80_FR_44344 80 FR 44202 - Proposed Information Collection; Patient Aligned Care Team (PACT) Telehealth in the Parkinson's Disease Research, Education & Clinical Center (PADRECC), Healthcare Experiences of Patients With Congestive Heart Failure (CHF)

80 FR 44202 - Proposed Information Collection; Patient Aligned Care Team (PACT) Telehealth in the Parkinson's Disease Research, Education & Clinical Center (PADRECC), Healthcare Experiences of Patients With Congestive Heart Failure (CHF)

DEPARTMENT OF VETERANS AFFAIRS

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

Page Range44202-44203
FR Document2015-18171

The 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 new collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on the information needed to evaluate the project aims to enhance PACT implementation by evaluating the effects of the VA PACT initiative and by test new, innovative strategies for patient care that can be spread if proven effective.

Federal Register, Volume 80 Issue 142 (Friday, July 24, 2015)
[Federal Register Volume 80, Number 142 (Friday, July 24, 2015)]
[Notices]
[Pages 44202-44203]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-18171]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Proposed Information Collection; Patient Aligned Care Team (PACT) 
Telehealth in the Parkinson's Disease Research, Education & Clinical 
Center (PADRECC), Healthcare Experiences of Patients With Congestive 
Heart Failure (CHF)

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

ACTIVITY: Under OMB Review.
SUMMARY: The 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 new collection, and 
allow 60 days for public comment in response to the notice. This notice 
solicits comments on the information needed to evaluate the project 
aims to enhance PACT implementation by evaluating the effects of the VA 
PACT initiative and by test new, innovative strategies for patient care 
that can be spread if proven effective.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 24, 2015.

[[Page 44203]]


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 
[email protected]. Please refer to ``OMB Control No. 2900-NEW 
(Patient Aligned Care Team (PACT) Telehealth in the Parkinson's Disease 
Research, Education & Clinical Center (PADRECC), Healthcare Experiences 
of Patients with Congestive Heart Failure (CHF))'' in any 
correspondence. During the comment period, comments may be viewed 
online through the FDMS.

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 
[email protected]. Please refer to ``OMB Control No. 2900-NEW 
(Patient Aligned Care Team (PACT) Telehealth in the Parkinson's Disease 
Research, Education & Clinical Center (PADRECC), Healthcare Experiences 
of Patients with Congestive Heart Failure (CHF))'' in any 
correspondence.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-3521), 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.
    Titles: PACT Telehealth in the PADRECC, Healthcare Experiences of 
Patients with CHF, VA Forms 10-10135a, 10-10135b, 10-10135c, 10-10135d, 
10-10136, 10-10137
    OMB Control Number: 2900-NEW.
    Type of Review: New data collection.
    Abstract The Office of Patient Care Services, Primary Care Program 
Office, has undertaken an initiative to implement a patient-centered 
medical home model at all Veterans Health Administration (VHA) 
Ambulatory Primary Care sites. In addition to the VHA's Universal 
Health Care Services implementation of the Patient Aligned Care Team 
(PACT), Patient Care Services has funded 5 PACT Demonstration 
Laboratories across the country.

Focus Group Survey

    Affected Public: Individuals or households.
    Estimated Annual Burden: 20 hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 40.

10-10135a (GDS)

    Affected Public: Individuals or households.
    Estimated Annual Burden: 35 hours.
    Estimated Average Burden per Respondent: 7 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 100.

10-10135b (PDQ-8)

    Affected Public: Individuals or households.
    Estimated Annual Burden: 35 hours.
    Estimated Average Burden per Respondent: 7 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 100.

10-10135(c) Cost & Patient Outcomes

    Affected Public: Individuals or households.
    Estimated Annual Burden: 35 hours.
    Estimated Average Burden per Respondent: 7 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 100.

10135(d) Patient Assessment of Communication During Telehealth

    Affected Public: Individuals or households.
    Estimated Annual Burden: 35 hours.
    Estimated Average Burden per Respondent: 7 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 100.
    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 79 FR 72249, December 5, 2015.

