Evaluation of Veterans Health Administration Mental Health Services

Forms and Documents

Document Name	Status
EVHAMHS Justification Part B.doc Supporting Statement B	2008-01-10
EVHAMHS Justification Part A.doc Supporting Statement A	2008-01-10

IC Document Collections

IC ID	Document Title	Status
182503	Evaluation of Veterans Health Administration Mental Health Services Other-survey	New

ICR Details

OMB Control No: 2900-0713	ICR Reference No: 200710-2900-008
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Evaluation of Veterans Health Administration Mental Health Services
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/11/2008
	Date Received in OIRA: 01/10/2008
Terms of Clearance: Approved consistent with the following terms of clearance: Approved consistent with VA memo submitted to OMB outlining changes. Additionally, OMB approves the survey for two years, upon completion of the study VA will provide a report of the results to OMB including a discussion of response rates.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved
Responses	8,218	0	0
Time Burden (Hours)	4,109	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This program evaluation of mental health services in VA is a four year study of services and outcomes. The program evaluation is looking at patient-level outcomes to determine what impact our services have on patients with specific mental illnesses. The contractor has proposed a telephone survey of selected veterans to supplement the data found in VA’s administrative databases and patient charts. Two groups of veterans will be surveyed- veterans who use VA services to see how our services have impacted them, and veterans who do not use VA for their health care to find out why they don’t. We are specifically looking a vets with five diagnoses: schizophrenia, bipolar, major depressive disorder, PTSD and substance abuse.

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Authorizing Statute(s): PL: Pub.L. 103 - 62 entirety Name of Law: Government Performance and esults Act of 1993
   US Code: 38 USC 527 Name of Law: Evaluation and Data Collection
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 162	08/22/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 214	11/06/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Evaluation of Veterans Health Administration Mental Health Services

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,218	0	0	8,218	0	0
Annual Time Burden (Hours)	4,109	0	0	4,109	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is no change to the burden hours. This is the study’s first submission

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Annual Cost to Federal Government: $1,725,435

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/10/2008

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