Program of Comprehensive Assistance for Family Caregivers (PCAFC)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
60 Day FRN Public Comment for PRA Collection - PCAFC.docx	Supplementary Document	Uploaded 2018-10-25	Available
PCAFC_Supporting Statement A_OMB passback revisions_07242019.doc	Supporting Statement A	Uploaded 2019-07-25	Available
30 Day FRN - Published.pdf	Supplementary Document	Uploaded 2018-10-25	Available
60 Day FRN - Published.pdf	Supplementary Document	Uploaded 2018-07-12	Available
Justification B_Caregiver Support Program_OMB Passback revisions_07242019.doc	Supporting Statement B	Uploaded 2019-07-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
231784	Survey of Veterans in the Program of Comprehensive Assistance for Family Caregivers (PCAFC)	Other-Survey	New
231783	Survey of Caregivers in the Program of Comprehensive Assistance for Family Caregivers (PCAFC)	Other-Survey	New

ICR Details

OMB Control No: 2900-0871	ICR Reference No: 201806-2900-002
Status: Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Program of Comprehensive Assistance for Family Caregivers (PCAFC)
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: 07/25/2019
	Date Received in OIRA: 01/15/2019
Terms of Clearance: The Program Office will provide a copy of any report generated from this collection before it is used for either 1. Publication outside of VA, or 2. Significant policy making within VA.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved
Responses	16,500	0	0
Time Burden (Hours)	4,125	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 authorized the Department of Veteran Affairs to implement the Program of Comprehensive Assistance for Family Caregivers (PCAFC). The resultant data from the individual Veteran and caregiver satisfaction surveys will be used to inform VA with an overall gauge of satisfaction with PCAFC participants and will assist in the identification of possible future program improvements. The surveys will solicit voluntary opinions and are not intended to collect information required to obtain or maintain eligibility for a Department of Veterans Affairs (VA) program or benefit.

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Authorizing Statute(s): US Code: 38 USC Part 1, Chapter 5, Section 527 Name of Law: null
   PL: Pub.L. 111 - 163 N/A Name of Law: Caregivers and Veterans Omnibus Health Services Act of 2010
  

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:
	83 FR 28350	06/18/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 53958	10/25/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Survey of Caregivers in the Program of Comprehensive Assistance for Family Caregivers (PCAFC)
Survey of Veterans in the Program of Comprehensive Assistance for Family Caregivers (PCAFC)

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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	16,500	0	0	16,500	0	0
Annual Time Burden (Hours)	4,125	0	0	4,125	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 burden hours are considered a program increase.

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Annual Cost to Federal Government: $661,541

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 01/15/2019

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