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[Federal Register Volume 88, Number 164 (Friday, August 25, 2023)]
[Notices]
[Pages 58439-58440]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-18312]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0883]

Agency Information Collection Activity: Per Diem to States for 
Care of Eligible Veterans in State Homes

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: 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 October 24, 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. 2900-0883'' 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 Avenue 
NW, Washington, DC 20420, (202) 266-4688 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0883'' 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 for the proper performance of VHA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VHA's estimate of

[[Page 58440]]

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, 10-0460a, and 10-
3567).
    OMB Control Number: 2900-0883.
    Type of Review: Revision of a currently approved collection.
    Abstract: Authority for this information collection is from Title 
38 Code of Federal Regulations (CFR) part 51, Per Diem for Nursing 
Home, Domiciliary or Adult Day Health Care of Veterans in State 
Veterans Homes, requiring the VA to ensure that per diem payments are 
limited to facilities providing high quality care for Veterans. This 
collection of forms is approved under OMB Control Number 2900-0883.
    These six forms (10-0143, 10-0143A, 10-0144, 10-0144A, 10-0460a, 
and 10-3567) are presented to and completed by State Veterans Homes 
(SVH) management under Subpart B of the CFR part 51 and then assessed 
for compliance to applicable regulations under Subparts D, E or F by VA 
contracted vendors during a VA survey at each State Veterans Home (SVH) 
across the U.S. as a regulatory action. This collection of forms falls 
under the auspices of The Office of Geriatrics and Extended Care in VA 
Central Office (12GEC). As per VHA Directive 1145.01, this collection 
of forms is part of the VA survey process. The legal requirements that 
necessitate this collection of information are found specifically at 
title 38 CFR parts 51.31, Sec.  51.43 and Sec.  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 10-0460a--38 CFR 51.43--As a condition for receiving 
drugs or medicine under this section or under Sec.  17.96 of this 
chapter, the State Home will submit to the VA medical center of 
jurisdiction a monthly completed VA Form 10-0460a 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.
    Total Annual Burden: 2,119 hours.
    Total Annual Responses: 2,805.
    VA Form 10-0143:
    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 13.75 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 165.
    VA Form 10-0143A:
    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 13.75 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 165.
    VA Form 10-0144:
    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 13.75 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 165.
    VA Form 10-0144A:
    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 13.75 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 165.
    VA Form 10-0460a:
    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 1980 hours.
    Estimated Average Burden per Respondent: 60 minutes.
    Frequency of Response: Monthly.
    Estimated Number of Respondents: 165.
    VA Form 10-3567:
    Affected Public: State, Local, and Tribal Governments.
    Estimated Annual Burden: 82.50 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 165.

    By direction of the Secretary.
Dorothy Glasgow,
VA PRA Clearance Officer, (Alt), Office of Enterprise and Integration/
Data Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2023-18312 Filed 8-24-23; 8:45 am]
BILLING CODE 8320-01-P
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