Proposed Information Collection (Beneficiary Travel Mileage Reimbursement Application Form, VA Form 10-3542), 44097-44098 [2016-15988]

Agencies

• DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 81, Number 129 (Wednesday, July 6, 2016)]
[Notices]
[Pages 44097-44098]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15988]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0798]


Proposed Information Collection (Beneficiary Travel Mileage 
Reimbursement Application Form, VA Form 10-3542)

    Activity: Comment Request
AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Health Administration (VHA), 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 extension 
of a currently approved collection, and allow 60 days for public 
comment in response to the notice. This notice solicits comments on the 
VHA Beneficiary Travel (BT) program, which provides mileage 
reimbursement to qualified Veterans or other claimant(s) who incur 
expense in traveling to healthcare.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before September 6, 2016.

ADDRESSES: Submit written comments on the collection of information 
through 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. 2900-0798'' 
in any correspondence. During the comment period, comments may be 
viewed online through the 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 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

[[Page 44098]]

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: Beneficiary Travel Mileage Reimbursement Application Form.
    OMB Control Number: 2900-0798.
    Type of Review: Extension of a Currently Approved Collection.
    Abstract: The information collection is for beneficiaries to apply 
for the BT mileage reimbursement benefit. VHA determines the identity 
of the claimant, the dates and length of the trip being claimed based 
on addresses of starting and ending points, and whether expenses other 
than mileage are being claimed. The claimant is required to sign the 
form. The form is used only when the claimant chooses not to apply 
verbally and is provided for their convenience. Once the information is 
obtained it is entered into a software program that calculates the 
mileage and resulting reimbursement.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 580,000 hours.
    Estimated Average Burden per Respondent: 3 minutes.
    Frequency of Response: 8 per year.
    Estimated Number of Respondents: 1,450,000.

    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. 2016-15988 Filed 7-5-16; 8:45 am]
 BILLING CODE 8320-01-P