    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. 2015-18171 Filed 7-23-15; 8:45 am]
 BILLING CODE 8320-01-P



                                                    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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                                                                                     Federal Register / Vol. 80, No. 142 / Friday, July 24, 2015 / Notices                                                 44203

                                                    ADDRESSES:    Submit written comments                    has undertaken an initiative to                       respond to a collection of information
                                                    on the collection of information through                 implement a patient-centered medical                  unless it displays a currently valid OMB
                                                    www.Regulations.gov, or to Office of                     home model at all Veterans Health                     control number. The Federal Register
                                                    Information and Regulatory Affairs,                      Administration (VHA) Ambulatory                       Notice with a 60-day comment period
                                                    Office of Management and Budget, Attn:                   Primary Care sites. In addition to the                soliciting comments on this collection
                                                    VA Desk Officer; 725 17th St. NW.,                       VHA’s Universal Health Care Services                  of information was published at 79 FR
                                                    Washington, DC 20503 or sent through                     implementation of the Patient Aligned                 72249, December 5, 2015.
                                                    electronic mail to oira_submission@                      Care Team (PACT), Patient Care                           By direction of the Secretary.
                                                    omb.eop.gov. Please refer to ‘‘OMB                       Services has funded 5 PACT                            Kathleen M. Manwell,
                                                    Control No. 2900–NEW (Patient Aligned                    Demonstration Laboratories across the                 Program Analyst, VA Privacy Service, Office
                                                    Care Team (PACT) Telehealth in the                       country.                                              of Privacy and Records Management,
                                                    Parkinson’s Disease Research, Education                                                                        Department of Veterans Affairs.
                                                                                                             Focus Group Survey
                                                    & Clinical Center (PADRECC),                                                                                   [FR Doc. 2015–18171 Filed 7–23–15; 8:45 am]
                                                    Healthcare Experiences of Patients with                    Affected Public: Individuals or
                                                                                                                                                                   BILLING CODE 8320–01–P
                                                    Congestive Heart Failure (CHF))’’ in any                 households.
                                                    correspondence. During the comment                         Estimated Annual Burden: 20 hours.
                                                    period, comments may be viewed online                      Estimated Average Burden per                        DEPARTMENT OF VETERANS
                                                    through the FDMS.                                        Respondent: 10 minutes.                               AFFAIRS
                                                    FOR FURTHER INFORMATION CONTACT:                           Frequency of Response: Once
                                                                                                             annually.                                             [OMB Control No. 2900–0018]
                                                    Crystal Rennie, Enterprise Records
                                                    Service (005R1B), Department of                            Estimated Number of Respondents:
                                                                                                             40.                                                   Agency Information Collection-
                                                    Veterans Affairs, 810 Vermont Avenue                                                                           Application for Accreditation as
                                                    NW., Washington, DC 20420, (202) 632–                    10–10135a (GDS)                                       Service Organization Representative
                                                    7492 or email crystal.rennie@va.gov.                                                                           Activity Under OMB Review
                                                    Please refer to ‘‘OMB Control No. 2900–                    Affected Public: Individuals or
                                                    NEW (Patient Aligned Care Team                           households.                                           AGENCY: Office of the General Counsel,
                                                                                                               Estimated Annual Burden: 35 hours.                  Department of Veterans Affairs.
                                                    (PACT) Telehealth in the Parkinson’s
                                                                                                               Estimated Average Burden per                        ACTION: Notice.
                                                    Disease Research, Education & Clinical
                                                                                                             Respondent: 7 minutes.
                                                    Center (PADRECC), Healthcare
                                                                                                               Frequency of Response: Once                         SUMMARY:   In compliance with the
                                                    Experiences of Patients with Congestive                                                                        Paperwork Reduction Act (PRA) of 1995
                                                                                                             annually.
                                                    Heart Failure (CHF))’’ in any                                                                                  (44 U.S.C. 3501–3521), this notice
                                                                                                               Estimated Number of Respondents:
                                                    correspondence.                                                                                                announces that the Office of the General
                                                                                                             100.
                                                    SUPPLEMENTARY INFORMATION: Under the                                                                           Counsel (OGC), Department of Veterans
