80 FR 44201 - Agency Information Collection: VA Form 27-0820, Report of General Information, VA Form 27-0820a, Report of Death of Veteran/Beneficiary, VA Form 27-0820b, Report of Nursing Home Information, VA Form 27-0820c, Report of Defense Finance and Accounting Service (DFAS), VA Form 27-0820d, Report of Lost Check, VA Form 27-0820e, Report of Incarceration, VA Form 27-0820f, Report of Contact-Month of Death Check

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 80, Issue 142 (July 24, 2015)

Page Range		44201-44202
FR Document		2015-18167

In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Veterans Benefits Administration (VBA), 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; it includes the actual data collection instrument.

Federal Register, Volume 80 Issue 142 (Friday, July 24, 2015)

[Federal Register Volume 80, Number 142 (Friday, July 24, 2015)]
[Notices]
[Pages 44201-44202]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-18167]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0734]


Agency Information Collection: VA Form 27-0820, Report of General 
Information, VA Form 27-0820a, Report of Death of Veteran/Beneficiary, 
VA Form 27-0820b, Report of Nursing Home Information, VA Form 27-0820c, 
Report of Defense Finance and Accounting Service (DFAS), VA Form 27-
0820d, Report of Lost Check, VA Form 27-0820e, Report of Incarceration, 
VA Form 27-0820f, Report of Contact-Month of Death Check

AGENCY: Veterans Benefits 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 Veterans Benefits 
Administration (VBA), 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; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before August 24, 2015.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov, or to Office of Information and Regulatory 
Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 
17th St. NW., Washington, DC 20503 or sent through electronic mail to 
oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
0734'' 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 or email 
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-0734.''

SUPPLEMENTARY INFORMATION: 
    Title: Report of General Information.
    OMB Control Number: 2900-0734.
    Type of Review: Revision of a currently approved collection.
    Abstract: The forms will be used by VA personnel to document verbal 
information obtained telephonically from claimants or their 
beneficiary. The data collected will be used as part of the evidence 
needed to determine the claimant's or beneficiary's eligibility for 
benefits.
    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 at 80 FR 01665 on January 29, 2015.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 212,500 (Total of: VA Form 27-
0820(19,667), VA Form 27-0820a(6,667), VA Form 27-0820b (2,500) VA Form 
27-0820c(2,500), VA Form 27-0820d(2,500), VA Form 27-0820e (833), and 
VA Form 27-0820f (833).
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 2,550,000 (Total of: VA Form 27-
0820 (2,360,000), VA Form 27-0820a

[[Page 44202]]

(80,000), VA Form 27-0820b(30,000), VA Form 27-0820c (30,000), VA Form 
27-0820d (30,000), VA Form 27-0820e (10,000), and VA Form 27-0820f 
(10,000)).

    By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records 
Management, Department of Veterans Affairs.
[FR Doc. 2015-18167 Filed 7-23-15; 8:45 am]
BILLING CODE 8320-01-P

