Notice2023-18533
Agency Information Collection Activity Under OMB Review: State Home Programs for Veterans
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 29, 2023
Issuing agencies
Veterans Affairs Department
Abstract
In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Health Administration, Department of Veterans Affairs, will submit 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 and it includes the actual data collection instrument.
Full Text
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<title>Federal Register, Volume 88 Issue 166 (Tuesday, August 29, 2023)</title>
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[Federal Register Volume 88, Number 166 (Tuesday, August 29, 2023)]
[Notices]
[Pages 59573-59574]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-18533]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0160]
Agency Information Collection Activity Under OMB Review: State
Home Programs for Veterans
AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995,
this notice announces that the Veterans Health Administration,
Department of Veterans Affairs, will submit 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 and it
includes the actual data collection instrument.
DATES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Refer to
``OMB Control No. 2900-0160.''
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#5835392a313a3d3476392837362c3d182e39763f372e"><span class="__cf_email__" data-cfemail="6c010d1e050e0900420d1c030218092c1a0d420b031a">[email protected]</span></a>. Please refer to ``OMB Control No. 2900-0160'' in
any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 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
[[Page 59574]]
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. 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.
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 at 88 FR 118 on June 21, 2023, pages 40402
and 40403.
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.
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. 2023-18533 Filed 8-28-23; 8:45 am]
BILLING CODE 8320-01-P
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