60-day FRN - 2900-0160 - State Home Programs for Veterans - pub 06212023

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Federal Register / Vol. 88, No. 118 / Wednesday, June 21, 2023 / Notices

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0160]

Agency Information Collection
Activity: State Home Programs for
Veterans
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

Veterans Health
Administration (VHA), 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
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 August 21, 2023.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Grant Bennett, Office of Regulations,
Appeals, and Policy (10BRAP),
Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC
20420 or email to [email protected].
Please refer to ‘‘OMB Control No. 2900–
0160’’ in any correspondence. During
the comment period, comments may be
viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20006, (202) 266–4688
or email [email protected]. Please
refer to ‘‘OMB Control No. 2900–0160’’
in any correspondence.
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

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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.
Authority: Public Law 104–13; 44
U.S.C. 3501–3521.
Title: State Home Programs for
Veterans (VA Forms 10–5588, 10–
5588A, and 10–10SH).
OMB Control Number: 2900–0160.
Type of Review: Revision of a
currently approved collection.
Abstract: Authority for this
information collection can be found in
two public laws affecting State homes:
Public Law 115–159, the State Veterans
Home Adult Day Health Care
Improvement Act of 2017, which
requires VA to pay State Veteran Homes
(SVHs) for medical model adult day
health care provided to certain eligible
Veterans; and Public Law 116–315,
Section 3007, Waiver of Requirements
of Department of Veterans Affairs for
Receipt of Per Diem Payments for
Domiciliary Care at State Homes and
Modification of Eligibility for such
Payments. This information collection
also enables the payment of per diem to
State homes that provide care to eligible
Veterans in accordance with Title 38
CFR part 51. The intended effect of
these provisions is to create a safeguard
that Veterans are receiving a high
quality of care in SVHs.
To ensure that high quality care is
furnished to Veterans, VA requires those
facilities providing nursing home care,
domiciliary care, and adult day health
care programs to Veterans to supply
various kinds of information. The
information required includes an
application and justification for
payment; records and reports that
facility management must maintain
regarding payment activities of residents
or participants; and records and reports
that facilities management and health
care professionals must maintain
regarding eligible residents or
participants. The following three forms
are included in this information
collection:
a. VA Form 10–5588: State Home
Report and Statement of Federal Aid

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Claimed—38 CFR 51, 52 and title 38,
U.S.C., sections 1741, 1742, 1743 and
1745—is used to assess and provide per
diem to State homes. This collection
instrument is used by the State home
employees and VA Staff.
b. VA Form 10–5588A: Claim for
Increased Per Diem Payment for
Veterans Awarded Retroactive Service
Connection—38 CFR 51, 52 and title 38,
U.S.C. 1741, 1742, 1743 and 1745—is
used to assess and provide per diem to
State homes retroactively. This
collection instrument is used by the
State home employees and VA Staff.
c. VA Form 10–10SH: State Home
Program Application for Veterans Care
Medical Certification—38 CFR 51, 52
and title 38, U.S.C. 1741, 1742, 1743
and 1745—provides for the collection of
information to apply for the benefits of
this program.
The State Home Per Diem (SHPD)
Program recently automated the 10–
10SH form. The form was converted
into a web-based, fillable form that can
be electronically submitted from the
SVH to the appropriate VAMC. It
includes data field validation, assuring
that all required fields have been filled
before the user can electronically submit
the 10–10SH form. The VA portion of
the application also includes business
rules to assist the VA representatives in
making uniform determinations, allow
the VA representative to return
incomplete applications to the SVH
along with a notification to them, and
record receipt of the completed
application.
Total Annual Burden: 4,816 hours.
Total Annual Responses: 13,614.
VA Form 10–5588
Affected Public: State, Local, and
Tribal Governments.
Estimated Annual Burden: 834 hours.
Estimated Average Burden Per
Respondent: 30 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents:
139.
VA Form 10–5588A
Affected Public: State, Local, and
Tribal Governments.
Estimated Annual Burden: 180 hours.
Estimated Average Burden Per
Respondent: 20 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents:
45.

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Federal Register / Vol. 88, No. 118 / Wednesday, June 21, 2023 / Notices
VA Form 10–10SH
Affected Public: State, Local, and
Tribal Governments.
Estimated Annual Burden: 3,802
hours.

Estimated Average Burden Per
Respondent: 20 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
11,406.

By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2023–13159 Filed 6–20–23; 8:45 am]

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