Federal Register / Vol. 80, No. 142 / Friday, July 24, 2015 / Notices 44201

NW, Washington, DC 20420 or email: OIF Veterans who participated in the announces that the Veterans Benefits
Audrey.revere@va.gov. Please refer to original survey for the purpose of Administration (VBA), Department of
‘‘OMB Control No. 2900–0730’’ in any further exploring the construct validity Veterans Affairs, will submit the
correspondence. During the comment of these scales. Specifically, the goal of collection of information abstracted
period, comments may be viewed online this follow-up study is to examine below to the Office of Management and
through the FDMS. deployment-related factors assessed in Budget (OMB) for review and comment.
FOR FURTHER INFORMATION CONTACT: the DRRI as they relate to subsequently The PRA submission describes the
Audrey Revere at (202) 461–5694. assessed occupational and family nature of the information collection and
SUPPLEMENTARY INFORMATION: Under the outcomes, as well as VA service use. its expected cost and burden; it includes
PRA of 1995 (Pub. L. 104–13; 44 U.S.C. The long-term goal of this project is to the actual data collection instrument.
3501–3521), Federal agencies must provide a suite of scales that will be DATES: Comments must be submitted on
obtain approval from the Office of optimally useful to researchers and or before August 24, 2015.
Management and Budget (OMB) for each clinicians interested in studying factors ADDRESSES: Submit written comments
collection of information they conduct that increase or reduce risk for PTSD on the collection of information through
or sponsor. This request for comment is and other health problems among www.Regulations.gov, or to Office of
being made pursuant to section Veteran and military samples. Information and Regulatory Affairs,
3506(c)(2)(A) of the PRA. Legal authority for this data collection Office of Management and Budget, Attn:
With respect to the following is found under 38 U.S.C., part I, chapter VA Desk Officer; 725 17th St. NW.,
collection of information, VHA invites 5, section 527 that authorizes the Washington, DC 20503 or sent through
comments on: (1) Whether the proposed collection of data that will allow electronic mail to
collection of information is necessary measurement and evaluation of the oira_submission@omb.eop.gov. Please
for the proper performance of VHA’s Department of Veterans Affairs refer to ‘‘OMB Control No. 2900–0734’’
functions, including whether the Programs, the goal of which is improved in any correspondence.
information will have practical utility; health care for veterans.
FOR FURTHER INFORMATION CONTACT:
(2) the accuracy of VHA’s estimate of Affected Public: Individuals or
Crystal Rennie, Enterprise Records
the burden of the proposed collection of Households,
Service (005R1B), Department of
information; (3) ways to enhance the Estimated Annual Burden: 1,383
Veterans Affairs, 810 Vermont Avenue
quality, utility, and clarity of the burden hours.
NW., Washington, DC 20420, (202) 632–
information to be collected; and (4) Estimated Average Burden per
7492 or email crystal.rennie@va.gov.
ways to minimize the burden of the Respondent: 50 minutes.
Please refer to ‘‘OMB Control No. 2900–
collection of information on Frequency of Response: Annually.
0734.’’
respondents, including through the use Estimated Number of Respondents:
SUPPLEMENTARY INFORMATION:
of automated collection techniques or 2000.
Title: Report of General Information.
the use of other forms of information By direction of the Secretary. OMB Control Number: 2900–0734.
technology. Kathleen M. Manwell, Type of Review: Revision of a
Titles: Development of the Program Analyst, VA Privacy Service, Office currently approved collection.
Deployment Risk and Resilience of Privacy and Records Management, Abstract: The forms will be used by
Inventory (DRRI) Department of Veterans Affairs. VA personnel to document verbal
OMB Control Number: 2900–0730 [FR Doc. 2015–18166 Filed 7–23–15; 8:45 am] information obtained telephonically
Type of Review: Extension. BILLING CODE 8320–01–P from claimants or their beneficiary. The
Abstract: The need to validate data collected will be used as part of the
measures for use with the newest evidence needed to determine the
deployment cohort, including Veterans DEPARTMENT OF VETERANS claimant’s or beneficiary’s eligibility for
of the wars in Iraq and Afghanistan, has AFFAIRS benefits.
been identified as a critical need by both An agency may not conduct or
VA and DoD. The current request for a [OMB Control No. 2900–0734]
sponsor, and a person is not required to
revision to OMB 2900–0730 is respond to a collection of information
Agency Information Collection: VA
responsive to this identified need by unless it displays a currently valid OMB
Form 27–0820, Report of General
proposing additional data collection control number. The Federal Register
Information, VA Form 27–0820a,
with a sample of Operation Enduring Notice with a 60-day comment period
Report of Death of Veteran/Beneficiary,
Freedom/Operation Iraqi Freedom soliciting comments on this collection
VA Form 27–0820b, Report of Nursing
(OEF/OIF) Veterans for the purpose of of information was published at 80 FR
Home Information, VA Form 27–0820c,
validating updated scales for assessing 01665 on January 29, 2015.
Report of Defense Finance and
deployment-related risk and resilience Affected Public: Individuals or
Accounting Service (DFAS), VA Form
factors that have documented households.
27–0820d, Report of Lost Check, VA
implications for PTSD and other mental Estimated Annual Burden: 212,500
Form 27–0820e, Report of
health problems. The originally (Total of: VA Form 27–0820(19,667), VA
Incarceration, VA Form 27–0820f,
approved OMB project (VA Form 10– Form 27–0820a(6,667), VA Form 27–
Report of Contact-Month of Death
21087) involved collecting data from 0820b (2,500) VA Form 27–
Check
Operation Enduring Freedom/Operation
asabaliauskas on DSK5VPTVN1PROD with NOTICES

