60-Day FRN (2900-0564)(8-3-15)

60-Day FRN (2900-0564)(8-3-15).pdf

Direct Deposit Enrollment; International Direct Deposit Enrollment (24-0296 & 24-0296a)

60-Day FRN (2900-0564)(8-3-15)

OMB: 2900-0564

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Federal Register / Vol. 80, No. 148 / Monday, August 3, 2015 / Notices
[FR Doc. 2015–18718 Filed 7–31–15; 8:45 am]
BILLING CODE 4909–60–M

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0764]

Proposed Information Collection
(SURVEY OF HEALTHCARE
EXPERIENCES; DENTAL PATIENT
SATISFACTION SURVEY) Activity:
Comment Request
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

The Veterans Health
Administration (VHA) 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. This
notice solicits comments on information
needed to identify areas for
improvement in clinical training
programs.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before October 2, 2015.
ADDRESSES: Submit written comments
on the collection of information through
the Federal Docket Management System
(FDMS) at www.Regulations.gov; or to
Brian McCarthy, Office of Regulatory
and Administrative Affairs, Veterans
Health Administration (10B4),
Department of Veterans Affairs, 810
Vermont Avenue NW., Washington, DC
20420 or email: Brian.McCarthy4@
va,gov. Please refer to ‘‘OMB Control
No. 2900–0764’’ in any correspondence.
During the comment period, comments
may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Brian McCarthy at (202) 461–6345.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–3521), Federal agencies must
obtain approval from 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

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SUMMARY:

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for the proper performance of VHA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VHA’s estimate of
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.
Titles:
1. SURVEY OF HEALTHCARE
EXPERIENCES DENTAL PATIENT
SATISFACTION SURVEY.
2. OMB Control Number: 2900–0764.
Type of Review: Extension of a
currently approved collection.
Abstracts: The mission of the
Veterans Health Administration (VHA)
is to provide high quality medical and
dental care to eligible veterans.
Executive Order 12862, dated
September 11, 1993, calls for the
establishment and implementation of
customer service standards, and for
agencies to ‘‘survey customers to
determine the kind and quality of
services they want and their level of
satisfaction with current services’’. At
present, VA does not specifically
evaluate patient satisfaction for over
400,000 veterans receiving dental
services each year.
The Dental Patient satisfaction survey
is comprised primarily of questions
taken from two validated and
extensively tested surveys. The first
survey is the VA Nation-wide Customer
Satisfaction Survey: Survey of Health
Experience of Patients (SHEP); this has
OMB approval under clearance number
2900–0712. The second survey, Dental
Consumer Assessment of Healthcare
Provider and Systems (DCAHPS), was
developed by the Agency for Healthcare
Research and Quality (AHRQ). The
psychometric properties of this survey
are well documented and the survey has
been used extensively in measuring
patient satisfaction for TRICARE dental
services.
Affected Public: Individuals or
households.
Estimated Annual Burden:
a. Survey of Health Care Experiences
Dental Patient Satisfaction Survey, VA
Form 10–10070—9,146 hours.
Estimated Average Burden per
Respondent:
a. Survey of Health Care Experiences
Dental Patient Satisfaction Survey, VA
Form 10–10070—15 minutes.
Frequency of Response: Annually.
Estimated Annual Responses:

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46103

a. Survey of Health Care Experiences
Dental Patient Satisfaction Survey, VA
Form 10–10070—36,585.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2015–18928 Filed 7–31–15; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0564]

Proposed Information Collection
(Direct Deposit Enrollment;
International Direct Deposit
Enrollment) Activity: Comment
Request
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

The Veterans Benefits
Administration (VBA), 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
revision of a currently approved
collection, and allow 60 days for public
comment in response to the notice. This
notice solicits comments on the
information need to enroll claimants
receiving benefit payments into an
electronic funds transfer program.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before October 2, 2015.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Nancy J. Kessinger, Veterans Benefits
Administration (20M33), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420 or email to
[email protected]. Please refer to
‘‘OMB Control No. 2900–0564’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
FOR FURTHER INFORMATION CONTACT:
Nancy J. Kessinger at (202) 632–8924 or
FAX (202) 632–8925.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–21), Federal agencies must obtain
SUMMARY:

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46104

Federal Register / Vol. 80, No. 148 / Monday, August 3, 2015 / Notices

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, VBA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VBA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VBA’s estimate of 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.
Title: Direct Deposit Enrollment;
International Direct Deposit Enrollment
(24–0296 & 24–0296a).
OMB Control Number: 2900–0564.
Type of Review: Revision of a
currently approved collection.
Abstract: The information collected
on these forms will be used to enroll VA
benefit recipients in the electronic funds
transfer (EFT) program.
Estimated Annual Burden: 1,250
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
5,000.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2015–18924 Filed 7–31–15; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0648]

Proposed Information Collection
(Foreign Medical Program Application
and Claim Cover Sheet) Activity:
Comment Request
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.

mstockstill on DSK4VPTVN1PROD with NOTICES

AGENCY:

The Veterans Health
Administration (VHA) is announcing an
opportunity for public comment on the
proposed collection of certain

SUMMARY:

VerDate Sep<11>2014

18:35 Jul 31, 2015

Jkt 235001

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. This
notice solicits comments on information
needed to identify areas for
improvement in clinical training
programs.
Written comments and
recommendations on the proposed
collection of information should be
received on or before October 2, 2015.
ADDRESSES: Submit written comments
on the collection of information through
the Federal Docket Management System
(FDMS) at www.Regulations.gov; or to
Brian McCarthy, Office of Regulatory
and Administrative Affairs, Veterans
Health Administration (10B4),
Department of Veterans Affairs, 810
Vermont Avenue NW., Washington, DC
20420 or email: Brian.McCarthy4@
va.gov. Please refer to ‘‘OMB Control
No. 2900–0648’’ in any correspondence.
During the comment period, comments
may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Brian McCarthy at (202) 461–6345.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–3521), Federal agencies must
obtain approval from 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
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.
Titles:
1. Foreign Medical Program (FMP)
Registration Form.
2. CLAIM COVER SHEET—FOREIGN
MEDICAL PROGRAM (FMP).
OMB Control Number: 2900–0648.
Type of Review: Extension of a
currently approved collection.
DATES:

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Abstracts: This information collection
is needed to carry out the health care
benefits allowed by the Foreign Medical
Program (FMP). It is a federal health
benefits program for Veterans
administered by the Department of
Veterans Affairs (VA) Veterans Health
Administration (VHA). FMP is a Fee for
Service (indemnity plan) program. FMP
provides reimbursement for VA
adjudicated service-connected
conditions. Title 38 CFR 17.35 states
that the VA will provide coverage for
the Veteran’s service-connected
disability when the Veteran is residing
or traveling overseas.
VA Form 10–7959f–1, Foreign
Medical Program (FMP) Registration
Form, is used to register into the Foreign
Medical Program those Veterans with
service-connected disabilities that are
living or traveling overseas. Title 38
CFR 17.125(d) states that requests for
consideration of claim reimbursement
from approved health care providers
and Veterans are to be mailed to VHA
Health Administration Center (HAC).
The VA Form 10–7959f–2, Claim Cover
Sheet—Foreign Medical Program
streamlines the claims submission
process for claimants or physicians
while also reducing the time spent by
VA on processing FMP claims. The
cover sheet will allow foreign providers/
Veterans with a better understanding of
basic information required for the
processing and payment of claims.
Affected Public: Individuals or
households.
Estimated Annual Burden:
a. Foreign Medical Program (FMP)
Registration Form—fill, VA Form 10–
7959f–1—111 hours.
b. CLAIM COVER SHEET—FOREIGN
MEDICAL PROGRAM (FMP)—fill, VA
Form 10–7959f–2—3,652 hours.
Estimated Average Burden per
Respondent:
a. Foreign Medical Program (FMP)
Registration Form—fill, VA Form 10–
7959f–1—4 minutes.
b. CLAIM COVER SHEET—FOREIGN
MEDICAL PROGRAM (FMP)—fill, VA
Form 10–7959f–2—11 minutes.
Frequency of Response:
a. Foreign Medical Program (FMP)
Registration Form—fill, VA Form 10–
7959f–1—Annually
b. CLAIM COVER SHEET—FOREIGN
MEDICAL PROGRAM (FMP)—fill, VA
Form 10–7959f–2 —12 times a year.
Estimated Annual Responses:
a. Foreign Medical Program (FMP)
Registration Form—fill, VA Form 10–
7959f–1—1,660.
b. CLAIM COVER SHEET—FOREIGN
MEDICAL PROGRAM (FMP)—fill, VA
Form 10–7959f–2—19,920.

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