83 FR 14804 - Definition of Domiciliary Care
DEPARTMENT OF VETERANS AFFAIRS Federal Register Volume 83, Issue 67 (April 6, 2018)
Federal Register Volume 83, Issue 67 (April 6, 2018)
| Page Range | 14804-14807 | |
| FR Document | 2018-07082 |
[Federal Register Volume 83, Number 67 (Friday, April 6, 2018)] [Proposed Rules] [Pages 14804-14807] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-07082] ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 17 RIN 2900-AP00 Definition of Domiciliary Care AGENCY: Department of Veterans Affairs. ACTION: Proposed rule. ----------------------------------------------------------------------- SUMMARY: The Department of Veterans Affairs (VA) proposes to amend its rule defining domiciliary care, to accurately reflect the scope of services currently provided under the Domiciliary Care Program. VA's Domiciliary Care Program provides a temporary home to certain veterans, which includes the furnishing of shelter, goods, clothing and other comforts of home, as well as [[Page 14805]] medical services. In 2005 VA designated its Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as a type of domiciliary care. MH RRTP provides clinically intensive residential rehabilitative services to certain mental health patient populations. We propose to amend the definition of domiciliary care to reflect that domiciliary care includes MH RRTP. In addition, VA domiciliary care, as a matter of long-standing practice, includes non-permanent housing, but this is not clear in the regulation. The proposed rule would clarify that domiciliary care provides temporary, not permanent, residence to affected veterans. DATES: Comment Date: Comments on the proposed rule must be received by VA on or before June 5, 2018. ADDRESSES: Written comments may be submitted through http://www.Regulations.gov; by mail or hand delivery to the Director, Regulation Policy and Management (00REG), Department of Veterans Affairs, 810 Vermont Avenue NW, Room 1063B, Washington, DC 20420; or by fax to (202) 273-9026. Comments should indicate that they are submitted in response to ``RIN 2900-AP00--Definition of Domiciliary Care.'' Copies of comments received will be available for public inspection in the Office of Regulation Policy and Management, Room 1063B between the hours of 8:00 a.m. and 4:30 p.m., Monday through Friday (except holidays). Please call (202) 461-4902 for an appointment. (This is not a toll-free number.) In addition, during the comment period, comments may be viewed online through the Federal Docket Management System at www.Regulations.gov. FOR FURTHER INFORMATION CONTACT: Jamie R. Ploppert, National Director, Mental Health Residential Treatment Programs (10P4M), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420 or (757) 722-9991 extension 1123. (This is not a toll-free number.) SUPPLEMENTARY INFORMATION: Title 38, United States Code (U.S.C.), section 1710(b)(2) authorizes VA to provide needed domiciliary care to veterans whose annual income does not exceed the applicable maximum annual rate of VA pension and to veterans who have no adequate means of support. The term ``domiciliary care'' is currently defined at 38 Code of Federal Regulations (CFR) 17.30(b) as the furnishing of a home to a veteran, embracing the furnishing of shelter, food, clothing and other comforts of home, including necessary medical services, as well as travel and incidental expenses pursuant to 38 CFR 70.10. Veterans must meet eligibility criteria found in Sec. 17.46(b) as well as Sec. 17.47(b)(2) and (c) to receive domiciliary care. The domiciliary program was authorized to provide eligible veterans with a home and coordinated ambulatory medical care as needed. Typically, domiciliaries are co-located with VA medical centers or exist as designated bed-settings within the centers. By law, eligible veterans include only: Those whose annual income does not exceed the maximum annual rate of pension payable to a Veteran in need of regular aid and attendance; or (2) those who have no adequate means of support, as this phrase is defined in 38 CFR 17.47(b)(2), who can perform the activities specified in 38 CFR 17.46(b) but who suffer from a chronic disability, disease, or defect that results in the veteran being unable to earn a living for a prospective period. See 38 CFR 17.47 (b)(2) and (c). VA domiciliaries served initially as ``Soldiers' Homes'' for economically-disadvantaged Veterans with chronic medical needs that can be addressed on an outpatient basis. Domiciliary care provides services to economically-disadvantaged veterans, and VA remains committed to serving that group. Historically, domiciliary care in VA has primarily been