Agency Information Collection (Foreign Medical Program Application and Claim Cover Sheet), 77083-77084 [2015-31235]
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Federal Register / Vol. 80, No. 238 / Friday, December 11, 2015 / Notices
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2015–31229 Filed 12–10–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0691]
Proposed Information Collection
(Learner’s Perceptions Survey (LPS));
Activity: 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
revision 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 identify areas for
improvement in clinical training
programs.
SUMMARY:
Written comments and
recommendations on the proposed
collection of information should be
received on or before February 9, 2016.
ADDRESSES: Submit written comments
on the collection of information through
the Federal Docket Management System
(FDMS) at www.Regulations.gov; or to
Brian McCarthy, Office of Regulatory
and Administrative Affairs, Veterans
Health Administration (10B4),
Department of Veterans Affairs, 810
Vermont Avenue NW., Washington, DC
20420 or email: Brian.McCarthy4@
va.gov. Please refer to ‘‘OMB Control
No. 2900–0691’’ in any correspondence.
During the comment period, comments
may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Brian McCarthy at (202) 461–6345.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–3521), Federal agencies must
obtain approval from 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.
jstallworth on DSK7TPTVN1PROD with NOTICES
DATES:
VerDate Sep<11>2014
14:55 Dec 10, 2015
Jkt 238001
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.
1. Learners’ Perceptions Survey PR,
VA Form 10–0439.
2. Learners’ Perceptions Survey AH,
VA Form 10–0439.
OMB Control Number: 2900–0691.
Type of Review: Revision.
Abstracts
Under the authority of Federal Law 38
U.S.C. Part V, Chapter 73, Section 7302,
the Department of Veterans Affairs (VA)
provides education and training to over
120,000 national cohort of health care
trainees per year to assist in providing
an adequate supply of health personnel
for VA and the Nation. VA is further
required to evaluate this program on a
continuing basis and determine its
effectiveness in achieving its goals
(Federal Law, 38 U.S.C. Part I, Chapter
5, Section 527). In addition, the
Government Performance and Results
Act (GPRA) of 1993, requires Federal
agencies to set goals, measure
performance, and report on the
accomplishments.
Affected Public: Individuals or
households.
Estimated Annual Burden
a. Learners’ Perceptions Survey PR,
VA Form 10–0439—3,750 hours.
b. Learners’ Perceptions Survey AH,
VA Form 10–0439—3,750 hours.
Estimated Average Burden per
Respondent
a. Learners’ Perceptions Survey PR,
VA Form 10–0439—15 minutes.
b. Learners’ Perceptions Survey AH,
VA Form 10–0439—15 minutes.
Frequency of Response: Annually.
Estimated Annual Responses
a. Learners’ Perceptions Survey PR,
VA Form 10–0439—15,000.
b. Learners’ Perceptions Survey AH,
VA Form 10–0439—15,000.
PO 00000
Frm 00158
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2015–31160 Filed 12–10–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0648]
Agency Information Collection
(Foreign Medical Program Application
and Claim Cover Sheet)
Fmt 4703
Sfmt 4703
Department of Veterans Affairs.
Notice; correction.
AGENCY:
ACTION:
Titles
77083
The Department of Veterans
Affairs (VA) published a collection of
information notice in a Federal Register
on August 14, 2015. The 30-day Federal
Register Notice published 11 days after
the 60-day Federal Register Notice
published. This document corrects the
errors by resubmitting a new 30-day
Federal Register Notice.
FOR FURTHER INFORMATION CONTACT:
Brian McCarthy at (202) 461–6345.
