82_FR_8579 82 FR 8563 - Proposed Information Collection Activity: (PACT: Veteran's Health and Well-Being)

82 FR 8563 - Proposed Information Collection Activity: (PACT: Veteran's Health and Well-Being)

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 16 (January 26, 2017)

Page Range8563-8564
FR Document2017-01752

The Veterans Health Administration (VHA) 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 this new collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to identify areas for improvement in clinical training programs.

Federal Register, Volume 82 Issue 16 (Thursday, January 26, 2017)
[Federal Register Volume 82, Number 16 (Thursday, January 26, 2017)]
[Notices]
[Pages 8563-8564]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-01752]


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

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Proposed Information Collection Activity: (PACT: Veteran's Health 
and Well-Being)

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: The Veterans Health Administration (VHA) 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 
this new collection, and allow 60 days for public comment in response 
to the notice. This notice solicits comments on information needed to 
identify areas for improvement in clinical training programs.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before March 27, 2017.

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

FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 461-6345.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-3521), Federal agencies must obtain approval from 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:
    1. PACT: Veteran's Health and Well-Being.
    2. OMB Control Number: 2900-NEW.
    Type of Review: New collection.
    Abstracts: The purpose of the study, which is funded by the PACT 
Demonstration Lab Coordinating Center,

[[Page 8564]]

is to conduct a survey of Veterans to capture novel predictors of 
hospital admission and identify clusters of complex patients based on 
survey- and claims-based covariates. This study provides the first 
empirical application of the Cycle of Complexity conceptual model that 
the study team developed and recently published, which postulates that 
patient complexity represents more than having multiple chronic 
conditions. It is critical to evaluate whether complexity defined on 
the basis of survey-based and claims-based covariates is more 
predictive than diagnosis of multiple chronic conditions based on 
claims data alone.
    The proposed patient survey is designed to measure a broad range of 
self-reported patient factors that increase Veterans' risk for being 
admitted to hospital, including life stressors, perceived locus of 
control, grit, resilience, functional status, social support and 
loneliness, sleep problems, symptoms, food insecurity, and patient 
activation. This survey will help us understand, for the first time, 
the extent to which self-reported factors can markedly improve 
prediction of patient risk for hospital admission, which may help the 
PACT Demonstration Lab Coordinating Center Intelligence improve its 
risk prediction models. This project may also identify patient-reported 
outcomes (PROs) that can be effectively integrated into routine VA 
clinical practice, as the VA begins to explore inclusion of PROs into 
the VA electronic health record. We are requesting approval to conduct 
this survey to a nationally representative sample of 10,000 patients 
who obtain primary care in VA because there are no extant VA surveys 
that capture the range of patient factors that we propose to collect, 
which are not available in VA administrative databases. If we did not 
capture these patient factors, our risk prediction analysis might be 
incorrect or biased.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    PACT: Veteran's Health and Well-Being Survey--2500.
    Estimated Average Burden per Respondent:
    PACT: Veteran's Health and Well-Being Survey--30 minutes.
    Frequency of Response: Annually.
    Estimated Annual Responses:
    PACT: Veteran's Health and Well-Being Survey--5,000.

    By direction of the Secretary:
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-01752 Filed 1-25-17; 8:45 am]
 BILLING CODE 8320-01-P



                                                                               Federal Register / Vol. 82, No. 16 / Thursday, January 26, 2017 / Notices                                           8563

