Veterans Health Administration, Department of Veterans Affairs.
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.Start Printed Page 48629
Comments must be submitted on or before October 23, 2009.
Submit written comments on the collection of information through http://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-New (10-0472)” in any correspondence.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461-7485, fax (202) 273-0443 or e-mail firstname.lastname@example.org. Please refer to “OMB Control No. 2900-New (10-0472).”End Further Info End Preamble Start Supplemental Information
Title: MOVE! Weight Management Program for Veterans Survey of Patient Experiences, VA Form 10-0472.
OMB Control Number: 2900-New (10-0472).
Type of Review: New collection.
Abstract: The data collected on VA Form 10-0472 will be used to evaluate a patient's experience in VA's weight management treatment program. VA will use the data collected to understand the program effectiveness and to design future program enhancements.
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 July 16, 2009, at page 34640.
Affected Public: Individuals or households.
Estimated Annual Burden: 5,000.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents: 1,250.Start Signature
Dated: September 18, 2009.
By direction of the Secretary.
Program Analyst, Enterprise Records Service.
[FR Doc. E9-22880 Filed 9-22-09; 8:45 am]
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