80 FR 44203 - Agency Information Collection-Application for Accreditation as Service Organization Representative Activity Under OMB Review

DEPARTMENT OF VETERANS AFFAIRS

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

Page Range		44203-44204
FR Document		2015-18163

In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Office of the General Counsel (OGC), Department of Veterans Affairs, has submitted 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 44203-44204]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-18163]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0018]


Agency Information Collection-Application for Accreditation as 
Service Organization Representative Activity Under OMB Review

AGENCY: Office of the General Counsel, 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 Office of the 
General Counsel (OGC), Department of Veterans Affairs, has submitted 
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 
[email protected]. Please refer to ``OMB Control No. 2900-
0018'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Dana Raffaelli, Office of the General 
Counsel (022O), Department of Veterans Affairs, 810 Vermont Avenue NW., 
Washington, DC 20420 or email to [email protected]. Please refer 
to ``OMB Control No. 2900-0018'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Application for Accreditation as Service Organization 
Representative, VA Form 21; Accreditation Cancellation Information.

[[Page 44204]]

    OMB Control Number: 2900-0018.
    Type of Review: Revision of a currently approved collection and 
modification to the collection.
    Abstract: Service organizations are required to file an application 
with VA to establish eligibility for accreditation for representatives 
of that organization to represent benefit claimants before VA. VA Form 
21 is completed by service organizations to establish accreditation for 
representatives, recertify the qualifications of accredited 
representatives.
    Organizations requesting cancellation of a representative's 
accreditation based on misconduct or incompetence or resignation to 
avoid cancellation of accreditation based upon misconduct or 
incompetence, are required to inform VA of the specific reason for the 
cancellation request. VA will use the information collected to 
determine whether service organizations representatives continue to 
meet regulatory eligibility requirements to ensure claimants have 
qualified representatives to assist in the preparation, presentation 
and prosecution of their claims for benefits. VA is modifying the 
collection to include an optional request to permit the organization to 
provide an email address and phone number in which the representative 
may be reached. VA believes that the additional contact information 
pertaining to the organization will be helpful in that it provides an 
additional means of communication between VA and the organization as 
well as provides an additional way that Veterans and their family may 
contact the representative. The organization may choose to provide a 
general phone number and email address for the organization, e.g., 
[email protected], or the representative's individual email address through 
the organization and direct phone number, e.g., [email protected] 
does not anticipate the modification request will result in an 
additional burden. VA believes that the organizations already have the 
information available to them, and adding that information to the form 
should not take additional time. This is supported by the fact that 
many organizations are already providing the additional contact 
information. Finally, this request will be optional.
    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 May 20, 2015, at 80 FR 29158.
    Affected Public: Not-for profit institutions.
    Estimated Annual Burden: 782 hours.
    Estimated Average Burden per Respondent: 15 minutes for new 
applicants, 10 minutes for recertification, and 30 minutes for 
accreditation cancellation information responses.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 3,157 (2962 new applicants, 170 
recertification, and 25 accreditation cancellation information 
responses).

    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. 2015-18163 Filed 7-23-15; 8:45 am]
BILLING CODE 8320-01-P

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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44204 Federal Register / Vol. 80, No. 142 / Friday, July 24, 2015 / Notices