                                                  Veteran’s natural mother or father or                   Records Service (005R1B), Department                   proposed collection of certain
                                                  adopted mother or father.                               of Veterans Affairs, 810 Vermont                       information by the agency. Under the
                                                    Affected Public: Individuals or                       Avenue NW., Washington, DC 20420,                      Paperwork Reduction Act (PRA) of
                                                  households.                                             (202) 461–5870 or email cynthia.harvey-                1995, Federal agencies are required to
                                                    Estimated Annual Burden: 800 hours.                   pryor@va.gov. Please refer to ‘‘OMB                    publish notice in the Federal Register
                                                    Estimated Average Burden per                          Control No. 2900–0749’’ in any                         concerning each proposed collection of
                                                  Respondent: 2 hours (120 minutes).                      correspondence.                                        information, including this new
                                                    Frequency of Response: One time.                                                                             collection, and allow 60 days for public
                                                    Estimated Number of Respondents:                      SUPPLEMENTARY INFORMATION:
                                                                                                             Title: (Ischemic Heart Disease (IHD)                comment in response to the notice. This
                                                  400.                                                                                                           notice solicits comments on information
                                                                                                          Disability Benefits Questionnaire (VA
                                                    By direction of the Secretary.                        Form 21–0960A–1), Hairy Cell and                       needed to identify areas for
                                                  Cynthia Harvey-Pryor,                                   Other B-Cell Leukemias Disability                      improvement in clinical training
                                                  Agency Clearance Officer, Office of Privacy             Benefits Questionnaire (VA Form 21–                    programs.
                                                  and Records Management, Department of                   0960B–1), and Parkinson’s Disease                      DATES: Written comments and
                                                  Veterans Affairs.                                       Disability Benefits Questionnaire (VA                  recommendations on the proposed
                                                  [FR Doc. 2017–01746 Filed 1–25–17; 8:45 am]             Form 21–0960C–1)).                                     collection of information should be
                                                  BILLING CODE 8320–01–P                                     OMB Control Number: 2900–0749.                      received on or before March 27, 2017.
                                                                                                             Type of Review: Extension of a                      ADDRESSES: Submit written comments
                                                                                                          currently approved collection.                         on the collection of information through
                                                  DEPARTMENT OF VETERANS                                     Abstract:                                           the Federal Docket Management System
                                                  AFFAIRS                                                    VA Forms 21–0960A–1, 21–0960B–1,                    (FDMS) at www.Regulations.gov; or to
                                                  [OMB Control No. 2900–0749]                             and 21–0960C–1 are used to gather                      Brian McCarthy, Office of Regulatory
                                                                                                          necessary information from a claimant’s                and Administrative Affairs, Veterans
                                                  Agency Information Collection                           treating physician regarding the results               Health Administration (10B4),
                                                  Activity: (Ischemic Heart Disease (IHD)                 of medical examinations.                               Department of Veterans Affairs, 810
                                                  Disability Benefits Questionnaire (VA                      An agency may not conduct or                        Vermont Avenue NW., Washington, DC
                                                  Form 21–0960A–1), Hairy Cell and                        sponsor, and a person is not required to               20420 or email:
                                                  Other B-Cell Leukemias Disability                       respond to a collection of information                 Brian.McCarthy4@va.gov. Please refer to
                                                  Benefits Questionnaire (VA Form 21–                     unless it displays a currently valid OMB               ‘‘OMB Control No. 2900–NEW’’ in any
                                                  0960B–1), and Parkinson’s Disease                       control number. The Federal Register                   correspondence. During the comment
                                                  Disability Benefits Questionnaire (VA                   Notice with a 60-day comment period                    period, comments may be viewed online
                                                  Form 21–0960C–1)). Activity Under                       soliciting comments on this collection                 through FDMS.
                                                  OMB Review                                              of information was published at 81 FR                  FOR FURTHER INFORMATION CONTACT:
                                                                                                          No. 221, on Wednesday, November 16,                    Brian McCarthy at (202) 461–6345.
                                                  AGENCY:  Veterans Benefits
                                                                                                          2016, pages 80720 and 80721.                           SUPPLEMENTARY INFORMATION: Under the
                                                  Administration, Department of Veterans
                                                                                                             Affected Public: Individuals or                     PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
                                                  Affairs.
                                                                                                          Households.                                            3501–3521), Federal agencies must
                                                  ACTION: Notice.                                            Estimated Annual Burden: 15,500.
                                                                                                                                                                 obtain approval from OMB for each
                                                  SUMMARY:    In compliance with the                         Estimated Average Burden Per
                                                                                                                                                                 collection of information they conduct
                                                  Paperwork Reduction Act (PRA) of 1995                   Respondent: 15 minutes.
                                                                                                                                                                 or sponsor. This request for comment is
                                                  (44 U.S.C. 3501–21), this notice                           Frequency of Response: One time.
                                                                                                                                                                 being made pursuant to Section
                                                  announces that the Veterans Benefits                       Estimated Number of Respondents:
                                                                                                                                                                 3506(c)(2)(A) of the PRA.
                                                  Administration, Department of Veterans                  62,000.                                                   With respect to the following
                                                  Affairs, will submit the collection of                    By direction of the Secretary.                       collection of information, VHA invites
                                                  information abstracted below to the                     Cynthia Harvey-Pryor,                                  comments on: (1) Whether the proposed
                                                  Office of Management and Budget                         Department Clearance Officer, Office of                collection of information is necessary
                                                  (OMB) for review and comment. The                       Privacy and Records Management,                        for the proper performance of VHA’s
                                                  PRA submission describes the nature of                  Department of Veterans Affairs.                        functions, including whether the
                                                  the information collection and its                      [FR Doc. 2017–01744 Filed 1–25–17; 8:45 am]            information will have practical utility;
                                                  expected cost and burden and it                         BILLING CODE 8320–01–P                                 (2) the accuracy of VHA’s estimate of
                                                  includes the actual data collection                                                                            the burden of the proposed collection of
                                                  instrument.                                                                                                    information; (3) ways to enhance the
                                                  DATES: Comments must be submitted on
                                                                                                          DEPARTMENT OF VETERANS                                 quality, utility, and clarity of the
                                                  or before February 27, 2017.                            AFFAIRS                                                information to be collected; and (4)
                                                                                                          [OMB Control No. 2900–NEW]                             ways to minimize the burden of the
                                                  ADDRESSES: Submit written comments
                                                                                                                                                                 collection of information on
                                                  on the collection of information through
                                                                                                          Proposed Information Collection                        respondents, including through the use
                                                  www.Regulations.gov, or to Office of
                                                                                                          Activity: (PACT: Veteran’s Health and                  of automated collection techniques or
                                                  Information and Regulatory Affairs,
                                                                                                          Well-Being)                                            the use of other forms of information
                                                  Office of Management and Budget, Attn:
                                                                                                                                                                 technology.
                                                  VA Desk Officer; 725 17th St. NW.,
jstallworth on DSK7TPTVN1PROD with NOTICES




