Veteran Toxic Exposure Screening Tool (PACT Act)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PO Response to Comments_OMB 2900-0913_Veteran Toxic Exposure Screening (PACT Act)_01132023.pdf	Supplementary Document	Uploaded 2023-01-31	Repair queued
30-Day FRN_2900-0913_Veteran Toxic Exposure Screening Tool (PACT Act)_published 01312023.pdf	Supplementary Document	Uploaded 2023-01-31	Repair queued
60-Day FRN_2900-0913_Veteran Toxic Exposure Screening Tool (PACT Act)_published 11252022.pdf	Supplementary Document	Uploaded 2023-01-06	Repair queued
Supporting Statement B_Veteran Toxic Exposure Screening_PACT Act - Section 603_011723.docx	Supporting Statement B	Uploaded 2023-01-25	Repair queued
Supporting Statement A_2900-0913_Veteran Toxic Exposure Screening Tool - PACT Act_updated 01312023.docx	Supporting Statement A	Uploaded 2023-01-31	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
255733	Veteran Toxic Exposure Screening Tool (PACT Act)	Other-Screening Survey	Modified

ICR Details

OMB Control No: 2900-0913	ICR Reference No: 202211-2900-011
Status: Historical Active	Previous ICR Reference No: 202209-2900-002
Agency/Subagency: VA	Agency Tracking No: 2900-0913
Title: Veteran Toxic Exposure Screening Tool (PACT Act)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/10/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/31/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved	03/31/2023
Responses	1,660,000	0	1,660,000
Time Burden (Hours)	138,333	0	138,333
Cost Burden (Dollars)	0	0	0

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Abstract: The PACT Act was signed into law on August 10, 2022, and mandated that VA implement toxic exposure screening to identify Veterans with potential toxic exposures during military, naval, air, or space service. The PACT Act imposed a Congressionally mandated timeline to implementation of 90 days, with full implementation completed by November 8, 2022. Pursuant to a six-month emergency PRA clearance from OMB, and to ensure efficacy of the screening tool and ease of use by screeners, the project team performed a pilot test of the toxic screening tool with a sampling from seven targeted clinical areas and sites for 10 days, beginning September 6, 2022. The goal was to collect feedback and best practices to use in refining the screening tool and training to increase best chance for success. VHA now seeks to renew the PRA clearance for the screening tool for a full three years. Information collected during the toxic exposure screening will be included in the Veteran’s electronic health record and will be used to connect Veterans with resources, services, and benefits available, as well as provide guidance that Veterans be engaged in ongoing care or establish care in VA or the community to address their exposure concerns. VA will use several different methods of gathering information from Veterans through the toxic exposure screening, including VHA staff or community care staff administering the screening during a health care appointment, VHA staff administering at other Veteran touch point events (e.g., screening blitz event), and Veterans completing the screening independently before being contacted by VHA staff for a follow-up consultation. Veterans have the option of declining the toxic exposure screening.

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Authorizing Statute(s): PL: Pub.L. 117 - 168 603 Name of Law: Honoring Our PACT Act of 2022
  

Citations for New Statutory Requirements: PL: Pub.L. 117 - 168 603 Name of Law: Honoring Our PACT Act of 2022

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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:
	87 FR 72594	11/25/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 6373	01/31/2023
Did the Agency receive public comments on this ICR? Yes

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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
Veteran Toxic Exposure Screening Tool (PACT Act)

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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	1,660,000	1,660,000	0	0	0	0
Annual Time Burden (Hours)	138,333	138,333	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: $41,511,300

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     Yes

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.     Yes

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? No

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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: 01/31/2023

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