focused on delivering care to older residents who cannot live independently but who do not require admission to a nursing home. However, ``domiciliary care'' has expanded to also provide services to veterans who require residential rehabilitation treatment for mental health or substance use issues. While the above-referenced statutory definitions and eligibility criteria still apply as do the regulatory criteria of Sec. Sec. 17.46(b) and 17.47(b)(2), the scope of services furnished under the program has evolved significantly, requiring revision of Sec. 17.30(b) and Sec. 17.47(c). We propose to amend the definition of domiciliary care to reflect that change. The scope of clinical services available to VA domiciliary residents has necessarily become specialized over time due to the characteristics of the patient populations served by the residential rehabilitation treatment model. In 2005, VA administratively designated all MH RRTP facilities as domiciliary care facilities to fully integrate mental health; residential rehabilitation; and treatment and domiciliary care. VA established the first MH RRTP in 1995. MH RRTPs provide comprehensive supervised treatment and rehabilitative services to veterans with mental health or substance use disorders, and coexisting medical or psychosocial needs such as homelessness and unemployment. MH RRTPs identify and address goals of rehabilitation, recovery, health maintenance, improved quality of life, and community integration in addition to specific treatment of medical conditions, mental illnesses, addictive disorders, and homelessness. The residential component emphasizes incorporation of clinical treatment gains into a lifestyle of self-care and personal responsibility. MH RRTPs provide a 24 hours-per-day, 7 days-per-week structured and supportive residential environment similar to that in traditional domiciliary care. However, there are differences in the type of care delivered. The goals of care for residential rehabilitation treatment reflect a stronger emphasis on rehabilitative services, including professional, counseling, and guidance services as well as treatment programs. Rehabilitative services are designed to facilitate the process of recovery from injury, illness, or disease. These services are intended to restore, to the maximum extent possible, the physical, mental, and psychological functioning of veterans receiving residential rehabilitation treatment. Since 2010, domiciliary care has been included as part of VA's MH RRTP, which began in 1995. VA domiciliaries are used currently for VA's Domiciliary Residential Rehabilitation Treatment Programs; Domiciliary Care for Homeless Veterans Program; Health Maintenance Domiciliary Beds Program; General Domiciliary or Psychosocial Residential Rehabilitation Treatment Program; Domiciliary Substance Abuse Programs; and Domiciliary Post-Traumatic Stress Disorder Programs. These are the patient populations currently residing in our domiciliaries. VA therefore proposes to update the definition of domiciliary care in Sec. 17.30(b) to reflect the scope of clinically intensive rehabilitation services included in the program. Current Sec. 17.30(b) defines domiciliary care as the furnishing of a home to a veteran, embracing the furnishing of shelter, food, clothing and other comforts of home, including necessary medical services. We would amend this definition by stating that domiciliary care means a ``temporary home'' rather than ``home.'' This is consistent with VA's long-standing practice of providing domiciliary care as a non-permanent living arrangement for eligible veterans. This proposed change would not alter VA's commitment to ensure extended or geriatric care is available to older [[Page 14806]] veterans eligible for VA domiciliary care, that is, those who cannot live independently but who do not require admission to a nursing home. These veterans receive their domiciliary care through State Veterans Homes Domiciliary Programs and VA pays half of the cost of that care through per diem payments. We would define domiciliary care to also mean a day hospital program consisting of intensive supervised rehabilitation and treatment provided in a therapeutic residential setting for residents with mental health or substance use disorders, and co-occurring medical or psychosocial needs such as homelessness and unemployment. Current Sec. 17.47 addresses considerations applicable in determining eligibility for hospital care, medical services, nursing home care, or domiciliary care. Current paragraph (c) clarifies that ``domiciliary care, as the term implies, is the provision of a home, with such ambulant medical care as is