                                                                                                          AGENCY:  Veterans Health                                  Titles:
                                                  Washington, DC 20503 or sent through                    Administration, Department of Veterans                    1. PACT: Veteran’s Health and Well-
                                                  electronic mail to                                      Affairs.                                               Being.
                                                  oira_submission@omb.eop.gov. Please                     ACTION: Notice.                                           2. OMB Control Number: 2900–NEW.
                                                  refer to ‘‘OMB Control No. 2900–0749’’                                                                            Type of Review: New collection.
                                                  in any correspondence.                                  SUMMARY: The Veterans Health                              Abstracts: The purpose of the study,
                                                  FOR FURTHER INFORMATION CONTACT:                        Administration (VHA) is announcing an                  which is funded by the PACT
                                                  Cynthia Harvey-Pryor, Enterprise                        opportunity for public comment on the                  Demonstration Lab Coordinating Center,


                                             VerDate Sep<11>2014   15:10 Jan 25, 2017   Jkt 241001   PO 00000   Frm 00061   Fmt 4703   Sfmt 4703   E:\FR\FM\26JAN1.SGM   26JAN1


                                                  8564                         Federal Register / Vol. 82, No. 16 / Thursday, January 26, 2017 / Notices

                                                  is to conduct a survey of Veterans to                     By direction of the Secretary:                         With respect to the following
                                                  capture novel predictors of hospital                    Cynthia Harvey-Pryor,                                  collection of information, VBA invites
                                                  admission and identify clusters of                      Program Specialist, Office of Privacy and              comments on: (1) Whether the proposed
                                                  complex patients based on survey- and                   Records Management, Department of                      collection of information is necessary
                                                  claims-based covariates. This study                     Veterans Affairs.                                      for the proper performance of VBA’s
                                                  provides the first empirical application                [FR Doc. 2017–01752 Filed 1–25–17; 8:45 am]            functions, including whether the
                                                  of the Cycle of Complexity conceptual                   BILLING CODE 8320–01–P                                 information will have practical utility;
                                                  model that the study team developed                                                                            (2) the accuracy of VBA’s estimate of the
                                                  and recently published, which                                                                                  burden of the proposed collection of
                                                  postulates that patient complexity                      DEPARTMENT OF VETERANS                                 information; (3) ways to enhance the
                                                  represents more than having multiple                    AFFAIRS                                                quality, utility, and clarity of the
                                                  chronic conditions. It is critical to                   [OMB Control No. 2900–0253]                            information to be collected; and (4)
                                                  evaluate whether complexity defined on                                                                         ways to minimize the burden of the
                                                  the basis of survey-based and claims-                   Agency Information Collection                          collection of information on
                                                  based covariates is more predictive than                Activity: (Nonsupervised Lender’s                      respondents, including through the use
                                                  diagnosis of multiple chronic conditions                Nomination and Recommendation of                       of automated collection techniques or
                                                                                                          Credit Underwriter (VA Form 26–                        the use of other forms of information
                                                  based on claims data alone.
                                                                                                          8736a))                                                technology.
                                                     The proposed patient survey is                                                                                Title: Nonsupervised Lender’s
                                                  designed to measure a broad range of                    AGENCY:  Veterans Benefits                             Nomination and Recommendation of
                                                  self-reported patient factors that                      Administration, Department of Veterans                 Credit Underwriter
                                                  increase Veterans’ risk for being                       Affairs.                                                 OMB Control Number: 2900–0253.
                                                  admitted to hospital, including life                    ACTION: Notice.                                          Type of Review: Extension of a
                                                  stressors, perceived locus of control,                                                                         currently approved collection.
                                                                                                          SUMMARY:   The Veterans Benefits
                                                  grit, resilience, functional status, social                                                                      Abstract: Internet based. The
                                                                                                          Administration (VBA), Department of
                                                  support and loneliness, sleep problems,                                                                        standards established by the Secretary
                                                                                                          Veterans Affairs (VA), is announcing an
                                                  symptoms, food insecurity, and patient                                                                         require that a lender have a qualified
                                                                                                          opportunity for public comment on the
