2012-12385. Agency Information Collection (Applications and Appraisals for Employment for Title 38 Positions and Trainees) Activities Under OMB Review

AGENCY:

Veterans Health Administration, Department of Veterans Affairs.

ACTION:

Notice.

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 (VHA), Department of Veterans Affairs, has submitted 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.

DATES:

Comments must be submitted on or before June 22, 2012.

ADDRESSES:

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 [phone]. Please refer to “OMB Control No. 2900-0205” in any correspondence.

FOR FURTHER INFORMATION CONTACT:

Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, [phone], FAX [phone] or email [e-mail]. Please refer to “OMB Control No. 2900-0205.”

SUPPLEMENTARY INFORMATION:

Title: Applications and Appraisals for Employment for Title 38 Positions and Trainees, VA Forms 10-2850, 2850a through d, and VA Form Letters 10-341a and b.

OMB Control Number: 2900-0205.

Type of Review: Extension of a currently approved collection.

Abstract: The data collected on VA Forms 10-2850, 2850a through d, and VA Form Letters 10-341a and b, will be used to evaluate an applicant's qualification for employment with the VA, as well as their training, educational, and professional experiences. The data is necessary to determine the applicant's suitability, grade level and clinical privileges.

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 March 14, 2012, at page 15190.

Affected Public: Individuals or Households.

Estimated Annual Burden:

a. Application for Physicians, Dentists, Podiatrists and Optometrists, Chiropractors, VA Form 10-2850—7,450 hours.

b. Application for Nurses and Nurse Anesthetists, VA Form 10-2850a—29,799 hours.

c. Application for Residents, VA Form 10-2850b—17,001 hours.

d. Application for Associated Health Occupations, VA Form 10-2850c—9,933 hours.

e. Application for Health Professions Trainees, VA Form 10-2850d—33,670 hours.

f. Appraisal of Applicant, VA Form Letter 10-341a—25,410 hours.

g. Trainee Qualification and Credentials Verification Letter, VA Form Letter 10-341b—6,709 hours.

Estimated Average Burden per Respondent:

a. Application for Physicians, Dentists, Podiatrists and Optometrists, Chiropractors, VA Form 10-2850—30 minutes.

b. Application for Nurses and Nurse Anesthetists, VA Form 10-2850a—30 minutes.

c. Application for Residents, VA Form 10-2850b—30 minutes.

d. Application for Associated Health Occupations, VA Form 10-2850c—30 minutes.

e. Application for Health Professions Trainees, VA Form 10-2850d—30 minutes.

f. Appraisal of Applicant, VA Form FL 10-341a—30 minutes.

g. Trainee Qualification and Credentials Verification Letter, VA Form 10-341b—5 minutes.

Frequency of Response: On occasion.

Estimated Number of Respondents:

a. Application for Physicians, Dentists, Podiatrists and Optometrists, Chiropractors, VA Form 10-2850—14,900.

b. Application for Nurses and Nurse Anesthetists, VA Form 10-2850a—59,598.

c. Application for Residents, VA Form 10-2850b—34,003.

d. Application for Associated Health Occupations, VA Form 10-2850c—19,866.

e. Application for Health Professions Trainees, VA Form 10-2850d—67,341.

f. Appraisal of Applicant, VA Form 10-341a—50,820.

g. Trainee Qualification and Credentials Verification Letter, VA Form 10-341b—80,518.

Dated: May 17, 2012.

By direction of the Secretary.

Denise McLamb,

Program Analyst, Enterprise Records Service.