needed.'' For the reasons stated above, we would amend this paragraph to reflect that domiciliary care provides a temporary home. Effect of Rulemaking The CFR, as proposed to be revised by this proposed rule, would represent the exclusive legal authority on this subject. No contrary rules or procedures are authorized. All VA guidance will be read to conform with this proposed rulemaking if possible or, if not possible, such guidance will be superseded by this rulemaking. Paperwork Reduction Act This proposed rule contains no provisions constituting a collection of information under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3521). Regulatory Flexibility Act The Secretary hereby certifies that this proposed rule would not have a significant economic impact on a substantial number of small entities as they are defined in the Regulatory Flexibility Act, 5 U.S.C. 601-612. This proposed rule would directly affect only individuals treated within VA and would not affect any small entities. Therefore, pursuant to 5 U.S.C. 605(b), this rulemaking is exempt from the initial and final regulatory flexibility analysis requirements of sections 603 and 604. Executive Orders 12866, 13563 and 13771 Executive Orders (E.O.) 12866 and 13563 direct agencies to assess the costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, and other advantages; distributive impacts; and equity). E.O. 13563 (Improving Regulation and Regulatory Review) emphasizes the importance of quantifying both costs and benefits, reducing costs, harmonizing rules, and promoting flexibility. E.O. 12866 (Regulatory Planning and Review) defines a ``significant regulatory action'' requiring review by the Office of Management and Budget (OMB), unless OMB waives such review, as ``any regulatory action that is likely to result in a rule that may: (1) Have an annual effect on the economy of $100 million or more or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities; (2) Create a serious inconsistency or otherwise interfere with an action taken or planned by another agency; (3) Materially alter the budgetary impact of entitlements, grants, user fees, or loan programs or the rights and obligations of recipients thereof; or (4) Raise novel legal or policy issues arising out of legal mandates, the President's priorities, or the principles set forth in this Executive Order.'' The economic, interagency, budgetary, legal, and policy implications of this regulatory action have been examined, and it has been determined not to be a significant regulatory action under E.O. 12866. VA's impact analysis can be found as a supporting document at http://www.regulations.gov, usually within 48 hours after the rulemaking document is published. Additionally, a copy of the rulemaking and its impact analysis are available on VA's website at http://www.va.gov/orpm/, by following the link for ``VA Regulations Published From FY 2004 Through Fiscal Year to Date.'' This proposed rule is not expected to be an E.O. 13771 regulatory action because this proposed rule is not significant under E.O. 12866. Unfunded Mandates The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C. 1532, that agencies prepare an assessment of anticipated costs and benefits before issuing any rule that may result in the expenditure by State, local, and tribal governments, in the aggregate, or by the private sector, of $100 million or more (adjusted annually for inflation) in any one year. This proposed rule would have no such effect on State, local, and tribal governments, or on the private sector. Catalog of Federal Domestic Assistance The Catalog of Federal Domestic Assistance numbers and titles for the programs affected by this document are 64.007, Blind Rehabilitation Centers; 64.008, Veterans Domiciliary Care; 64.009, Veterans Medical Care Benefits; 64.010, Veterans Nursing Home Care; 64.011, Veterans Dental Care; 64.012, Veterans Prescription Service; 64.013, Veterans Prosthetic Appliances; 64.014, Veterans State Domiciliary Care; 64.015, Veterans State Nursing Home Care; 64.018, Sharing Specialized Medical Resources; 64.019, Veterans Rehabilitation Alcohol and Drug Dependence; 64.022, Veterans Home Based Primary Care; and 64.024, VA Homeless Providers Grant and Per Diem Program. List of Subjects in 38 CFR Part 17 Administrative practice and procedure, Alcohol abuse, Alcoholism, Claims, Day care, Dental health, Drug abuse, Government contracts, Grant programs--health, Grant programs--veterans, Health care, Health facilities, Health professions, Health records, Homeless, Medical and dental schools, Medical devices, Medical research, Mental health programs, Nursing homes, Reporting and recordkeeping requirements, Travel and transportation expenses, Veterans. Signing Authority The Secretary of Veterans Affairs, or designee, approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. Gina S. Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, approved this document on February 27, 2018, for publication. Dated: April 3, 2018. Consuela Benjamin, Regulations Development Coordinator, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. For the reasons stated in the preamble, Department of Veterans Affairs proposes to amend 38 CFR part 17 as follows: PART 17--MEDICAL 0 1. The authority citation for part 17 continues to read as follows: [[Page 14807]] Authority: 38 U.S.C. 501, and as noted in specific sections. Section 17.38 also issued under 38 U.S.C. 101, 501, 1701, 1705, 1710, 1710A, 1721, 1722, 1782, and 1786. Section 17.63 also issued under 38 U.S.C. 1730. Section 17.169 also issued under 38 U.S.C. 1712C. Sections 17.380 and 17.412 are also issued under sec. 260, Public Law 114-223, 130 Stat. 857. Section 17.410 is also issued under 38 U.S.C. 1787. Section 17.415 is also issued under 38 U.S.C. 7301, 7304, 7402, and 7403. Sections 17.640 and 17.647 are also issued under sec. 4, Public Law 114-2, 129 Stat. 30. Sections 17.641 through 17.646 are also issued under 38 U.S.C. 501(a) and sec. 4, Public Law 114-2, 129 Stat. 30. 0 2. Amend Sec. 17.30 by revising paragraph (b) to read as follows: Sec. 17.30 Definitions. * * * * * (b) Domiciliary care. The term domiciliary care-- (1) Means the furnishing of: (i) A temporary home to a veteran, embracing the furnishing of shelter, food, clothing and other comforts of home, including necessary medical services; or (ii) A day hospital program consisting of intensive supervised rehabilitation and treatment provided in a therapeutic residential setting for residents with mental health or substance use disorders, and co-occurring medical or psychosocial needs such as homelessness and unemployment. (2) Includes travel and incidental expenses pursuant to Sec. 70.10 of this chapter. * * * * * 0 3. Amend Sec. 17.47 by removing the word ``home'' in the second sentence of paragraph (c) and adding, in its place, ``temporary home''. [FR Doc. 2018-07082 Filed 4-5-18; 8:45 am] BILLING CODE 8320-01-P
![14804 Federal Register / Vol. 83, No. 67 / Friday, April 6, 2018 / Proposed Rules
• RIN 2900–AL72, Burial Benefits not be published in the near future and would syphon resources from existing
(April 8, 2008) would ultimately require an evaluation modernization priorities, such as
• RIN 2900–AL74, Apportionments to of the feasibility of a one-time improvements to the Veterans Benefits
Dependents and Payments to implementation of proposed Part 5. Id. Management System and National Work
Fiduciaries and Incarcerated In the interim, VA assured, Part 3 Queue. This phased rollout minimizes
Beneficiaries (January 14, 2011) regulations would be updated and disruption of these major IT
• RIN 2900–AL76, Benefits for Certain improved as needed, to include the type modernization projects, as well as other
Filipino Veterans and Survivors (June of readability changes proposed for Part VA initiatives requiring substantial
30, 2006) 5. Id. personnel or training.
• RIN 2900–AL82, Rights and Over the past five years, such updates Changes in Part 3 and Part 4
Responsibilities of Claimants and have occurred, see, e.g., 79 FR 32,653 regulations, to include incorporation of
Beneficiaries (May 10, 2005) (June 6, 2014) (implementing proposed Part 5 improvements, where
• RIN 2900–AL83, Elections of improvements sourced in RIN 2900– appropriate, can be achieved over a
Improved Pension; Old-Law and AL72), and VA proposes to continue number of years. Some of these changes
Section 306 Pension (December 27, this current rulemaking approach— are already underway, with VA’s
2004) updating Part 3 and Part 4 as needed— modernized Part 4, VA Schedule for
• RIN 2900–AL84, Special and but at an accelerated pace designed to Rating Disabilities, slated for
Ancillary Benefits for Veterans, also incorporate needed changes from publication in the near future. This
Dependents, and Survivors (March 9, proposed Part 5 for clarity and multi-year approach minimizes
2007) simplicity. Thus, it will not be adopting disruption on field operations (and
• RIN 2900–AL87, General Provisions a one-time implementation of proposed ultimately claim production and
(March 31, 2006) Part 5. This will avoid the inevitable accuracy), as well as VBA Central Office
• RIN 2900–AL88, Special Ratings confusion caused by two co-existing sets staffing required to implement the
(October 17, 2008) of regulations and manuals that may or revised regulations.