                                                  activation. This survey will help us                                                                           underwriter review all loans to be
                                                                                                          proposed collection of certain
                                                  understand, for the first time, the extent                                                                     closed on an automatic basis to
                                                                                                          information by the agency. Under the
                                                  to which self-reported factors can                                                                             determine that the loan meets VA’s
                                                                                                          Paperwork Reduction Act (PRA) of
                                                  markedly improve prediction of patient                                                                         credit underwriting standards. To
                                                                                                          1995, Federal agencies are required to
                                                  risk for hospital admission, which may                                                                         determine if the lender’s nominee is
                                                                                                          publish notice in the Federal Register
                                                  help the PACT Demonstration Lab                                                                                qualified to make such a determination,
                                                                                                          concerning each proposed collection of
                                                  Coordinating Center Intelligence                                                                               VA has developed VA Form 26–8736a
                                                                                                          information, including each proposed
                                                  improve its risk prediction models. This                                                                       which contains information that VA
                                                                                                          revision of a currently approved
                                                  project may also identify patient-                                                                             considers crucial to the evaluation of
                                                                                                          collection, and allow 60 days for public
                                                  reported outcomes (PROs) that can be                                                                           the underwriter’s experience. This form
                                                                                                          comment in response to the notice.
                                                  effectively integrated into routine VA                                                                         will be completed by the lender and the
                                                                                                          DATES: Written comments and
                                                  clinical practice, as the VA begins to                                                                         lender’s nominee for underwriter and
                                                                                                          recommendations on the proposed                        then submitted to VA for approval.
                                                  explore inclusion of PROs into the VA                   collection of information should be
                                                  electronic health record. We are                                                                                 Affected Public: Private Sector.
                                                                                                          received on or before March 27, 2017.                    Estimated Annual Burden: 500 hours.
                                                  requesting approval to conduct this                     ADDRESSES: Submit written comments
                                                  survey to a nationally representative                                                                            Estimated Average Burden Per
                                                                                                          on the collection of information through               Respondent: 20 minutes.
                                                  sample of 10,000 patients who obtain                    Federal Docket Management System
                                                  primary care in VA because there are no                                                                          Frequency of Response: On occasion.
                                                                                                          (FDMS) at www.Regulations.gov or to                      Estimated Number of Respondents:
                                                  extant VA surveys that capture the range                Cynthia Harvey-Pryor, Enterprise
                                                  of patient factors that we propose to                                                                          1,500.
                                                                                                          Records Service (005R1B), Department
                                                  collect, which are not available in VA                                                                           By direction of the Secretary.
                                                                                                          of Veterans Affairs, 810 Vermont
                                                  administrative databases. If we did not                 Avenue NW., Washington, DC 20420,                      Cynthia Harvey-Pryor,
                                                  capture these patient factors, our risk                 (202) 461–5870 or email cynthia.harvey-                VA Clearance Officer, Office of Privacy and
                                                  prediction analysis might be incorrect or               pryor@va.gov. Please refer to ‘‘OMB                    Records Management, Department of
                                                  biased.                                                                                                        Veterans Affairs.
                                                                                                          Control No. 2900–0253’’ in any
                                                                                                          correspondence. During the comment                     [FR Doc. 2017–01747 Filed 1–25–17; 8:45 am]
                                                     Affected Public: Individuals or
                                                  households.                                             period, comments may be viewed online                  BILLING CODE 8320–01–P

