Notice2023-18312
Agency Information Collection Activity: Per Diem to States for Care of Eligible Veterans in State Homes
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 25, 2023
Issuing agencies
Veterans Affairs Department
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 164 (Friday, August 25, 2023)</title>
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[Federal Register Volume 88, Number 164 (Friday, August 25, 2023)]
[Notices]
[Pages 58439-58440]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-18312]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0883]
Agency Information Collection Activity: Per Diem to States for
Care of Eligible Veterans in State Homes
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 October 24, 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#d493a6b5baa0fa96b1babab1a0a094a2b5fab3bba2"><span class="__cf_email__" data-cfemail="185f6a79766c365a7d76767d6c6c586e79367f776e">[email protected]</span></a>. Please refer to
``OMB Control No. 2900-0883'' 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 Avenue
NW, Washington, DC 20420, (202) 266-4688 or email
<a href="/cdn-cgi/l/email-protection#274a46554e45424b0946574849534267514609404851"><span class="__cf_email__" data-cfemail="1974786b707b7c7537786976776d7c596f78377e766f">[email protected]</span></a>. Please refer to ``OMB Control No. 2900-0883'' 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
[[Page 58440]]
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: Per Diem to States for Care of Eligible Veterans in State
Homes (VA Forms 10-0143, 10-0143A, 10-0144, 10-0144A, 10-0460a, and 10-
3567).
OMB Control Number: 2900-0883.
Type of Review: Revision of a currently approved collection.
Abstract: Authority for this information collection is from Title
38 Code of Federal Regulations (CFR) part 51, Per Diem for Nursing
Home, Domiciliary or Adult Day Health Care of Veterans in State
Veterans Homes, requiring the VA to ensure that per diem payments are
limited to facilities providing high quality care for Veterans. This
collection of forms is approved under OMB Control Number 2900-0883.
These six forms (10-0143, 10-0143A, 10-0144, 10-0144A, 10-0460a,
and 10-3567) are presented to and completed by State Veterans Homes
(SVH) management under Subpart B of the CFR part 51 and then assessed
for compliance to applicable regulations under Subparts D, E or F by VA
contracted vendors during a VA survey at each State Veterans Home (SVH)
across the U.S. as a regulatory action. This collection of forms falls
under the auspices of The Office of Geriatrics and Extended Care in VA
Central Office (12GEC). As per VHA Directive 1145.01, this collection
of forms is part of the VA survey process. The legal requirements that
necessitate this collection of information are found specifically at
title 38 CFR parts 51.31, Sec. 51.43 and Sec. 51.210 for all three
levels of care: nursing home, domiciliary, and adult day health care.
The information required at time of the VA survey includes the
application and justification for medications for a basic rate Veteran;
records and reports that SVH management must maintain regarding
activities of residents or participants; information relating to
whether the SVH meets standards concerning residents' rights and
responsibilities prior to admission or enrollment, during admission or
enrollment, and upon discharge; the records and reports which SVH
management and SVH health care professionals must maintain regarding
residents or participants and employees; various types of documents
pertaining to the management of the SVH; pharmaceutical records; and
staffing documentation.
a. VA Form 10-0143--38 CFR 51.210(c)(9)--is used for the annual
certification pursuant to the Drug-Free Workplace Act of 1988.
b. VA Form 10-0143A--38 CFR 51.210(c)(8)--is used for annual
certification from the responsible State Agency showing compliance with
section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112).
c. VA Form 10-0144--38 CFR 51.210(c)(10)--is used for annual
certification regarding lobbying, in compliance with Public Law 101-
121.
d. VA Form 10-0144A--38 CFR 51.210(c)(11)--is used for annual
certification of compliance with Title VI of the Civil Rights Act of
1964, as incorporated in Title 38 CFR 18.1-18.3.
e. VA Form 10-0460a--38 CFR 51.43--As a condition for receiving
drugs or medicine under this section or under Sec. 17.96 of this
chapter, the State Home will submit to the VA medical center of
jurisdiction a monthly completed VA Form 10-0460a with the
corresponding prescription(s) for each eligible Veteran.
f. VA Form 10-3567--38 CFR 51.31--is completed by SVH management
during the annual VA survey and used to record and then assess the
following: operating beds versus recognized beds, total FTEE authorized
and vacancies, as well as resident census.
Total Annual Burden: 2,119 hours.
Total Annual Responses: 2,805.
VA Form 10-0143:
Affected Public: State, Local, and Tribal Governments.
Estimated Annual Burden: 13.75 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
VA Form 10-0143A:
Affected Public: State, Local, and Tribal Governments.
Estimated Annual Burden: 13.75 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
VA Form 10-0144:
Affected Public: State, Local, and Tribal Governments.
Estimated Annual Burden: 13.75 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
VA Form 10-0144A:
Affected Public: State, Local, and Tribal Governments.
Estimated Annual Burden: 13.75 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
VA Form 10-0460a:
Affected Public: State, Local, and Tribal Governments.
Estimated Annual Burden: 1980 hours.
Estimated Average Burden per Respondent: 60 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents: 165.
VA Form 10-3567:
Affected Public: State, Local, and Tribal Governments.
Estimated Annual Burden: 82.50 hours.
Estimated Average Burden per Respondent: 30 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 165.
By direction of the Secretary.
Dorothy Glasgow,
VA PRA Clearance Officer, (Alt), Office of Enterprise and Integration/
Data Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2023-18312 Filed 8-24-23; 8:45 am]
BILLING CODE 8320-01-P
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