Federal Register / Vol. 77, No. 10 / Tuesday, January 17, 2012 / Notices 2349 

Affected Public: Not-for-profit 

institutions. 

Estimated Annual Burden 

a. Electronically—104,262 hours. 

b. Paper copy—55,855 hours. 

Estimated Average Burden per 

Respondent 

c. Electronically—8 minutes. 

d. Paper copy—10 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents 

a. Electronically—781,967. 

b. Paper copy—335,129. 

Dated: January 11, 2012. 

By direction of the Secretary. 

Denise McLamb, 

Program Analyst, Enterprise Records Service. 

[FR Doc. 2012–673 Filed 1–13–12; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0712] 

Proposed Information Collection 

(Nation-wide Customer Satisfaction 

Surveys) Activity: Comment Request 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: 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 revision of 

a previously approved collection, and 

allow 60 days for public comment in 

response to the notice. This notice 

solicits comments on information 

needed to identify problems or 

complaints in VA’s health care services. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before March 19, 2012. 

ADDRESSES: Submit written comments 

on the collection of information through 

the Federal Docket Management System 

(FDMS) at www.Regulations.gov; or to 

Cynthia Harvey-Pryor, Veterans Health 

Administration (10P7BFP) Department 

of Veterans Affairs, 810 Vermont 

Avenue NW., Washington, DC 20420 or 

email: cynthia.harvey-pryor@va.gov. 

Please refer to ‘‘OMB Control No. 2900– 

0712’’ in any correspondence. During 

the comment period, comments may be 

viewed online through FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Cynthia Harvey-Pryor at (202) 461–5870 

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 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: Nation-wide Customer 

Satisfaction Surveys, VA Forms 10– 

1465–2 through 10–1465–6. 

OMB Control Number: 2900–0712. 

Type of Review: Revision of a 

previously approved collection. 

Abstract: The Survey of Health 

Experience of Patients (SHEP) Survey is 

used to obtain information from VA 

patients that will be used to identify 

problems or compliant and to improve 

the quality of health care services 

delivered to veterans. Data will be use 

to measure improvement toward the 

goal of matching or exceeding non-VA 

external benchmark performance. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden 

a. Inpatient Short Form, VA Form 10– 

1465–2—18,750 hours. 

b. Ambulatory Care Long Form, VA 

Form 10–1465–3—9,802 hours. 

c. Ambulatory Care Short Form, VA 

Form 10–1465–4—42,233 hours. 

d. Clinician and Group Survey Patient 

Centered Medical Home, Short Form, 

VA Form 10–1465–5.—20,000 hours. 

e. Clinician and Group Survey Patient 

Centered Medical Home, Long Form, 

VA Form 10–1465–6—3,333 hours. 

Estimated Average Burden per 

Respondent 

a. Inpatient Short Form, VA Form 10– 

1465–2—15 minutes. 

b. Ambulatory Care Long Form, VA 

Form 10–1465–3—25 minutes. 

c. Ambulatory Care Short Form, VA 

Form 10–1465–4—20 minutes. 

d. Clinician and Group Survey Patient 

Centered Medical Home, Short Form, 

VA Form 10–1465–5—15 minutes. 

e. Clinician and Group Survey Patient 

Centered Medical Home, Long Form, 

VA Form 10–1465–6—25 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents 

a. Inpatient Short Form, VA Form 10– 

1465–2—75,000. 

b. Ambulatory Care Long Form, VA 

Form 10–1465–3—23,524. 

c. Ambulatory Care Short Form, VA 

Form 10–1465–4—126,700. 

d. Clinician and Group Survey Patient 

Centered Medical Home, Short Form, 

VA Form 10–1465–5—20,000. 

e. Clinician and Group Survey Patient 

Centered Medical Home, Long Form, 

VA Form 10–1465–6—3,333. 

Dated: January 11, 2012. 

By direction of the Secretary. 

Denise McLamb, 

Program Analyst, Enterprise Records Service. 

[FR Doc. 2012–675 Filed 1–13–12; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–New (VR&E 

Longitudinal Study Survey)] 

Proposed Information Collection 

(Vocational Rehabilitation and 

Employment Longitudinal Study 

Survey) Activity: Comment Request 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: The Veterans Benefits 

Administration (VBA), 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 determine the 

long-term outcomes of Veterans 

participating in VBA’s Vocational 

Rehabilitation and Employment (VR&E) 

Program. 