0820c(2,500), VA Form 27–
Iraqi Freedom (OEF/OIF) veterans to AGENCY: Veterans Benefits 0820d(2,500), VA Form 27–0820e (833),
further refine and validate updated Administration, Department of Veterans and VA Form 27–0820f (833).
Deployment Risk and Resilience Affairs. Estimated Average Burden per
Inventory (DRRI) scales with respect to ACTION: Notice. Respondent: 5 minutes.
mental health outcomes. The purpose of Frequency of Response: One-time.
the present request for a revision to this SUMMARY: In compliance with the Estimated Number of Respondents:
OMB-approved project is to conduct Paperwork Reduction Act (PRA) of 1995 2,550,000 (Total of: VA Form 27–0820
additional data collections with OEF/ (44 U.S.C. 3501–3521), this notice (2,360,000), VA Form 27–0820a

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44202 Federal Register / Vol. 80, No. 142 / Friday, July 24, 2015 / Notices

(80,000), VA Form 27–0820b(30,000), Feedback Questionnaire—PACT Demo Estimated Annual Burden: 83 burden
VA Form 27–0820c (30,000), VA Form Lab VISN 4)’’ in any correspondence. hours.
27–0820d (30,000), VA Form 27–0820e During the comment period, comments Estimated Average Burden per
(10,000), and VA Form 27–0820f may be viewed online through the Respondent: 5 minutes.
(10,000)). FDMS. Frequency of Response: Once
annually.
By direction of the Secretary. FOR FURTHER INFORMATION CONTACT:
Estimated Number of Respondents:
Kathleen M. Manwell, Crystal Rennie, Enterprise Records 1000.
Program Analyst, VA Privacy Service, Office Service (005R1B), Department of An agency may not conduct or
of Privacy and Records Management, Veterans Affairs, 810 Vermont Avenue sponsor, and a person is not required to
Department of Veterans Affairs. NW., Washington, DC 20420, (202) 632– respond to a collection of information
[FR Doc. 2015–18167 Filed 7–23–15; 8:45 am] 7492 or email crystal.rennie@va.gov. unless it displays a currently valid OMB
BILLING CODE 8320–01–P Please refer to ‘‘OMB Control No. 2900– control number. The Federal Register
NEW (Audience Feedback Notice with a 60-day comment period
Questionnaire—PACT Demo Lab VISN soliciting comments on this collection
DEPARTMENT OF VETERANS 4)’’ in any correspondence. of information was published at 80 FR
AFFAIRS SUPPLEMENTARY INFORMATION: Under the 4336, January 27, 2015.
[OMB Control No. 2900—NEW] PRA of 1995 (Pub. L. 104–13; 44 U.S.C. By direction of the Secretary.
3501–3521), Federal agencies must Kathleen M. Manwell,
Proposed Information Collection; From obtain approval from the Office of
Program Analyst, VA Privacy Service, Office
War to Home: Improving Patient- Management and Budget (OMB) for each of Privacy and Records Management,
Centered Care and Promoting Empathy collection of information they conduct Department of Veterans Affairs.
for ‘‘Operation Enduring Freedom’’ and or sponsor. This request for comment is [FR Doc. 2015–18170 Filed 7–23–15; 8:45 am]
‘‘Operation Iraqi Freedom’’ (OEF/OIF) being made pursuant to section
BILLING CODE 8320–01–P
Veterans in the Veterans Health 3506(c)(2)(A) of the PRA.
Administration Patient Aligned Care With respect to the following
Team Demo Lab VISN 4 collection of information, VHA invites DEPARTMENT OF VETERANS
comments on: (1) Whether the proposed AFFAIRS
AGENCY: Veterans Health collection of information is necessary
Administration, Department of Veterans for the proper performance of VHA’s [OMB Control No. 2900–NEW]
Affairs. functions, including whether the
ACTION: Notice. Proposed Information Collection;
information will have practical utility;
Patient Aligned Care Team (PACT)
(2) the accuracy of VHA’s estimate of
ACTIVITY: Under OMB Review. Telehealth in the Parkinson’s Disease
the burden of the proposed collection of
SUMMARY: The Veterans Health Research, Education & Clinical Center
information; (3) ways to enhance the
