Agency Information Collection (Medical Expense Report) Activity Under OMB Review, 32823-32824 [2014-13081]

Download as PDF Federal Register / Vol. 79, No. 109 / Friday, June 6, 2014 / Notices announces that the Veterans Health Administration (VHA), 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. Written comments and recommendations on the proposed collection of information should be received on or before July 7, 2014. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0606 (Collection or Recovery by VA for Medical Care or Services Provided or Furnished to a Veteran for a Nonservice-Connected Disability)’’ in any correspondence. During the comment period, comments may be viewed online through the FDMS. DATES: FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– 0606 (Collection or Recovery by VA for Medical Care or Services Provided or Furnished to a Veteran for a NonserviceConnected Disability)’’ in any correspondence. 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 wreier-aviles on DSK5TPTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: VerDate Mar<15>2010 13:59 Jun 05, 2014 Jkt 232001 respondents, including through the use of automated collection techniques or the use of other forms of information technology. Supplementary Information: Title: Collection or Recovery by VA for Medical Care or Services Provided or Furnished to a Veteran for a NonserviceConnected Disability. OMB Control Number: 2900–0606. Type of Review: Revision of a currently approved collection. Abstract: Public Law 105–33 amended the statutory provision of 38 U.S.C. 1729 to authorize VA to bill ‘‘reasonable charges’’ instead of ‘‘reasonable cost’’ for medical care or services provided or furnished to a Veteran: (a) For a non-service connected disability for which the Veteran is entitled to care (or the payment of expenses of care) under a health-plan contract; (b) For a non-service connected disability incurred incident to the Veteran’s employment and covered under a worker’s compensation law or plan that provides reimbursement or indemnification for such care and services; or (c) For a non-service connected disability incurred as a result of a motor vehicle accident in a State that requires automobile accident reparations insurance. ‘‘Reasonable charges’’ are collected from available data (that includes complexity of care, degree of skill, provider specialty, and third party payer prevailing charges in other area) to set the local market charges for each geographic area where VA provides care. ‘‘Reasonable cost’’, on the other hand, does not factor all of these criteria and can impact the amount reimbursed to the VA. In the circumstances described above, third party payers set their allowable rate structure for compensable care based on their payment methodology, thus the importance in obtaining this information to ensure VA is reimbursed similarly to non-government entities. VA also utilizes reasonable charges to settle subrogated claims for worker’s compensation or motor vehicle accidents. Affected Public: Individuals or households. Estimated Annual Burden: 800 hours. Estimated Average Burden per Respondent: Two hours. Frequency of Response: Annually. Estimated Annual Responses: 800. Dated: June 3, 2014. PO 00000 Frm 00133 Fmt 4703 Sfmt 4703 32823 By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. [FR Doc. 2014–13159 Filed 6–5–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0161] Agency Information Collection (Medical Expense Report) Activity Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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. DATES: Comments must be submitted on or before July 7, 2014. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0161’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– 0161.’’ SUPPLEMENTARY INFORMATION: Title: Medical Expense Report, VA Form 21– 8416. OMB Control Number: 2900–0161. Type of Review: Revision of a currently approved collection. Abstract: VA Form 21–8416 is completed by claimants in receipt of or claiming income-based benefits to report medical expenses paid. Unreimbursed medical expenses may be excluded as countable income in determining a claimant’s entitlement to SUMMARY: E:\FR\FM\06JNN1.SGM 06JNN1 32824 Federal Register / Vol. 79, No. 109 / Friday, June 6, 2014 / Notices income-based benefits and the rate payable. 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 January 15, 2014, at pages 2754–2755. Affected Public: Individuals or households. Estimated Annual Burden: 96,400 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 48,200. Dated: June 2, 2014. By direction of the Secretary. Crystal Rennie, Department Clearance Officer, Department of Veterans Affairs. [FR Doc. 2014–13081 Filed 6–5–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–NEW] Agency Information Collection (The Veterans’ Outcome Assessment (VOA) (Veteran Survey Interview)) Activities Under OMB Review Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–3521), this notice announces that the Veterans Health Administration (VHA), 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: Written comments and recommendations on the proposed collection of information should be received on or before July 7, 2014. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through wreier-aviles on DSK5TPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 18:07 Jun 05, 2014 Jkt 232001 electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–NEW (The Veterans’ Outcome Assessment (VOA) (Veteran Survey Interview))’’ in any correspondence. During the comment period, comments may be viewed online through the FDMS. FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– NEW (The Veterans’ Outcome Assessment (VOA) (Veteran Survey Interview))’’ in any correspondence. 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. Supplementary Information: Title: The Veterans’ Outcome Assessment (VOA) (Veteran Survey Interview), VA Form 10–XXXXX. OMB Control Number: New 2900– NEW. The Veterans’ Outcome Assessment (VOA) (Veteran Survey Interview). Type of Review: New collection. Abstract: This collection is in response to the requirements set out by The National Defense Authorization Act of Fiscal Year 2013 (NDAA). The National Defense Authorization Act of Fiscal Year 2013 (NDAA) requires VA to ‘‘develop and implement a comprehensive set of measures to assess mental health care services furnished by the Department of Veterans Affairs. The workgroup therefore developed a plan for a brief survey of a representative sample of new mental health treatment patients. Data collected will allow the PO 00000 Frm 00134 Fmt 4703 Sfmt 4703 program office to ensure that the target audience is being reached effective treatments are being offered, and tangible, quantitative results are being measured and tracked for continual improvement. Affected Public: Individuals or households. Estimated Total Annual Burden: 2,140 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One time. Estimated Number of Respondents: 4,280. Dated: June 3, 2014. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. [FR Doc. 2014–13157 Filed 6–5–14; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0711] Agency Information Collection Activity (VBA Loan Guaranty Service Lender Satisfaction Survey) Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–21), 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 and it includes the actual data collection instrument. SUMMARY: Comments must be submitted on or before July 7, 2014. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0711’’ in any correspondence. DATES: FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records E:\FR\FM\06JNN1.SGM 06JNN1

Agencies

[Federal Register Volume 79, Number 109 (Friday, June 6, 2014)]
[Notices]
[Pages 32823-32824]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-13081]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0161]


Agency Information Collection (Medical Expense Report) Activity 
Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: 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.

DATES: Comments must be submitted on or before July 7, 2014.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov, or to Office of Information and Regulatory 
Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 
17th St. NW., Washington, DC 20503 or sent through electronic mail to 
oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
0161'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492 or email 
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-0161.''

SUPPLEMENTARY INFORMATION: Title: Medical Expense Report, VA Form 21-
8416.
    OMB Control Number: 2900-0161.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-8416 is completed by claimants in receipt of 
or claiming income-based benefits to report medical expenses paid. 
Unreimbursed medical expenses may be excluded as countable income in 
determining a claimant's entitlement to

[[Page 32824]]

income-based benefits and the rate payable.
    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 January 15, 2014, at pages 2754-2755.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 96,400 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 48,200.

    Dated: June 2, 2014.

    By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-13081 Filed 6-5-14; 8:45 am]
BILLING CODE 8320-01-P
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