[Federal Register Volume 75, Number 90 (Tuesday, May 11, 2010)]
[Notices]
[Pages 26345-26346]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-11155]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (VA Form 10-0502)]


Agency Information Collection (Ethics Consultation Feedback Tool 
(ECFT)) New Enrollee Survey) Activity Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-21), 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 and includes the actual data collection instrument.

DATES: Comments must be submitted on or before June 10, 2010.

ADDRESSES: 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 10-0502)'' 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) 461-7485, fax (202) 273-0443 or e-mail 
[email protected]. Please refer to ``OMB Control No. 2900-New (VA 
Form 10-0502).''

SUPPLEMENTARY INFORMATION:
    Title: Ethics Consultation Feedback Tool (ECFT), VA Form 10-0502.
    OMB Control Number: 2900-New (VA Form 10-0502).
    Type of Review: New collection.
    Abstract: VA Form 10-0502 will be used to collect data from 
patients and family members about their experience during the Ethics 
Consultation Service. VA will be used the data to improve the process 
of ethics consultation (i.e., how ethics consultation is being 
performed) as well as its outcomes (i.e., how ethics consultation 
affects participants and the facility.
    An agency may not conduct or sponsor, and a person is not required 
to respond to a collection of information

[[Page 26346]]

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 March 2, 2010, on page 
9490.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 100.
    Estimated Average Burden Per Respondent: 5 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 1,200.

    Dated: May 6, 2010.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-11155 Filed 5-10-10; 8:45 am]
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