• RIN 2900–AL89, Dependency and may not be applicable depending on the For the above reasons, VA is
Indemnity Compensation Benefits date of the claim. It will avoid the withdrawing RIN 2900–AO13.
(October 21, 2005) delays and decreases in productivity
inherent in any transition where Signing Authority
• RIN 2900–AL94, Dependents and
Survivors (September 20, 2006) adjudicators have to familiarize The Secretary of Veterans Affairs, or
• RIN 2900–AL95, Payments to themselves with all new sections and designee, approved this document and
Beneficiaries Who Are Eligible for provisions. It will also ease authorized the undersigned to sign and
More than One Benefit (October 2, programming complexity and allow submit the document to the Office of the
2007) VBA to manage the risk associated with Federal Register for publication
• RIN 2900–AM01, General Evidence the transition to revised regulations. VA electronically as an official document of
Requirements, Effective Dates, has already undertaken a review to the Department of Veterans Affairs.
Revision of Decisions, and Protection identify and prioritize the needs and Jacquelyn Hayes-Byrd, Deputy Chief of
of Existing Ratings (May 22, 2007) expectations for incorporating proposed Staff, Department of Veterans Affairs,
• RIN 2900–AM04, Improved Pension Part 5 improvements, where possible, approved this document on April 3,
into the current Part 3 and Part 4. 2018, for publication.
(September 26, 2007)
Phased implementation allows for
• RIN 2900–AM05, Matters Affecting Dated: April 3, 2018.
incremental assessment and
the Receipt of Benefits (May 31, 2006) development of the required system Jeffrey M. Martin,
• RIN 2900–AM06, Payments and modifications. Controlling the rate of Impact Analyst, Office of Regulation Policy
Adjustments to Payments (October 31, rewrite implementation allows VBA to & Management, Office of the Secretary,
2008) Department of Veterans Affairs.
retain, plan for, and mitigate adverse
• RIN 2900–AM07, Service-Connected system impacts and development needs [FR Doc. 2018–07078 Filed 4–5–18; 8:45 am]
Disability Compensation (September by reordering phases as necessary. The BILLING CODE 8320–01–P
1, 2010) plan also affords VBA flexibility in
• RIN 2900–AM16, VA Benefit Claims scaling personnel and other resource
(April 14, 2008) DEPARTMENT OF VETERANS
allocations to each new phase, if
VA received numerous comments to AFFAIRS
necessary. One-time implementation
the 20 NPRMs and on November 27, would require extensive training for 38 CFR Part 17
2013, proposed amendments to the 20 personnel, as well as costs associated
NPRMs in one document, RIN 2900– with IT equipment, installation, RIN 2900–AP00
AO13. 78 FR at 71,042. VA received maintenance, support, and system
additional comments on AO13, from updates. Even though the proposed Definition of Domiciliary Care
private individuals and several Veterans rules were not intended to alter AGENCY: Department of Veterans Affairs.
Service Organizations, and VA thanks substantive law, they would alter the ACTION: Proposed rule.
