Proposed Information Collection (Regulation for Submission of Evidence); Comment Request, 13022-13023 [2011-5331]

Download as PDF 13022 Federal Register / Vol. 76, No. 46 / Wednesday, March 9, 2011 / Notices Benefits Administration (20M33), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0129’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. DEPARTMENT OF VETERANS AFFAIRS FOR FURTHER INFORMATION CONTACT: AGENCY: Nancy J. Kessinger at (202) 461–9769 or FAX (202) 275–5947. Under the PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 3501–3521), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA. With respect to the following collection of information, VBA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VBA’s functions, including whether the information will have practical utility; (2) the accuracy of VBA’s estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology. Title: Supplemental Disability Report, VA Form Letter 29–30a. OMB Control Number: 2900–0129. Type of Review: Extension of a currently approved collection. Abstract: VA Form Letter 29–30a is used by the insured to provide additional information required to process a claim for disability insurance benefits. Affected Public: Individuals or households. Estimated Annual Burden: 548 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 6,570. Emcdonald on DSK2BSOYB1PROD with NOTICES SUPPLEMENTARY INFORMATION: Dated: March 4, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–5329 Filed 3–8–11; 8:45 am] BILLING CODE 8320–01–P VerDate Mar<15>2010 18:04 Mar 08, 2011 Jkt 223001 [OMB Control No. 2900–0068] Agency Information Collection (Application for Service-Disabled Veterans Insurance) Activity Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice; republication. In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–3521), this notice announces that the Veterans Benefits Administration (VBA), 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. We are republishing this notice because we inadvertently omitted certain information from the Federal Register notice published on January 18, 2011 (76 FR 2953). This document contains the omitted information and agrees with the information in the notice published on November 4, 2010 (75 FR 68036). DATES: Comments must be submitted on or before April 8, 2011. 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– 0068’’ 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) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0068.’’ SUPPLEMENTARY INFORMATION: Title: Application for ServiceDisabled Veterans Insurance, VA Forms 29–4364, 29–4364c and 29–0151. OMB Control Number: 2900–0068. Type of Review: Revision of a currently approved collection. Abstract: Veterans complete VA Forms 29–4364 and 29–0151 to apply for service-disabled veterans insurance, designate a beneficiary and select an optional settlement. VA uses the data collected on VA Forms 29–4364 and 29– SUMMARY: PO 00000 Frm 00091 Fmt 4703 Sfmt 4703 0151 to determine the claimant’s eligibility for insurance. VA Form 29–4364c is used by veterans who were rated unemployable or with certain severely disabling conditions. Veterans completing VA Form 29–4364c do not need to provide medical information to qualify for this insurance. 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 November 4, 2010, at pages 68036– 68037. Affected Public: Individuals or households. Estimated Annual Burden: 8,333 hours. Estimated Average Burden per Respondent: 20 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 25,000. Dated: March 4, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–5330 Filed 3–8–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0606] Proposed Information Collection (Regulation for Submission of Evidence); Comment Request Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: The Veterans Health Administration (VHA) is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of a currently approved collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to collect or recover cost for medical care or services provided or furnished to veterans with non-serviceconnected conditions. DATES: Written comments and recommendations on the proposed SUMMARY: E:\FR\FM\09MRN1.SGM 09MRN1 Federal Register / Vol. 76, No. 46 / Wednesday, March 9, 2011 / Notices Emcdonald on DSK2BSOYB1PROD with NOTICES collection of information should be received on or before May 9, 2011. ADDRESSES: Submit written comments on the collection of information through the Federal Docket Management System (FDMS) at http://www.Regulations.gov; or to Cynthia Harvey Pryor, Veterans Health Administration (193E1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail: cynthia.harveypryor@va.gov. Please refer to ‘‘2900– 0606’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461–5870 or FAX (202) 273–9387. SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 3501–3521), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA. With respect to the following collection of information, VHA invites VerDate Mar<15>2010 18:04 Mar 08, 2011 Jkt 223001 comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VHA’s functions, including whether the information will have practical utility; (2) the accuracy of VHA’s estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology. Title: Regulation for Submission of Evidence—Title 38 CFR 17.101(a)(4). OMB Control Number: 2900–0606. Type of Review: Extension of a currently approved collection. Abstract: Under the provisions of 38 CFR 17.101(a)(4), a third party payer that is liable for reimbursing VA for care and services VA provided to veterans with non-service-connected conditions continues to have the option of paying either the billed charges or the amount the health plan demonstrates it would PO 00000 Frm 00092 Fmt 4703 Sfmt 9990 13023 pay to providers other than entities of the United States for the same care or services in the same geographic area. If the amount submitted by the health plan is less than the amount billed, VA will accept the submission as payment, subject to verification at VA’s discretion. VA uses the information to determine whether the third-party payer has met the test of properly demonstrating its equivalent private sector provider payment amount for the same care or services VA provided. Affected Public: Business or other forprofit. Estimated Total Annual Burden: 800 hours. Estimated Average Burden per Respondent: 2 hours. Frequency of Response: On occasion. Estimated Number of Respondents: 400. Dated: March 4, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–5331 Filed 3–8–11; 8:45 am] BILLING CODE P E:\FR\FM\09MRN1.SGM 09MRN1

