Locality Pay System for Nurses and Other Health Care Personnel

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-0132 Locality Pay System for Nurses and Other Health Care Personnel	Form and Instruction	Modified	Available
2900-0519 Statement B.DOC	Supporting Statement B	Uploaded 2011-10-27	Available
2900-0519 justification_July 2014 (CR 8 25 14) (CR 2 12 15).doc	Supporting Statement A	Uploaded 2015-02-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28703	Locality Pay System for Nurses and Other Health Care Personnel	Form and Instruction	Modified

ICR Details

OMB Control No: 2900-0519	ICR Reference No: 201407-2900-014
Status: Historical Inactive	Previous ICR Reference No: 201110-2900-006
Agency/Subagency: VA	Agency Tracking No: 2900-0519
Title: Locality Pay System for Nurses and Other Health Care Personnel
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 06/09/2015
	Date Received in OIRA: 02/17/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	36 Months From Approved	07/09/2015
Responses	90	0	90
Time Burden (Hours)	67	0	67
Cost Burden (Dollars)	0	0	0

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Abstract: This collection is necessary to comply with PL 101-366 (Department of Veterans Affairs (VA) Nurse Pay Act of 1990) as amended by 106-419 (Veterans Benefits and Health Care Improvement Act of 2002), which requires specifically provides for a locality pay system for certain health care personnel. VA uses data from the BLS, other third party salary survey sources or VA surveys to determine a location appropriate pay scale for these health care personnel.

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Authorizing Statute(s): US Code: 38 USC 7451 Name of Law: Nurses and other health-care personnel: competitive pay
   PL: Pub.L. 101 - 366 201 Name of Law: Nurses Pay Act of 1990
   PL: Pub.L. 106 - 419 1402 Name of Law: Veterans Benefits and Health Care Improvement Act of 2000
  

Citations for New Statutory Requirements: PL: Pub.L. 106 - 419 1402 Name of Law: Veterans Benefits and Health Care Improvement Act of 2000

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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:
	79 FR 61691	10/14/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 1991	01/14/2015
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
Locality Pay System for Nurses and Other Health Care Personnel	10-0132	Locality Pay system for Nurses and Other Health Care Personnel

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $221

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]? 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: 02/17/2015

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