SUMMARY:
Correction
DEPARTMENT OF VETERANS
AFFAIRS
Billing Code 8320–01
[OMB Control No. 2900–0648]
Agency Information Collection
(Foreign Medical Program Application
and Claim Cover Sheet) Activities
Under OMB Review
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
SUMMARY: In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), 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 January 11, 2016.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
AGENCY:
E:\FR\FM\11DEN1.SGM
11DEN1
jstallworth on DSK7TPTVN1PROD with NOTICES
77084
Federal Register / Vol. 80, No. 238 / Friday, December 11, 2015 / Notices
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. 2900–0648’’ 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–
0648 (Foreign Medical Program
Application and Claim Cover Sheet)’’ 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:
Titles:
1. Foreign Medical Program (FMP)
Registration Form.
2. Claim Cover Sheet—Foreign
Medical Program (FMP).
OMB Control Number: 2900–0648.
Type of Review: Revision of a
currently approved collection.
Abstracts: This information collection
is needed to carry out the health care
benefits allowed by the Foreign Medical
Program (FMP). It is a federal health
benefits program for Veterans
administered by the Department of
Veterans Affairs (VA) Veterans Health
Administration (VHA). FMP is a Fee for
Service (indemnity plan) program. FMP
provides reimbursement for VA
adjudicated service-connected
conditions. Title 38 CFR 17.35 states
VerDate Sep<11>2014
14:55 Dec 10, 2015
Jkt 238001
that the VA will provide coverage for
the Veteran’s service-connected
disability when the Veteran is residing
or traveling overseas.
VA Form 10–7959f–1, Foreign
Medical Program (FMP) Registration
Form, is used to register into the Foreign
Medical Program those Veterans with
service-connected disabilities that are
living or traveling overseas. Title 38
CFR 17.125(d) states that requests for
consideration of claim reimbursement
from approved health care providers
and Veterans are to be mailed to VHA
Health Administration Center (HAC).
The VA Form 10–7959f–2, Claim Cover
Sheet—Foreign Medical Program
streamlines the claims submission
process for claimants or physicians
while also reducing the time spent by
VA on processing FMP claims. The
cover sheet will allow foreign providers/
Veterans with a better understanding of
basic information required for the
processing and payment of claims.
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 at 80 FR
46104 on August 3, 2015.
Affected Public: Individuals or
households.
Estimated Annual Burden:
a. Foreign Medical Program (FMP)
Registration Form—fill, VA Form 10–
7959f–1—111 hours.
b. Claim Cover Sheet—Foreign
Medical Program (FMP)—fill, VA Form
10–7959f–2—3,652 hours.
Estimated Average Burden per
Respondent:
a. Foreign Medical Program (FMP)
Registration Form—fill, VA Form 10–
7959f–1—4 minutes.
b. Claim Cover Sheet—Foreign
Medical Program (FMP)—fill, VA Form
10–7959f–2—11 minutes.
Frequency of Response:
a. Foreign Medical Program (FMP)
Registration Form—fill, VA Form 10–
7959f–1—Annually.
b. Claim Cover Sheet—Foreign
Medical Program (FMP)—fill, VA Form
10–7959f–2—12 times a year.
Estimated Annual Responses:
a. Foreign Medical Program (FMP)
Registration Form—fill, VA Form 10–
7959f–1—1,660.
b. Claim Cover Sheet—Foreign
Medical Program (FMP)—fill, VA Form
10–7959f–2—19,920.
PO 00000
Frm 00159
Fmt 4703
Sfmt 4703
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2015–31235 Filed 12–10–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0465]
Agency Information Collection Activity
Under OMB Review—Student
Verification of Enrollment
Veterans Benefits
Administration, Department of Veterans
Affairs
ACTION: Notice.
AGENCY:
The Veterans Benefits
Administration (VBA) Department of
Veterans Affairs (VA), 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
revision of a currently approved
collection, and allow 60 days for public
comment in response to the notice.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before February 9, 2016.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov, or to
Nancy J. Kessinger, Veterans Benefits
Administration (20M33), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420 or email to
nancy.kessinger@va.gov. Please refer to
‘‘OMB Control No. 2900–0465’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Nancy J. Kessinger at (202) 632–8924 or
FAX (202) 632–8925.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–21), 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
SUMMARY:
E:\FR\FM\11DEN1.SGM
11DEN1
Agencies
[Federal Register Volume 80, Number 238 (Friday, December 11, 2015)]
[Notices]
[Pages 77083-77084]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-31235]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0648]
Agency Information Collection (Foreign Medical Program
Application and Claim Cover Sheet)
AGENCY: Department of Veterans Affairs.
