View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0160	ICR Reference No: 201506-2900-005
Status: Historical Active	Previous ICR Reference No: 201501-2900-013
Agency/Subagency: VA	Agency Tracking No: 2900-0160
Title: Title 38, Parts 51 and 52, State Home Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/24/2016
	Date Received in OIRA: 12/11/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2019	36 Months From Approved	02/29/2016
Responses	12,884	0	47,838
Time Burden (Hours)	6,818	0	15,550
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Title 38, Parts 51 and 52, State Home Program	10-5588A, 10-0144A, 10-0143, 10-0143A, 10-0144, 10-5588, 10-0460, 10-10SH, VA Form 10-3567	, , , , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	12,884	47,838	-34,954
Annual Time Burden (Hours)	6,818	15,550	-8,732
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: VA Form 10-5588A was developed as requested by State Homes to reduce burden hours in completing a payment claim for multiple Veterans. VA also clarified the wording for Form 10-10SH in the VA authorization for payment section. The revision to VA Form 10-10SH and addition of an instruction sheet enables the State Home Program Office to improve the language in the revised data fields of the administrative and clinical authorization section and reduces the likelihood of errors leading improper payments. Also, with inclusion of an automated 10-10SH system, significant reliance on manual data entry and manual verification of processing no longer has a negative affect on the accuracy of ensuring the form is completed as required and determining Veteran eligibility to receive per diem payments.

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