Federal Register / Vol. 79, No. 246 / Tuesday, December 23, 2014 / Notices 77097 

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 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 

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 

AGENCY: Veterans Health 

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 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. 

DATES: 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 

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. 

mstockstill on DSK4VPTVN1PROD with NOTICES

77098 Federal Register / Vol. 79, No. 246 / Tuesday, December 23, 2014 / Notices 

The provisions of VHA Handbook 

1108.05, Outpatient Pharmacy Services 

require pharmacists to review the 

patient medical record for the presence 

of allergy information and the potential 

for adverse drug events prior to the 

dispensing of medication to the patient. 

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 

October 8, 2014, at page 60896. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden: 9,167 

burden hours. 

Estimated Average Burden Per 

Respondent: 5 minutes. 

Frequency of Response: Yearly. 

Estimated Number of Respondents: 

110,000. 

Dated: December 17, 2014. 

By direction of the Secretary. 

Crystal Rennie, 

VA Clearance Officer, Department of Veterans 

Affairs. 

[FR Doc. 2014–29934 Filed 12–22–14; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0620] 

Agency Information Collection 

(Payment/Reimbursement for 

Emergency Services for NonserviceConnected Conditions in Non-VA 

Facilities); Activities: Under OMB 

Review. 

AGENCY: Veterans Health 

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 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. 

DATES: 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. 2900–0620 (Payment/

Reimbursement for Emergency Services 

for Nonservice-Connected Conditions in 

Non-VA Facilities)’’ 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– 

0620 (Payment/Reimbursement for 

Emergency Services for NonserviceConnected Conditions in Non-VA 

Facilities)’’ 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. 

The collection of this information is 

necessary to comply with the provisions 

of PL 101–366 (Department of Veterans 

Affairs (VA) Nurse Pay Act of 1990) as 

amended by 106–419 (Veterans Benefits 

and Health Care Improvement Act of 

2000), which specifically provides for a 

locality pay system for certain health 

care personnel within VA. Rates of pay 

are established by VA medical facility 

Directors based on rates of 

compensation for corresponding 

positions in the local labor market. The 

law requires that where available, data 

from the Bureau of Labor Statistics or 

other third party industry surveys will 

be used in determining the beginning 

rates of compensation. However, VA 

medical facility Directors may conduct 

a salary survey in an attempt to collect 

comparable survey data in order to 

implement and adjust rates for 

registered nurses, nurse anesthetists, 

and other health care personnel when 

other data sources are not available. 

Titles Payment/Reimbursement for 

Emergency Services for NonserviceConnected Conditions in Non-VA 

Facilities. 

OMB Control Number: 2900–0620. 

Type of Review: Revision. 

Abstract 38 U.S.C. Chapter 17 

authorizes VA to provide hospital care, 

medical services, domiciliary care and 

nursing home care to eligible veterans. 

Public Law 106–117 ‘‘The Veterans 

Millennium Health Care and Benefits 

Act’’ amended 38 U.S.C. by adding 

§ 1725 establishing reimbursement 

authority for an individual who is an 

active Department health-care 

participant who is personally liable for 

emergency treatment furnished in a 

non-Department facility provided that 

the veteran fit the limitations outlined 

in the statute. 

Affected Public: Private Sector. 

Estimated Annual Burden: 115,298 

burden hours. 

Estimated Average Burden per 

Respondent: 15 minutes. 

Frequency of Response: Annually. 

Estimated Number of Respondents: 

461,188 

Dated: December 17, 2014. 

By direction of the Secretary. 

Crystal Rennie, 

VA Clearance Officer, Department of Veterans 

Affairs. 

[FR Doc. 2014–29930 Filed 12–22–14; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0156] 

Agency Information Collection (Notice 

of Change in Student Status): 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 

mstockstill on DSK4VPTVN1PROD with NOTICES