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.
Comments must be submitted on or before December 17, 2009.
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-New (10-0473)” 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 (10-0473).”End Further Info End Preamble Start Supplemental Information
Title: Millennium Bill Emergency Care Provider Satisfaction Survey, VA Form 10-0473.
OMB Control Number: 2900-New (10-0473).
Type of Review: New collection.
Abstract: VA Form 10-0473 will be used to survey non-VA healthcare providers who participate in the Millennium Bill Fee Reimbursement/Purchased Care program on their satisfaction with VHA's claims processing services. VA will use the data collected to improve the claims processing program.
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 September 9, 2009, at pages 46485-46486.
Affected Public: Individuals or households.
Estimated Annual Burden: 9 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents: 110.Start Signature
Dated: November 12, 2009.
By direction of the Secretary.
Program Analyst, Enterprise Records Service.
[FR Doc. E9-27587 Filed 11-16-09; 8:45 am]
BILLING CODE 8320-01-P