ACTION: Notice; correction.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) published a collection
of information notice in a Federal Register on August 14, 2015. The 30-
day Federal Register Notice published 11 days after the 60-day Federal
Register Notice published. This document corrects the errors by
resubmitting a new 30-day Federal Register Notice.
FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 461-6345.
Correction
DEPARTMENT OF VETERANS AFFAIRS
Billing Code 8320-01
[OMB Control No. 2900-0648]
Agency Information Collection (Foreign Medical Program Application and
Claim Cover Sheet) 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. 3501-3521), 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 January 11, 2016.
ADDRESSES: Submit written comments on the collection of information
through www.Regulations.gov, or to Office of
[[Page 77084]]
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. 2900-0648'' 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. 2900-0648
(Foreign Medical Program Application and Claim Cover Sheet)'' 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:
Titles:
1. Foreign Medical Program (FMP) Registration Form.
2. Claim Cover Sheet--Foreign Medical Program (FMP).
OMB Control Number: 2900-0648.
Type of Review: Revision of a currently approved collection.
Abstracts: This information collection is needed to carry out the
health care benefits allowed by the Foreign Medical Program (FMP). It
is a federal health benefits program for Veterans administered by the
Department of Veterans Affairs (VA) Veterans Health Administration
(VHA). FMP is a Fee for Service (indemnity plan) program. FMP provides
reimbursement for VA adjudicated service-connected conditions. Title 38
CFR 17.35 states that the VA will provide coverage for the Veteran's
service-connected disability when the Veteran is residing or traveling
overseas.
VA Form 10-7959f-1, Foreign Medical Program (FMP) Registration
Form, is used to register into the Foreign Medical Program those
Veterans with service-connected disabilities that are living or
traveling overseas. Title 38 CFR 17.125(d) states that requests for
consideration of claim reimbursement from approved health care
providers and Veterans are to be mailed to VHA Health Administration
Center (HAC). The VA Form 10-7959f-2, Claim Cover Sheet--Foreign
Medical Program streamlines the claims submission process for claimants
or physicians while also reducing the time spent by VA on processing
FMP claims. The cover sheet will allow foreign providers/Veterans with
a better understanding of basic information required for the processing
and payment of claims.
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 at 80 FR 46104 on August 3, 2015.
Affected Public: Individuals or households.
Estimated Annual Burden:
a. Foreign Medical Program (FMP) Registration Form--fill, VA Form
10-7959f-1--111 hours.
b. Claim Cover Sheet--Foreign Medical Program (FMP)--fill, VA Form
10-7959f-2--3,652 hours.
Estimated Average Burden per Respondent:
a. Foreign Medical Program (FMP) Registration Form--fill, VA Form
10-7959f-1--4 minutes.
b. Claim Cover Sheet--Foreign Medical Program (FMP)--fill, VA Form
10-7959f-2--11 minutes.
Frequency of Response:
a. Foreign Medical Program (FMP) Registration Form--fill, VA Form
10-7959f-1--Annually.
b. Claim Cover Sheet--Foreign Medical Program (FMP)--fill, VA Form
10-7959f-2--12 times a year.
Estimated Annual Responses:
a. Foreign Medical Program (FMP) Registration Form--fill, VA Form
10-7959f-1--1,660.
b. Claim Cover Sheet--Foreign Medical Program (FMP)--fill, VA Form
10-7959f-2--19,920.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records
Management, Department of Veterans Affairs.
[FR Doc. 2015-31235 Filed 12-10-15; 8:45 am]
BILLING CODE 8320-01-P