the commenters for the time they terminology, section numbers, and
invested and their input. organization of the current regulations SUMMARY: The Department of Veterans
As noted in RIN 2900–AO13, in 2012, upon which current VA systems, Affairs (VA) proposes to amend its rule
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the Veterans Benefits Administration applications, forms, and tools are based. defining domiciliary care, to accurately
(VBA) formulated a Transformation Plan Thus, one-time implementation would reflect the scope of services currently
to improve the delivery of benefits to involve a rework of numerous provided under the Domiciliary Care
veterans and their dependents and computer-based processing Program. VA’s Domiciliary Care
survivors. 78 FR at 71,043. VA applications, claims-related training Program provides a temporary home to
acknowledged that, to ensure successful tools and materials, quality assurance certain veterans, which includes the
implementation of the plan, a final rule tools, claims-related forms, and the furnishing of shelter, goods, clothing
with regard to the Rewrite Project would Adjudication Procedures Manual. It and other comforts of home, as well as
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![Federal Register / Vol. 83, No. 67 / Friday, April 6, 2018 / Proposed Rules 14807
Authority: 38 U.S.C. 501, and as noted in ACTION: Proposed rule. making effective comments, please visit
specific sections. http://www2.epa.gov/dockets/
Section 17.38 also issued under 38 U.S.C. SUMMARY: On May 31, 2017, the State of commenting-epa-dockets.
101, 501, 1701, 1705, 1710, 1710A, 1721, Colorado submitted State
1722, 1782, and 1786. FOR FURTHER INFORMATION CONTACT:
Implementation Plan (SIP) revisions
Section 17.63 also issued under 38 U.S.C. Abby Fulton, Air Program, U.S.
related to attainment of the 2008 8-hour
1730. Environmental Protection Agency
Section 17.169 also issued under 38 U.S.C. ozone National Ambient Air Quality
(EPA), Region 8, Mail Code 8P–AR,
1712C. Standards (NAAQS) for the Denver
1595 Wynkoop Street, Denver, Colorado
Sections 17.380 and 17.412 are also issued Metro/North Front Range (DMNFR)
80202–1129, (303) 312–6563,
under sec. 260, Public Law 114–223, 130 Moderate nonattainment area by the
Stat. 857. fulton.abby@epa.gov.
applicable attainment date of July 20,
Section 17.410 is also issued under 38 2018. The Environmental Protection SUPPLEMENTARY INFORMATION:
U.S.C. 1787. Agency (EPA) proposes to approve the
Section 17.415 is also issued under 38 I. What action is the Agency taking?
majority of the submittal, which
U.S.C. 7301, 7304, 7402, and 7403. As explained below, the EPA is
Sections 17.640 and 17.647 are also issued includes an attainment demonstration,
base and future year emission proposing various actions on Colorado’s
under sec. 4, Public Law 114–2, 129 Stat. 30. proposed revisions to its SIP that it
Sections 17.641 through 17.646 are also inventories, a reasonable further
issued under 38 U.S.C. 501(a) and sec. 4, progress (RFP) demonstration, a submitted to the EPA on May 5, 2013,
Public Law 114–2, 129 Stat. 30. reasonably available control measures and May 31, 2017. Specifically, we are
(RACM) analysis, a motor vehicle proposing to approve Colorado’s 2017
■ 2. Amend § 17.30 by revising attainment demonstration for the 2008
paragraph (b) to read as follows: inspection and maintenance (I/M)
program in Colorado Regulation 8-hour ozone NAAQS. In addition, we
§ 17.30 Definitions. Number 11 (Reg. No. 11), a propose to approve the MVEBs
* * * * * nonattainment new source review contained in the State’s submittal. We
(b) Domiciliary care. The term (NNSR) program, a contingency also propose to approve all other aspects
domiciliary care— measures plan, 2017 motor vehicle of the submittal, except for certain area
(1) Means the furnishing of: emissions budgets (MVEBs) for source categories and major source
(i) A temporary home to a veteran, transportation conformity, and revisions RACT, which we will be acting on at a
embracing the furnishing of shelter, to Colorado Regulation Number 7 (Reg. later date. We propose to approve the
food, clothing and other comforts of No. 7). The EPA is also proposing to revisions to Colorado’s Reg. 11 and 7,
home, including necessary medical approve portions of the reasonably except for Section X.E of Reg. 7, which
services; or available control technology (RACT) we will be acting on at a later date. We
(ii) A day hospital program consisting analysis. Finally, the EPA proposes to propose to approve the revisions to
of intensive supervised rehabilitation approve revisions made to Colorado’s Colorado Reg. 7 Sections I, II, VI, VII,
and treatment provided in a therapeutic Reg. No. 7 in a May 5, 2013 SIP VIII, and IX from the State’s May 5, 2013
residential setting for residents with submission. This action is being taken submittal.