Administration (VHA), Department of (PADRECC), Healthcare Experiences of
quality, utility, and clarity of the
Veterans Affairs (VA), is announcing an Patients With Congestive Heart Failure
information to be collected; and (4)
opportunity for public comment on the (CHF)
ways to minimize the burden of the
proposed collection of certain
collection of information on AGENCY: Veterans Health
information by the agency. Under the
respondents, including through the use Administration, Department of Veterans
Paperwork Reduction Act (PRA) of
of automated collection techniques or Affairs.
1995, Federal agencies are required to
the use of other forms of information ACTION: Notice.
publish notice in the Federal Register
technology.
concerning each proposed collection of Titles: From War to Home: Improving ACTIVITY: Under OMB Review.
information, including each new Patient-Centered Care and Promoting SUMMARY: The Veterans Health
collection, and allow 60 days for public Empathy for OEF/OIF Veterans in the Administration (VHA), Department of
comment in response to the notice. This VHA—PACT Demo Lab VISN 4, VA Veterans Affairs (VA), is announcing an
notice solicits comments on the Form 10–10130. opportunity for public comment on the
information needed to evaluate the OMB Control Number: 2900—NEW. proposed collection of certain
project aims to enhance PACT Type of Review: New data collection. information by the agency. Under the
implementation by evaluating the Abstract: This project is being Paperwork Reduction Act (PRA) of
effects of the VA PACT initiative and by conducted under the auspices of the 1995, Federal agencies are required to
test new, innovative strategies for VISN 4 Demonstration Lab, which was publish notice in the Federal Register
patient care that can be spread if proven funded by Patient Care Services to concerning each proposed collection of
effective. assess the Patient Aligned Care Team information, including each new
DATES: Written comments and (PACT) model of care for Veterans. collection, and allow 60 days for public
recommendations on the proposed There is considerable interest in and comment in response to the notice. This
collection of information should be urgency to implement the PACT notice solicits comments on the
received on or before August 24, 2015. model—reflecting both a desire to information needed to evaluate the
ADDRESSES: Submit written comments improve health care for Veterans and to project aims to enhance PACT
on the collection of information through sustain the VA’s leadership in health implementation by evaluating the
asabaliauskas on DSK5VPTVN1PROD with NOTICES

www.Regulations.gov, or to Office of care quality. CEPACT aims to contribute effects of the VA PACT initiative and by
Information and Regulatory Affairs, to these goals by evaluating the effects test new, innovative strategies for
Office of Management and Budget, Attn: of the VA PACT initiative and by testing patient care that can be spread if proven
VA Desk Officer; 725 17th St. NW., new, innovative strategies for patient effective.
Washington, DC 20503 or sent through care that can be spread if proven DATES: Written comments and
electronic mail to oira_submission@ effective. recommendations on the proposed
omb.eop.gov. Please refer to ‘‘OMB Affected Public: Individuals or collection of information should be
Control No. 2900—NEW (Audience households. received on or before August 24, 2015.

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Document Created: 2018-02-23 09:25:07
Document Modified: 2018-02-23 09:25:07

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		Comments must be submitted on or before August 24, 2015.
Contact		Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email [email protected] Please refer to ``OMB Control No. 2900-0734.''
FR Citation		80 FR 44201