Agency Information Collection Activity: State Home Programs for Veterans
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Issuing agencies
Abstract
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 proposed extension of a currently approved collection, and allow 60 days for public comment in response to the notice.
Full Text
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<title>Federal Register, Volume 88 Issue 118 (Wednesday, June 21, 2023)</title>
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[Federal Register Volume 88, Number 118 (Wednesday, June 21, 2023)]
[Notices]
[Pages 40402-40403]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-13159]
[[Page 40402]]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0160]
Agency Information Collection Activity: State Home Programs for
Veterans
AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
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SUMMARY: 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 proposed extension of a
currently approved collection, and allow 60 days for public comment in
response to the notice.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before August 21, 2023.
ADDRESSES: Submit written comments on the collection of information
through Federal Docket Management System (FDMS) at <a href="http://www.Regulations.gov">www.Regulations.gov</a>
or to Grant Bennett, Office of Regulations, Appeals, and Policy
(10BRAP), Department of Veterans Affairs, 810 Vermont Avenue NW,
Washington, DC 20420 or email to <a href="/cdn-cgi/l/email-protection#f0b782919e84deb2959e9e958484b08691de979f86"><span class="__cf_email__" data-cfemail="0b4c796a657f25496e65656e7f7f4b7d6a256c647d">[email protected]</span></a>. Please refer to
``OMB Control No. 2900-0160'' in any correspondence. During the comment
period, comments may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise
and Integration, Data Governance Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20006, (202) 266-4688 or email <a href="/cdn-cgi/l/email-protection#b3ded2c1dad1d6df9dd2c3dcddc7d6f3c5d29dd4dcc5"><span class="__cf_email__" data-cfemail="402d21322922252c6e21302f2e34250036216e272f36">[email protected]</span></a>.
Please refer to ``OMB Control No. 2900-0160'' in any correspondence.
SUPPLEMENTARY INFORMATION: Under the PRA of 1995, 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.
Authority: Public Law 104-13; 44 U.S.C. 3501-3521.
Title: State Home Programs for Veterans (VA Forms 10-5588, 10-
5588A, and 10-10SH).
OMB Control Number: 2900-0160.
Type of Review: Revision of a currently approved collection.
Abstract: Authority for this information collection can be found in
two public laws affecting State homes: Public Law 115-159, the State
Veterans Home Adult Day Health Care Improvement Act of 2017, which
requires VA to pay State Veteran Homes (SVHs) for medical model adult
day health care provided to certain eligible Veterans; and Public Law
116-315, Section 3007, Waiver of Requirements of Department of Veterans
Affairs for Receipt of Per Diem Payments for Domiciliary Care at State
Homes and Modification of Eligibility for such Payments. This
information collection also enables the payment of per diem to State
homes that provide care to eligible Veterans in accordance with Title
38 CFR part 51. The intended effect of these provisions is to create a
safeguard that Veterans are receiving a high quality of care in SVHs.
To ensure that high quality care is furnished to Veterans, VA
requires those facilities providing nursing home care, domiciliary
care, and adult day health care programs to Veterans to supply various
kinds of information. The information required includes an application
and justification for payment; records and reports that facility
management must maintain regarding payment activities of residents or
participants; and records and reports that facilities management and
health care professionals must maintain regarding eligible residents or
participants. The following three forms are included in this
information collection:
a. VA Form 10-5588: State Home Report and Statement of Federal Aid
Claimed--38 CFR 51, 52 and title 38, U.S.C., sections 1741, 1742, 1743
and 1745--is used to assess and provide per diem to State homes. This
collection instrument is used by the State home employees and VA Staff.
b. VA Form 10-5588A: Claim for Increased Per Diem Payment for
Veterans Awarded Retroactive Service Connection--38 CFR 51, 52 and
title 38, U.S.C. 1741, 1742, 1743 and 1745--is used to assess and
provide per diem to State homes retroactively. This collection
instrument is used by the State home employees and VA Staff.
c. VA Form 10-10SH: State Home Program Application for Veterans
Care Medical Certification--38 CFR 51, 52 and title 38, U.S.C. 1741,
1742, 1743 and 1745--provides for the collection of information to
apply for the benefits of this program.
The State Home Per Diem (SHPD) Program recently automated the 10-
10SH form. The form was converted into a web-based, fillable form that
can be electronically submitted from the SVH to the appropriate VAMC.
It includes data field validation, assuring that all required fields
have been filled before the user can electronically submit the 10-10SH
form. The VA portion of the application also includes business rules to
assist the VA representatives in making uniform determinations, allow
the VA representative to return incomplete applications to the SVH
along with a notification to them, and record receipt of the completed
application.
Total Annual Burden: 4,816 hours.
Total Annual Responses: 13,614.
VA Form 10-5588
Affected Public: State, Local, and Tribal Governments.
Estimated Annual Burden: 834 hours.
Estimated Average Burden Per Respondent: 30 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents: 139.
VA Form 10-5588A
Affected Public: State, Local, and Tribal Governments.
Estimated Annual Burden: 180 hours.
Estimated Average Burden Per Respondent: 20 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents: 45.
[[Page 40403]]
VA Form 10-10SH
Affected Public: State, Local, and Tribal Governments.
Estimated Annual Burden: 3,802 hours.
Estimated Average Burden Per Respondent: 20 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 11,406.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration/Data
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2023-13159 Filed 6-20-23; 8:45 am]
BILLING CODE 8320-01-P
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