Agencies

[Federal Register Volume 76, Number 46 (Wednesday, March 9, 2011)]
[Notices]
[Pages 13022-13023]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-5331]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0606]


Proposed Information Collection (Regulation for Submission of 
Evidence); Comment Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Health Administration (VHA) is announcing an 
opportunity for public comment on the proposed collection of certain 
information by the agency. Under the Paperwork Reduction Act (PRA) of 
1995, Federal agencies are required to publish notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed extension of a currently approved collection, and allow 
60 days for public comment in response to the notice. This notice 
solicits comments on information needed to collect or recover cost for 
medical care or services provided or furnished to veterans with non-
service-connected conditions.

DATES: Written comments and recommendations on the proposed

[[Page 13023]]

collection of information should be received on or before May 9, 2011.

ADDRESSES: Submit written comments on the collection of information 
through the Federal Docket Management System (FDMS) at http://www.Regulations.gov; or to Cynthia Harvey Pryor, Veterans Health 
Administration (193E1), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420 or e-mail: cynthia.harvey-pryor@va.gov. Please refer to ``2900-0606'' in any correspondence. 
During the comment period, comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461-5870 or 
FAX (202) 273-9387.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-3521), Federal agencies must obtain approval from the 
Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. This request for comment is being 
made pursuant to Section 3506(c)(2)(A) of the PRA.
    With respect to the following collection of information, VHA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VHA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VHA's estimate of the burden of the proposed collection of 
information; (3) ways to enhance the quality, utility, and clarity of 
the information to be collected; and (4) ways to minimize the burden of 
the collection of information on respondents, including through the use 
of automated collection techniques or the use of other forms of 
information technology.
    Title: Regulation for Submission of Evidence--Title 38 CFR 
17.101(a)(4).
    OMB Control Number: 2900-0606.
    Type of Review: Extension of a currently approved collection.
    Abstract: Under the provisions of 38 CFR 17.101(a)(4), a third 
party payer that is liable for reimbursing VA for care and services VA 
provided to veterans with non-service-connected conditions continues to 
have the option of paying either the billed charges or the amount the 
health plan demonstrates it would pay to providers other than entities 
of the United States for the same care or services in the same 
geographic area. If the amount submitted by the health plan is less 
than the amount billed, VA will accept the submission as payment, 
subject to verification at VA's discretion. VA uses the information to 
determine whether the third-party payer has met the test of properly 
demonstrating its equivalent private sector provider payment amount for 
the same care or services VA provided.
    Affected Public: Business or other for-profit.
    Estimated Total Annual Burden: 800 hours.
    Estimated Average Burden per Respondent: 2 hours.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 400.

    Dated: March 4, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-5331 Filed 3-8-11; 8:45 am]
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