OMB Control Number: 2900–0018. Affected Public: Not-for profit ADDRESSES: Submit written comments
Type of Review: Revision of a institutions. on the collection of information through
currently approved collection and Estimated Annual Burden: 782 hours. www.Regulations.gov, or to Office of
modification to the collection. Estimated Average Burden per Information and Regulatory Affairs,
Abstract: Service organizations are Respondent: 15 minutes for new Office of Management and Budget, Attn:
required to file an application with VA applicants, 10 minutes for VA Desk Officer; 725 17th St. NW.,
to establish eligibility for accreditation recertification, and 30 minutes for Washington, DC 20503 or sent through
for representatives of that organization accreditation cancellation information electronic mail to oira_submission@
to represent benefit claimants before responses. omb.eop.gov. Please refer to ‘‘OMB
VA. VA Form 21 is completed by Frequency of Response: On occasion. Control No. 2900–0205, Applications
service organizations to establish Estimated Number of Respondents: and Appraisals for Employment for Title
accreditation for representatives, 3,157 (2962 new applicants, 170 38 Positions and Trainees’’ in any
recertify the qualifications of accredited recertification, and 25 accreditation correspondence. During the comment
representatives. cancellation information responses). period, comments may be viewed online
Organizations requesting cancellation through the FDMS.
of a representative’s accreditation based By direction of the Secretary.
Kathleen M. Manwell, FOR FURTHER INFORMATION CONTACT:
on misconduct or incompetence or
resignation to avoid cancellation of Program Analyst, VA Privacy Service, Office Crystal Rennie, Enterprise Records
accreditation based upon misconduct or of Privacy and Records Management, Service (005R1B), Department of
incompetence, are required to inform Department of Veterans Affairs. Veterans Affairs, 810 Vermont Avenue
VA of the specific reason for the [FR Doc. 2015–18163 Filed 7–23–15; 8:45 am] NW., Washington, DC 20420, (202) 632–
cancellation request. VA will use the BILLING CODE 8320–01–P 7492 or email crystal.rennie@va.gov.
information collected to determine Please refer to ‘‘OMB Control No. 2900–
whether service organizations 0205, Applications and Appraisals for
representatives continue to meet DEPARTMENT OF VETERANS Employment for Title 38 Positions and
regulatory eligibility requirements to AFFAIRS Trainees’’ in any correspondence.
ensure claimants have qualified [OMB Control No. 2900–0205] SUPPLEMENTARY INFORMATION: Under the
representatives to assist in the PRA of 1995 (Public Law 104–13; 44
preparation, presentation and Agency Information Collection: U.S.C. 3501–3521), Federal agencies
prosecution of their claims for benefits. Applications and Appraisals for must obtain approval from the Office of
VA is modifying the collection to Employment for Title 38 Positions and Management and Budget (OMB) for each
include an optional request to permit Trainees collection of information they conduct
the organization to provide an email or sponsor. This request for comment is
address and phone number in which the AGENCY: Veterans Health being made pursuant to Section
representative may be reached. VA Administration, Department of Veterans 3506(c)(2)(A) of the PRA.
believes that the additional contact Affairs. With respect to the following
information pertaining to the ACTION: Notice; Activities: Under OMB collection of information, VHA invites
organization will be helpful in that it Review. comments on: (1) Whether the proposed
provides an additional means of collection of information is necessary
communication between VA and the SUMMARY: The Veterans Health for the proper performance of VHA’s
organization as well as provides an Administration (VHA) is announcing an functions, including whether the
additional way that Veterans and their opportunity for public comment on the information will have practical utility;
family may contact the representative. proposed collection of certain (2) the accuracy of VHA’s estimate of
The organization may choose to provide information by the agency. Under the the burden of the proposed collection of
a general phone number and email Paperwork Reduction Act (PRA) of information; (3) ways to enhance the
address for the organization, e.g., 1995, Federal agencies are required to quality, utility, and clarity of the
tampa@vso.com, or the representative’s publish notice in the Federal Register information to be collected; and (4)
individual email address through the concerning each proposed collection of ways to minimize the burden of the
organization and direct phone number, information, including each proposed collection of information on
e.g., johnsmith@vso.com.VA does not revised collection, and allow 60 days for respondents, including through the use
anticipate the modification request will public comment in response to the of automated collection techniques or
result in an additional burden. VA notice. This notice solicits comments on the use of other forms of information
believes that the organizations already information needed to furnish hospital technology.
have the information available to them, care and medical services to the family Title: Applications and Appraisals for
and adding that information to the form members of certain veterans who were Employment for Title 38 Positions and
should not take additional time. This is stationed at Camp Lejeune. In order to Trainees.
supported by the fact that many furnish such care, VA must collect OMB Control Number: 2900–0205.
organizations are already providing the certain information from the family Type of Review: Revision of a
additional contact information. Finally, members to ensure that they meet the currently existing collection.
this request will be optional. requirements of the law. The specific Abstract: VA Forms 10–2850 and
An agency may not conduct or hospital care and medical services that 2850a through c are applications
asabaliauskas on DSK5VPTVN1PROD with NOTICES

sponsor, and a person is not required to VA must provide are for a number of designed specifically to elicit
respond to a collection of information illnesses and conditions connected to appropriate information about each
unless it displays a currently valid OMB exposure to contaminated drinking candidate’s qualifications for
control number. The Federal Register water while at Camp Lejeune. employment with Department of
Notice with a 60-day comment period DATES: Written comments and Veterans Affairs (VA) as well as
soliciting comments on this collection recommendations on the proposed educational and experience. To assure
of information was published on May collection of information should be that a full evaluation of each candidate’s
20, 2015, at 80 FR 29158. received on or before August 24, 2015. credentials can be made prior to

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Document Created: 2018-02-23 09:25:15
Document Modified: 2018-02-23 09:25:15

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		Dana Raffaelli, Office of the General Counsel (022O), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to [email protected] Please refer to ``OMB Control No. 2900-0018'' in any correspondence.
FR Citation		80 FR 44203