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###### Department of Veterans Affairs

          - [OMB Control No. 2900-New (VA Form 10-0502)]

# AGENCY:

Veterans Health Administration, Department of Veterans Affairs.

# ACTION:

Notice.

# SUMMARY:

                        The 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 new collection, and allow 60 days for public comment in response to the notice. This notice solicits comments for information needed to  improve the process of ethics consultation service.                    

# DATES:

Written comments and recommendations on the proposed collection of information should be received on or before May 3, 2010.

# ADDRESSES:

                        Submit written comments on the collection of information through the Federal Docket Management System (FDMS) at                         *http://www.Regulations.gov*; or to Mary Stout, Veterans Health Administration (193E1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or                         *e-mail: mary.stout@va.gov*. Please refer to “OMB Control No. 2900-New (VA Form 10-0502)” in any correspondence. During the comment period, comments may be viewed online through FDMS.                    

# FOR FURTHER INFORMATION CONTACT:

Mary Stout at (202) 461-5867 or FAX (202) 273-9381.

# 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.

*Title:*                     Ethics Consultation Feedback Tool (ECFT), VA Form 10-0502.                

*OMB Control Number:*                     2900-New (VA Form 10-0502).                

*Type of Review:*                     New collection.                

*Abstract:*                     VA Form 10-0502 will  use to collect data from patients and family members about their experience during the Ethics Consultation Service. VA will use the data to improve the process of ethics consultation (                    *i.e.,*                     how ethics consultation is being performed) as well as its outcomes                     *(i.e.,*                     how ethics consultation affects participants and the facility).                

*Affected Public:*                     Individuals or households.                

*Estimated Annual Burden:*                     100.                

*Estimated Average Burden per Respondent:*                     5 minutes.                

*Frequency of Response:*                     On occasion.                

*Estimated Number of Respondents:*                     1,200.                

Dated: February 25, 2010.

By direction of the Secretary.

Denise McLamb,

Program Analyst, Enterprise Records Service.

[FR Doc. 2010-4215 Filed 3-1-10; 8:45 am]

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