DATES: Written comments and 

recommendations on the proposed 


srobinson on DSK4SPTVN1PROD with NOTICES
2350 Federal Register / Vol. 77, No. 10 / Tuesday, January 17, 2012 / Notices 

collection of information should be 

received on or before March 19, 2012. 

ADDRESSES: Submit written comments 

on the collection of information through 

the Federal Docket Management System 

(FDMS) at www.Regulations.gov; or to 

Nancy J. Kessinger, Veterans Benefits 

Administration (20M35), Department of 

Veterans Affairs, 810 Vermont Avenue 

NW., Washington, DC 20420 or email 

nancy.kessinger@ va.gov. Please refer to 

‘‘OMB Control No. 2900—New (VR&E 

Longitudinal Study Survey)’’ in any 

correspondence. During the comment 

period, comments may be viewed online 

through FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Nancy J. Kessinger at (202) 461–9769 or 

FAX (202) 275–5947. 

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, VBA invites 

comments on: (1) Whether the proposed 

collection of information is necessary 

for the proper performance of VBA’s 

functions, including whether the 

information will have practical utility; 

(2) the accuracy of VBA’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: Vocational Rehabilitation and 

Employment Longitudinal Study 

Survey. 

OMB Control Number: 2900—New 

(VR&E Longitudinal Study Survey). 

Type of Review: New data collection. 

Abstract: As required by Public Law 

110–389 Section 334, VBA will collect 

survey data on individuals who began 

participating in the VR&E program 

during fiscal years 2010, 2012, and 

2014. VA will conduct a study of this 

data to determine the long-term positive 

outcomes of individuals participating in 

VBA’s VR&E program. The purpose of 

this study is to monitor the effectiveness 

of VR&E program, so that we can find 

ways to improve the program and 

increase the support VA provide to 

Veterans on a daily basis. 

Affected Public: Individuals and 

Households. 

Estimated Annual Burden: 2,333 

hours. 

Estimated Average Burden per 

Respondent: 20 minutes. 

Frequency of Response: Annually. 

Estimated Number of Respondents: 

7,000. 

Dated: January 11, 2012. 

By direction of the Secretary. 

Denise McLamb, 

Program Analyst, Enterprise Records Service. 

[FR Doc. 2012–674 Filed 1–13–12; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0074] 

Agency Information Collection 

(Request for Change of Program or 

Place of Training): Activity Under OMB 

Review 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: 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 February 16, 2012. 

ADDRESSES: Submit written comments 

on the collection of information through 

www.Regulations.gov or to VA’s OMB 

Desk Officer, OMB Human Resources 

and Housing Branch, New Executive 

Office Building, Room 10235, 

Washington, DC 20503 (202) 395–7316. 

Please refer to ‘‘OMB Control No. 2900– 

0074’’ in any correspondence. 

FOR FURTHER INFORMATION CONTACT: 

Denise McLamb, Enterprise Records 

Service (005R1B), Department of 

Veterans Affairs, 810 Vermont Avenue 

NW., Washington, DC 20420, (202) 632– 

7479, FAX (202) 273–0487 or email 

denise.mclamb@va.gov. Please refer to 

‘‘OMB Control No. 2900–0074.’’ 

SUPPLEMENTARY INFORMATION: 

Title: Request for Change of Program 

or Place of Training, VA Form 22–1995. 

OMB Control Number: 2900–0074. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: Claimants receiving 

educational benefits complete VA Form 

22–1995 to request a change in program 

or training establishment. VA uses the 

data collected to determine the 

claimant’s eligibility for continued 

educational benefits. 

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 

soliciting comments on this collection 

of information was published on 

November 1, 2011, at pages 67558– 

67559. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden 

a. Electronically—8,709 hours. 

b. Paper Copy—27,095 hours. 

Estimated Average Burden per 

Respondent 

a. Electronically—15 minutes. 

b. Paper Copy—20 minutes. 

Frequency of Response: On occasion. 

Estimated Number of Respondents 

a. Electronically—34,836. 

b. Paper Copy—81,284. 

Dated: January 11, 2012. 

By direction of the Secretary. 

Denise McLamb, 

Program Analyst, Enterprise Records Service. 

[FR Doc. 2012–672 Filed 1–13–12; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0579] 

Agency Information Collection 

(Request for Vocational Training 

Benefits—Certain Children of Vietnam 

Veterans): Activity Under OMB Review 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: 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. 


srobinson on DSK4SPTVN1PROD with NOTICES