60-day FRN - Per Diem to States for Veteran Care in State Homes - published 072319

Federal Register / Vol. 84, No. 141 / Tuesday, July 23, 2019 / Notices
engaged in, or whose members have engaged
in, serious human rights abuse relating to the
leader’s or official’s tenure.
3. AL-SULTAN, Nawfal Hammadi (a.k.a.
AL-AKOUB, Nawfal; a.k.a. SULTAN, Nawfal
Hamadi), Iraq; DOB 23 Feb 1964; nationality
Iraq; Gender Male; National ID No. 71719043
(Iraq) (individual) [GLOMAG].
Designated pursuant to section
1(a)(ii)(B)(1) of E.O. 13818 for being a foreign
person who is a current or former
government official, or a person acting for or
on behalf of such an official, who is
responsible for or complicit in, or has
directly or indirectly engaged in, corruption,
including the misappropriation of state
assets, the expropriation of private assets for
personal gain, corruption related to
government contracts or the extraction of
natural resources, or bribery.
4. AL-JUBOURI, Ahmad Abdullah (a.k.a.
ABED, Ahmed Abdullah; a.k.a. AL-JUBOURI,
Ahmed; a.k.a. KHALAF, Ahmed Abdullah
Abid; a.k.a. ‘‘Abu Mazen’’; a.k.a. ‘‘Abu
Mazin’’), Iraq; DOB 01 Jul 1967; POB
Baghdad, Iraq; nationality Iraq; Gender Male;
Passport D1017310 (Iraq) expires 14 Apr
2025; National ID No. 00318953 (Iraq)
(individual) [GLOMAG].
Designated pursuant to section
1(a)(ii)(B)(1) of E.O. 13818 for being a foreign
person who is a current or former
government official, or a person acting for or
on behalf of such an official, who is
responsible for or complicit in, or has
directly or indirectly engaged in, corruption,
including the misappropriation of state
assets, the expropriation of private assets for
personal gain, corruption related to
government contracts or the extraction of
natural resources, or bribery.
Dated: July 18, 2019.
Bradley T. Smith,
Deputy Director, Office of Foreign Assets
Control.
[FR Doc. 2019–15594 Filed 7–22–19; 8:45 am]
BILLING CODE 4810–AL–P

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

Agency Information Collection
Activity: Per Diem to States for Care of
Eligible Veterans in State Homes
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

Veterans Health
Administration, 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

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SUMMARY:

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information, including each proposed
extension of a currently approved
collection, and allow 60 days for public
comment in response to the notice.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before September 23,
2019.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Brian McCarthy, Office of Regulatory
and Administrative Affairs (10B4),
Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC
20420 or email to Brian.McCarthy4@
va.gov. Please refer to ‘‘OMB Control
No. 2900–NEW’’ in any correspondence.
During the comment period, comments
may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Brian McCarthy at (202) 615–9241.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995, Federal agencies must
obtain 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, 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.
Authority: Public Law 104–13; 44
U.S.C. 3501–3521.
Title: Per Diem to States for Care of
Eligible Veterans in State Homes (VA
Forms 10–0143, 10–0143A, 10–0144,
10–0144A, 10–0460, and 10–3567).
OMB Control Number: 2900–NEW.
Type of Review: Reinstatement of
previously approved collection as a new
collection.
Abstract: This collection of forms was
part of a previously approved collection
under OMB Control Number 2900–0160.
However, it has been determined that
these six forms will be separated from
the other three forms in 2900–0160, and
renewal is requested under a new OMB
Control Number.