                                                    PRA of 1995 (Pub. L. 104–13; 44 U.S.C.                   10–10135b (PDQ–8)                                     Affairs, has submitted the collection of
                                                    3501–3521), Federal agencies must                          Affected Public: Individuals or                     information abstracted below to the
                                                    obtain approval from the Office of                       households.                                           Office of Management and Budget
                                                    Management and Budget (OMB) for each                       Estimated Annual Burden: 35 hours.                  (OMB) for review and comment. The
                                                    collection of information they conduct                     Estimated Average Burden per                        PRA submission describes the nature of
                                                    or sponsor. This request for comment is                  Respondent: 7 minutes.                                the information collection and its
                                                    being made pursuant to section                             Frequency of Response: Once                         expected cost and burden; it includes
                                                    3506(c)(2)(A) of the PRA.                                annually.                                             the actual data collection instrument.
                                                      With respect to the following                            Estimated Number of Respondents:                    DATES: Comments must be submitted on
                                                    collection of information, VHA invites                   100.                                                  or before August 24, 2015.
                                                    comments on: (1) Whether the proposed                                                                          ADDRESSES: Submit written comments
                                                    collection of information is necessary                   10–10135(c) Cost & Patient Outcomes
                                                                                                                                                                   on the collection of information through
                                                    for the proper performance of VHA’s                        Affected Public: Individuals or                     www.Regulations.gov, or to Office of
                                                    functions, including whether the                         households.                                           Information and Regulatory Affairs,
                                                    information will have practical utility;                   Estimated Annual Burden: 35 hours.                  Office of Management and Budget, Attn:
                                                    (2) the accuracy of VHA’s estimate of                      Estimated Average Burden per                        VA Desk Officer; 725 17th St. NW.,
                                                    the burden of the proposed collection of                 Respondent: 7 minutes.                                Washington, DC 20503 or sent through
                                                    information; (3) ways to enhance the                       Frequency of Response: Once                         electronic mail to oira_submission@
                                                    quality, utility, and clarity of the                     annually.                                             omb.eop.gov. Please refer to ‘‘OMB
                                                    information to be collected; and (4)                       Estimated Number of Respondents:                    Control No. 2900–0018’’ in any
                                                    ways to minimize the burden of the                       100.                                                  correspondence.
                                                    collection of information on                             10135(d) Patient Assessment of                        FOR FURTHER INFORMATION CONTACT:
                                                    respondents, including through the use                   Communication During Telehealth                       Dana Raffaelli, Office of the General
                                                    of automated collection techniques or
                                                                                                               Affected Public: Individuals or                     Counsel (022O), Department of Veterans
                                                    the use of other forms of information
                                                                                                             households.                                           Affairs, 810 Vermont Avenue NW.,
                                                    technology.
                                                                                                               Estimated Annual Burden: 35 hours.                  Washington, DC 20420 or email to
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                      Titles: PACT Telehealth in the
                                                    PADRECC, Healthcare Experiences of                         Estimated Average Burden per                        dana.raffaelli2@va.gov. Please refer to
                                                    Patients with CHF, VA Forms                              Respondent: 7 minutes.                                ‘‘OMB Control No. 2900–0018’’ in any
                                                    10–10135a, 10–10135b, 10–10135c,                           Frequency of Response: Once                         correspondence.
                                                    10–10135d, 10–10136, 10–10137                            annually.                                             SUPPLEMENTARY INFORMATION:
                                                      OMB Control Number: 2900–NEW.                            Estimated Number of Respondents:                       Title: Application for Accreditation as
                                                      Type of Review: New data collection.                   100.                                                  Service Organization Representative,
                                                      Abstract The Office of Patient Care                      An agency may not conduct or                        VA Form 21; Accreditation Cancellation
                                                    Services, Primary Care Program Office,                   sponsor, and a person is not required to              Information.


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Document Created: 2018-02-23 09:24:54
Document Modified: 2018-02-23 09:24:54
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesWritten comments and recommendations on the proposed collection of information should be received on or before August 24, 2015.
ContactCrystal 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-NEW (Patient Aligned Care Team (PACT) Telehealth in the Parkinson's Disease Research, Education & Clinical Center (PADRECC), Healthcare Experiences of Patients with Congestive Heart Failure (CHF))'' in any correspondence.
FR Citation80 FR 44202 

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