Request to Conduct Caregivers Support Focus Groups

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NGO Mod Guide.docx	Supplementary Document	Uploaded 2010-10-25	Available
Vet and Caregiver Mod Guide.docx	Supplementary Document	Uploaded 2010-10-25	Available
VSO Mod Guide.docx	Supplementary Document	Uploaded 2010-10-25	Available
OMB Justification Template PL 111-163 Focus Groups.doc	Supporting Statement A	Uploaded 2010-10-25	Available
P L 111-163 CAREGIVERS AND VETERANS OMNIBUS HEALTH SERVICES ACT OF 2010.pdf	Supplementary Document	Uploaded 2010-08-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194433	Moderator Guides for Caregivers Support Focus Groups	Other-Instruction & Telephonic	New

ICR Details

OMB Control No: 2900-0755	ICR Reference No: 201008-2900-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Request to Conduct Caregivers Support Focus Groups
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 08/31/2010
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/02/2010
	Date Received in OIRA: 08/30/2010
Terms of Clearance: Approved consistent with VA revisions to the supporting statement and additional supporting documentation.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2011	6 Months From Approved
Responses	104	0	0
Time Burden (Hours)	17	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Public Law 111-163, Caregivers and Veterans Omnibus Health Services Act of 2010 was enacted on May 5, 2010. This request pertains to Title 1, Caregiver Support, Section 101, Assistance and support services for caregivers. The law requires the Department of Veterans Affairs (VA) to consult with Veterans, family caregivers, Veteran Service Organizations and Non-Governmental Organizations that specialize in the provision of assistance to individuals with disabilities and their family caregivers while developing the implementation plan and report. In the report, the law also specifies that VA shall include a description of the stakeholders consulted, a description of the consultations, the recommendations of the stakeholders, including those that were not adopted and incorporated in the plan and the reasons the Secretary did not adopt such recommendations.

Emergency Justfication: The Care Management and Social Work, in the Office of Patient Care Services, in collaboration with the Chief Business Office, has the lead responsibility for implementation of Public Law 111-163, Caregivers and Veterans Omnibus Health Services Act of 2010. The law was signed on May 5, 2010 by President Barack Obama, which states: “No later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall – develop a plan for the implementation of the program of comprehensive assistance for family caregivers and submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on such plan.” VA has a contract with Gallup in the Veterans Integrated Service Networks (VISN) 5 and 22 to conduct 4 Veteran focus groups, 6 Caregiver focus groups, one focus group with VSO’s, and one focus group with Non-Governmental Organizations (NGO). The focus groups will consist of 6 to 8 participants. The moderator guides have been developed and are attached. It is imperative that these focus groups are conducted no later than August 31 in order for VA to incorporate the information into the plan.

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Authorizing Statute(s): PL: Pub.L. 111 - 163 101, Title 1 Name of Law: Caregivers and Veterans Omnibus Health Services Act of 2010
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 163 101, Title 1 Name of Law: Caregivers and Veterans Omnibus Health Services Act of 2010

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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

Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Moderator Guides for Caregivers Support Focus Groups

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ICR Summary of Burden

table that charts list 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	104	0	0	104	0	0
Annual Time Burden (Hours)	17	0	0	17	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: This is a new collection and all hours are considered a burden increase.

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Annual Cost to Federal Government: $180,164

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 08/30/2010

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