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Title 38 CFR part 51 State Veterans
Homes (SVH) regulations published in
the Federal Register as final rule on
November 28, 2018 (RIN 2900–A088)
require the VA to ensure per diem
payments are limited to facilities
providing high quality care. These six
forms are presented to and completed
by SVH management and then assessed
and utilized by VA SVH Representatives
designated by the Medical Center
Director of VA of jurisdiction during the
annual VA survey process at each SVH
across the U.S. as a regulatory action.
This collection of forms falls under the
auspices of Geriatrics and Extended
Care in VA Central Office (10NC4). As
per VHA Directive 1145.01, this
collection of forms is part of the annual
VA survey process. The legal
requirements that necessitate this
collection of information are found
specifically at 38 CFR parts 51.31, 51.43,
and 51.210 for all three levels of care;
nursing home, domiciliary, and adult
day health care.
The information required at time of
the VA survey includes the application
and justification for medications for a
basic rate Veteran; records and reports
that SVH management must maintain
regarding activities of residents or
participants; information relating to
whether the SVH meets standards
concerning residents’ rights and
responsibilities prior to admission or
enrollment, during admission or
enrollment, and upon discharge; the
records and reports which SVH
management and SVH health care
professionals must maintain regarding
residents or participants and employees;
various types of documents pertaining
to the management of the SVH;
pharmaceutical records; and staffing
documentation.
a. VA Form 10–0143—38 CFR
51.210(c)(9)—is used for the annual
certification pursuant to the Drug-Free
Workplace Act of 1988.
b. VA Form 10–0143A—38 CFR
51.210(c)(8)—is used for annual
certification from the responsible State
Agency showing compliance with
Section 504 of the Rehabilitation Act of
1973 (Pub. L. 93–112).
c. VA Form 10–0144—38 CFR
51.210(c)(10)—is used for annual
certification regarding lobbying, in
compliance with Public Law 101–121.
d. VA Form 10–0144A—38 CFR
51.210(c)(11)—is used for annual
certification of compliance with Title VI
of the Civil Rights Act of 1964, as
incorporated in Title 38 CFR 18.1–18.3.
e. VA Form 10–0460—38 CFR 51.43—
As a condition for receiving drugs or
medicine under this section or under
§ 17.96 of this chapter, the State must

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Federal Register / Vol. 84, No. 141 / Tuesday, July 23, 2019 / Notices

submit to the VA medical center of
jurisdiction a completed VA Form 10–
0460 with the corresponding
prescription(s) for each eligible Veteran.
f. VA Form 10–3567—38 CFR 51.31—
is completed by SVH management
during the annual VA survey and used
to record and then assess the following:
operating beds versus recognized beds,
total FTEE authorized and vacancies, as
well as resident census.
VA Form 10–0143
Affected Public: State, Local, and
Tribal Governments.
Estimated Annual Burden: 13 hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
156.
VA Form 10–0143A
Affected Public: State, Local, and
Tribal Governments.
Estimated Annual Burden: 13 hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
156.

VA Form 10–0460
Affected Public: State, Local, and
Tribal Governments.
Estimated Annual Burden: 5,500
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
11,000.
VA Form 10–3567
Affected Public: State, Local, and
Tribal Governments.
Estimated Annual Burden: 78 hours.
Estimated Average Burden Per
Respondent: 30 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
156.
By direction of the Secretary.
Danny S. Green,
Interim VA Clearance Officer, Office of
Quality, Performance and Risk (OQPR),
Department of Veterans Affairs.

VA Form 10–0144

[FR Doc. 2019–15606 Filed 7–22–19; 8:45 am]

Affected Public: State, Local, and
Tribal Governments.
Estimated Annual Burden: 13 hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
156.

BILLING CODE 8320–01–P

VA Form 10–0144A
Affected Public: State, Local, and
Tribal Governments.
Estimated Annual Burden: 13 hours.

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Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
156.

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DEPARTMENT OF VETERANS
AFFAIRS
Advisory Committee on Women
Veterans, Notice of Meeting
The Department of Veterans Affairs
(VA) gives notice under the Federal
Advisory Committee Act that the
Advisory Committee on Women
Veterans will meet on August 7–9, 2019,
at the VA Central Office.

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Date

Location

August 7, 2019 ...

810 Vermont Avenue NW,
Room C–7, Washington, DC.
810 Vermont Avenue NW,
Room C–7, Washington, DC.
810 Vermont Avenue NW, G.V.
Sonny Montgomery Conference Room 230, Washington, DC.

August 8, 2019 ...
August 9, 2019 ...

The meetings will begin at 8:30 a.m. and
end 12:00 p.m. each day. The meeting
sessions are open to the public.
The purpose of the Committee is to
advise the Secretary of Veterans Affairs
regarding the needs of women Veterans
with respect to health care,
rehabilitation, compensation, outreach,
and other programs and activities
administered by VA designed to meet
such needs. The Committee makes
recommendations to the Secretary
regarding such programs and activities.
The agenda will include updates from
the Veterans Health Administration, the
Veterans Benefits Administration, and
Staff Offices, as well as briefings on
other issues impacting women Veterans.
No time will be allocated at this
meeting for receiving oral presentations
from the public. Interested parties
should provide written comments for
review by the Committee to Ms.
Shannon L. Middleton, VA Center for
Women Veterans (00W), 810 Vermont
Avenue NW, Washington, DC 20420, or
email at [email protected], or fax to
(202) 273–7092. Any member of the
public who wishes to attend the meeting
or wants additional information should
contact Ms. Middleton at (202) 461–
6193.
Dated: July 18, 2019.
Jelessa M. Burney,
Federal Advisory Committee Management
Officer.
[FR Doc. 2019–15638 Filed 7–22–19; 8:45 am]
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