mental health or substance use in accordance with the Clean Air Act The specific bases for our proposed
disorders, and co-occurring medical or (CAA). actions and our analyses and findings
psychosocial needs such as are discussed in this proposed
homelessness and unemployment. DATES: Comments must be received on rulemaking. Technical information that
(2) Includes travel and incidental or before May 7, 2018. we rely upon in this proposal is
expenses pursuant to § 70.10 of this ADDRESSES: Submit your comments, contained in the docket, available at
chapter. identified by Docket ID No. EPA–R08– http://www.regulations.gov, Docket No.
* * * * * OAR–2017–0567, at http:// EPA–R08–OAR–2017–0567.
■ 3. Amend § 17.47 by removing the www.regulations.gov. Follow the online
instructions for submitting comments. II. Background
word ‘‘home’’ in the second sentence of
paragraph (c) and adding, in its place, Once submitted, comments cannot be On March 12, 2008, the EPA revised
‘‘temporary home’’. edited or removed from Regulations.gov. both the primary and secondary NAAQS
[FR Doc. 2018–07082 Filed 4–5–18; 8:45 am]
The EPA may publish any comment for ozone to a level of 0.075 parts per
received to its public docket. Do not million (ppm) (based on the annual
BILLING CODE 8320–01–P
submit electronically any information fourth-highest daily maximum 8-hour
you consider to be Confidential average concentration, averaged over 3
Business Information (CBI) or other years) to provide increased protection of
ENVIRONMENTAL PROTECTION information whose disclosure is public health and the environment (73
AGENCY restricted by statute. Multimedia FR 16436, March 27, 2008). The 2008
40 CFR Part 52 submissions (audio, video, etc.) must be ozone NAAQS retains the same general
accompanied by a written comment. form and averaging time as the 0.08
[EPA–R08–OAR–2017–0567, FRL–9975– The written comment is considered the ppm NAAQS set in 1997, but is set at
09—Region 8] official comment and should include a more protective level. Specifically, the
discussion of all points you wish to 2008 8-hour ozone NAAQS is attained
Promulgation of State Implementation
make. The EPA will generally not when the 3-year average of the annual
Plan Revisions; Colorado; Attainment
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consider comments or comment fourth-highest daily maximum 8-hour
Demonstration for the 2008 8-Hour
contents located outside of the primary average ambient air quality ozone
Ozone Standard for the Denver Metro/
submission (i.e., on the web, cloud, or concentrations is less than or equal to
North Front Range Nonattainment
other file sharing system). For 0.075 ppm. See 40 CFR 50.15.
Area, and Approval of Related
additional submission methods, the full Effective July 20, 2012, the EPA
Revisions
EPA public comment policy, designated as nonattainment any area
AGENCY: Environmental Protection information about CBI or multimedia that was violating the 2008 8-hour
Agency (EPA). submissions, and general guidance on ozone NAAQS based on the three most
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Document Created: 2018-11-01 09:15:32
Document Modified: 2018-11-01 09:15:32
| 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 | Proposed Rules | |
| Action | Proposed rule. | |
| Dates | Comment Date: Comments on the proposed rule must be received by VA on or before June 5, 2018. | |
| Contact | Jamie R. Ploppert, National Director, Mental Health Residential Treatment Programs (10P4M), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420 or (757) 722-9991 extension 1123. (This is not a toll-free number.) | |
| FR Citation | 83 FR 14804 | |
| RIN Number | 2900-AP00 | |
| CFR Associated | Administrative Practice and Procedure; Alcohol Abuse; Alcoholism; Claims; Day Care; Dental Health; Drug Abuse; Government Contracts; Grant Programs-Health; Grant Programs-Veterans; Health Care; Health Facilities; Health Professions; Health Records; Homeless; Medical and Dental Schools; Medical Devices; Medical Research; Mental Health Programs; Nursing Homes; Reporting and Recordkeeping Requirements; Travel and Transportation Expenses and Veterans |
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