                                                     Estimated Annual Burden:                             through FDMS.
                                                                                                          FOR FURTHER INFORMATION CONTACT:
                                                     PACT: Veteran’s Health and Well-                                                                            DEPARTMENT OF VETERANS
                                                                                                          Cynthia Harvey-Pryor at (202) 461–
                                                  Being Survey—2500.                                                                                             AFFAIRS
                                                                                                          5870.
                                                     Estimated Average Burden per                         SUPPLEMENTARY INFORMATION: Under the
                                                                                                                                                                 [OMB Control No. 2900–0045]
                                                  Respondent:                                             PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
jstallworth on DSK7TPTVN1PROD with NOTICES




                                                                                                                                                                 Agency Information Collection
                                                     PACT: Veteran’s Health and Well-                     3501–3521), Federal agencies must                      Activity: (VA Request for
                                                  Being Survey—30 minutes.                                obtain approval from the Office of                     Determination of Reasonable Value
                                                     Frequency of Response: Annually.                     Management and Budget (OMB) for each                   (26–1805 & 26–1805–1))
                                                                                                          collection of information they conduct
                                                     Estimated Annual Responses:                          or sponsor. This request for comment is                AGENCY:  Veterans Benefits
                                                     PACT: Veteran’s Health and Well-                     being made pursuant to Section                         Administration, Department of Veterans
                                                  Being Survey—5,000.                                     3506(c)(2)(A) of the PRA.                              Affairs.


                                             VerDate Sep<11>2014   15:10 Jan 25, 2017   Jkt 241001   PO 00000   Frm 00062   Fmt 4703   Sfmt 4703   E:\FR\FM\26JAN1.SGM   26JAN1



Document Created: 2017-01-26 00:05:19
Document Modified: 2017-01-26 00:05:19
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 March 27, 2017.
ContactBrian McCarthy at (202) 461-6345.
FR Citation82 FR 8563 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR