collection of information to 
apply for the benefits of this program.
    The State Home Per Diem (SHPD) Program recently automated the 10-
10SH form. The form was converted into a web-based, fillable form that 
can be electronically submitted from the SVH to the appropriate VAMC. 
It includes data field validation, assuring that all required fields 
have been filled before the user can electronically submit the 10-10SH 
form. The VA portion of the application also includes business rules to 
assist the VA representatives in making uniform determinations, allow 
the VA representative to return incomplete applications to the SVH 
along with a notification to them, and record receipt of the completed 
application.
    Total Annual Burden: 4,816 hours.
    Total Annual Responses: 13,614.

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.

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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.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration/Data 
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2023-13159 Filed 6-20-23; 8:45 am]
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