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, 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.
Comments must be submitted on or before February 4, 2011.
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 (VA Form 10-0476)” 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 (VA Form 10-0476).”End Further Info End Preamble Start Supplemental Information
Title: Patient Satisfaction Survey Michael E. DeBakey Home Care Program, VA Form 10-0476.
OMB Control Number: 2900-New (VA Form 10-0476).
Type of Review: New collection.
Abstract: VA Form 10-0476 will be used to gather feedback from patients regarding their satisfaction with the quality of services/care provided by home care program staff.
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 12, 2010, at page 62635.
Estimated Annual Burden: 17 hours.
Estimated Average Burden per Respondent: 10 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 50.
Estimated Number of Responses: 100.Start Signature
Dated: December 30, 2010.
By direction of the Secretary.
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-33289 Filed 1-4-11; 8:45 am]
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