Federal Register / Vol. 88, No. 208 / Monday, October 30, 2023 / Notices 74247 

SUPPLEMENTARY INFORMATION: Categories 

of individuals covered by the system 

were individuals who operated a 

Community Placement facility 

(Community Nursing Home) approved 

for placement of VA beneficiaries, and 

VA beneficiaries in Community 

Placement facilities. Records were 

maintained on magnetic tapes which are 

stored at the Austin Information 

Technology Center, and paper 

documents (printouts) were maintained 

at VA Central Office and the health care 

facilities. 

This system of records notice is being 

rescinded as a result of the Community 

Residential Care being merged with the 

Medical Foster Homes. This information 

is now located within the system of 

records titled, ‘‘Community Residential 

Care and Medical Foster Home 

Programs–VA’’ (142VA10). The records 

associated with the Community 

Placement Program were destroyed in 

accordance with VHA Records Control 

Schedule 10–1, item number 6110.4. 

Signing Authority 

The Senior Agency Official for 

Privacy, or designee, approved this 

document and authorized the 

undersigned to sign and submit the 

document to the Office of the Federal 

Register for publication electronically as 

an official document of the Department 

of Veterans Affairs. Kurt D. DelBene, 

Assistant Secretary for Information and 

Technology and Chief Information 

Officer, approved this document on 

October 24, 2023 for publication. 

Dated: October 25, 2023. 

Amy L. Rose, 

Government Information Specialist, VA 

Privacy Service, Office of Compliance, Risk 

and Remediation, Office of Information and 

Technology, Department of Veterans Affairs. 

SYSTEM NAME: 

‘‘Community Placement Program-VA’’ 

(65VA122). 

HISTORY: 

74 FR 33024 (July 9, 2009). 

[FR Doc. 2023–23878 Filed 10–27–23; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0883] 

Agency Information Collection Activity 

Under OMB Review: Per Diem to States 

for Care of Eligible Veterans in State 

Homes 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act (PRA) of 

1995, this notice announces that the 

Veterans Health Administration, 

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 it includes the 

actual data collection instrument. 

DATES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. Refer to ‘‘OMB Control 

No. 2900–0883.’’ 

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 maribel.aponte@va.gov. 

Please refer to ‘‘OMB Control No. 2900– 

0883’’ in any correspondence. 

SUPPLEMENTARY INFORMATION: 

Authority: 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 51.31, 51.43 and 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 (Public Law 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 § 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. 

An agency may not conduct or 

sponsor, and a person is not required to 

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 


khammond on DSKJM1Z7X2PROD with NOTICES
74248 Federal Register / Vol. 88, No. 208 / Monday, October 30, 2023 / Notices 

soliciting comments on this collection 

of information was published at 88 FR 

164 on August 25, 2023, pages 58439 

and 58440. 

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. 

Maribel Aponte, 

VA PRA Clearance Officer, Office of 

Enterprise and Integration, Data Governance 

Analytics, Department of Veterans Affairs. 

[FR Doc. 2023–23873 Filed 10–27–23; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Enhanced-Use Lease (EUL) of 

Department of Veterans Affairs (VA) 

Real Property for the Development of 

Permanent Supportive Housing at the 

Doris Miller VA Medical Center (VAMC), 

Waco, Texas Campus 

AGENCY: Department of Veterans Affairs. 

ACTION: Notice of intent to enter into an 

EUL. 

SUMMARY: The purpose of this Federal 

Register notice is to provide the public 

with notice that the Secretary of 

Veterans Affairs intends to enter into an 

EUL of Buildings 19, 20 and 21 on 

approximately 3.4 acres of underutilized 

land on the campus of the Doris Miller 

VAMC. 

FOR FURTHER INFORMATION CONTACT: C. 

Brett Simms, Executive Director, Office 

of Asset Enterprise Management, Office 

of Management, 810 Vermont Avenue 

NW, Washington, DC 20420, 202–632– 

7092. This is not a toll-free number. 

SUPPLEMENTARY INFORMATION: Pursuant 

to 38 U.S.C. 8161, et seq. as amended by 

Public Law 117–168, the Secretary of 

Veterans Affairs is authorized to enter 

into an EUL, for a term of up to 99 years, 

that (a) provides supportive housing for 

Veterans and their families, or (b) 

enhances the use of the leased property 

by directly or indirectly benefitting 

Veterans. Additionally, the EUL must 

not be inconsistent with and not 

adversely affect VA’s mission or the 

operation of VA’s facilities, programs 

and services in the area of the leased 

property. Consistent with this authority, 

the Secretary intends to enter into an 

EUL for the purpose of outleasing 

Buildings 19, 20 and 21 on 

approximately 3.4 acres of underutilized 

land on the campus of the Doris Miller 

VAMC, to develop approximately 34 

units of permanent supportive housing 

for Veterans and their families. The 

competitively selected EUL lessee/ 

developer, Wellington Waco USA, LP, 

will finance, design, develop, renovate, 

construct, manage, maintain and operate 

housing for eligible homeless Veterans 

or Veterans at risk of homelessness on 

a priority placement basis. Additionally, 

the lessee/developer will be required to 

provide supportive services that guide 

Veteran residents towards long-term 

independence and self-sufficiency. 

Signing Authority 

Denis McDonough, Secretary of 

Veterans Affairs, approved and signed 

this document on October 19, 2023, and 

authorized the undersigned to sign and 

submit the document to the Office of the 

Federal Register for publication 

electronically as an official document of 

the Department of Veterans Affairs. 

Jeffrey M. Martin, 

Assistant Director, Office of Regulation Policy 

& Management, Office of General Counsel, 

Department of Veterans Affairs. 

[FR Doc. 2023–23818 Filed 10–27–23; 8:45 am] 

BILLING CODE 8320–01–P 


khammond on DSKJM1Z7X2PROD with NOTICES