30-Day FRN - 2900-0171 (2014)

77096

Federal Register / Vol. 79, No. 246 / Tuesday, December 23, 2014 / Notices

unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published on
October 2, 2014, at pages 59568–59563.
Affected Public: Business or other forprofit.
Estimated Annual Burden: 1,800
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents:
300.
Estimated Total Annual Responses:
3,600.
Dated: December 18, 2014.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–30018 Filed 12–22–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0822]

Agency Information Collection
(Reimbursement of Certain Medical
Expenses for Camp Lejeune Family
Members) 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
revised collection, and allow 60 days for
public comment in response to the
notice. This notice solicits comments on
information needed to obtain an
accurate and comprehensive assessment
of satisfaction of patients who receive
mental health care services and on
outcomes for Veterans who seek mental
health treatment from VHA. Data will
allow the program office to ensure that
the target audience is being reached,
effective treatments are being offered,
and tangible, quantitative results are
being measured and tracked for
continual program improvement.
DATES: Written comments and
recommendations on the proposed
collection of information should be

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SUMMARY:

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received on or before. February 23,
2015.
ADDRESSES: Submit written comments
on the collection of information through
the Federal Docket Management System
(FDMS) at www.Regulations.gov; or to
Audrey Revere, Office of Regulatory and
Administrative Affairs, Veterans Health
Administration (10B4), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420 or email:
Audrey.revere@va.gov. Please refer to
‘‘OMB Control No. 2900–0822,
Reimbursement of Certain Medical
Expenses for Camp Lejeune Family
Members’’ in any correspondence.
During the comment period, comments
may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Audrey Revere at (202) 461–5694.
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.
Title: Reimbursement of Certain
Medical Expenses for Camp Lejeune
Family Members.
OMB Control Number: 2900–0822.
Type of Review: Revision of a
currently existing collection.
Abstract: Under 38 U.S.C. 1787, VA is
required to furnish hospital care and
medical services to the family members
of certain veterans who were stationed
at Camp Lejeune between 1957 and
1987. In order to furnish such care, VA
must collect certain information from
the family members to ensure that they
meet the requirements of the law. VA
cannot furnish the statutorily-mandated
hospital care and medical services until
the collection of information is
approved. The specific hospital care and
medical services that VA must provide
are for a number of illnesses and
conditions connected to exposure to

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contaminated drinking water while at
Camp Lejeune. Many of these
conditions are life-threatening and
require immediate medical attention.
Therefore, VA certifies that the
collection of information meets each of
the listed criteria for the following
reasons:
(i) The collection is needed prior to
the expiration of time periods
established under this Part, because we
anticipate that the regulations
authorizing VA to furnish hospital care
and medical service to Camp Lejeune
family members will publish and
become effective prior to the expiration
of the time periods established under
this Part.
(ii) The collection is essential to the
mission of the agency, because VA
cannot begin to furnish the hospital care
and medical services set forth in
regulation and required by law, to Camp
Lejeune family members without forms
without first collecting required
information.
(iii) VA cannot reasonably comply
with the normal clearance procedures
because public harm is reasonably likely
to result if normal clearance procedures
are followed. VA will furnish Camp
Lejeune family members with hospital
care and medical services for 15
illnesses and conditions that are life
threatening and require immediate
medical intervention.
Affected Public: Individuals or
Households.
Estimated Total Annual Burden:
5,838 hours.
Estimated Average Burden per
Respondent: 18.75 minutes.
Frequency of Response: Yearly.
Estimated Number of Respondents:
21,720.
Dated: December 17, 2014.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, U.S.
Department of Veterans Affairs.
[FR Doc. 2014–29931 Filed 12–22–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0171]

Agency Information Collection
(Application for Individualized Tutorial
Assistance): Activity Under OMB
Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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Federal Register / Vol. 79, No. 246 / Tuesday, December 23, 2014 / Notices
In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), Department of
Veterans Affairs, will submit the
collection of information abstracted
below to the Office of Management and
Budget (OMB) for review and comment.
The PRA submission describes the
nature of the information collection and
its expected cost and burden; it includes
the actual data collection instrument.
DATES: Comments must be submitted on
or before January 22, 2015.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0171’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email crystal.rennie@va.gov.
Please refer to ‘‘OMB Control No. 2900–
0171’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Application for Individualized
Tutorial Assistance, VA Form 22–1990t.
OMB Control Number: 2900–0171.
Type of Review: Revision of a
currently approved collection.
Abstract: Students receiving VA
educational assistance and need
tutoring to overcome a deficiency in one
or more course complete VA Form 22–
1990t to apply for supplemental
allowance for tutorial assistance. The
student must provide the course or
courses for which he or she requires
tutoring, the number of hours and
charges for each tutorial session and the
name of the tutor. The tutor must certify
that he or she provided tutoring at the
specified charges and that he or she is
not a close relative of the student.
Certifying officials at the student’s
educational institution must certify that
the tutoring was necessary for the
student’s pursuit of program; the tutor
was qualified to conduct individualized
tutorial assistance; and the charges for
the tutoring did not exceed the
customary charges for other students
who receive the same tutorial
assistance.
An agency may not conduct or
sponsor, and a person is not required to

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respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published on
October 2, 2014, at page 59563.
Affected Public: Individuals or
households.
Estimated Annual Burden: 2000
hours.
Estimated Average Burden Per
Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
1000.
Dated: December 18, 2014.
By direction of the Secretary:
Crystal Rennie,
VA Clearance Officer, Department of Veterans
Affairs.
[FR Doc. 2014–29995 Filed 12–22–14; 8:45 am]
BILLING CODE 8320–01–P

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

Agency Information Collection (VA
Meds by Mail Order Form, VA Form 10–
0426) Activities: Under OMB Review
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Health
Administration (VHA), Department of
Veterans Affairs, will submit the
collection of information abstracted
below to the Office of Management and
Budget (OMB) for review and comment.
The PRA submission describes the
nature of the information collection and
its expected cost and burden and
includes the actual data collection
instrument.

SUMMARY:

Written comments and
recommendations on the proposed
collection of information should be
received on or before January 22, 2015.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–NEW (VA Meds by
Mail Order Form)’’ in any
DATES:

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77097

correspondence. During the comment
period, comments may be viewed online
through the FDMS.
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email crystal.rennie@va.gov.
Please refer to ‘‘OMB Control No. 2900–
NEW (VA Meds by Mail)’’ in any
correspondence.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–3521), 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.
Titles: VA Meds by Mail Order Form.
OMB Control Number: 2900–NEW
(VA Meds by Mail Order Form, VA
Form 10–0426).
Type of Review: New collection.
Abstract: VA Form 10–0426, Meds by
Mail (MbM) Order Form, is used by
eligible CHAMPVA and Spina Bifida
beneficiaries (also referred to as patient)
in accordance with 38 CFR 17.270,
17.271 and 17.272 when submitting a
paper prescription written by their
medical provider for fulfillment through
the Meds by Mail Program. Information
collected on this form is necessary for
proper patient identification and
medical record review.
The provisions of VHA Handbook
1108.05, Outpatient Pharmacy Services,
require that, as a condition for
dispensing a prescription, the
prescription must contain the following
patient identifiers:
(1) Patient’s Full Name
(2) Social Security Number
(3) Patient’s Current Address
Local Meds by Mail Desk Procedure
utilizes date of birth as an additional
patient identifier.

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