View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2900-0160	ICR Reference No: 201604-2900-001
Status: Historical Active	Previous ICR Reference No: 201506-2900-005
Agency/Subagency: VA	Agency Tracking No: 2900-0160
Title: Title 38, Parts 51 and 52, State Home Programs
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/08/2016
	Date Received in OIRA: 04/06/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2019	02/28/2019	02/28/2019
Responses	12,884	0	12,884
Time Burden (Hours)	6,818	0	6,818
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	12,884	12,884
Annual Time Burden (Hours)	6,818	6,818
Annual Cost Burden (Dollars)	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: No

Burden Reduction Due to:

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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