Agency Information Collection Activity Under OMB Review: Expanded Access to Non-VA Care Through the MISSION Program: Veterans Community Care Program (VCCP), 53570-53571 [2019-21704]

Download as PDF 53570 Federal Register / Vol. 84, No. 194 / Monday, October 7, 2019 / Notices Current Actions: There are no changes to this information collection or its estimated burden, and TTB is submitting it for extension purposes only. Type of Review: Extension of a currently approved collection. Affected Public: Businesses or other for-profits. Estimated Annual Burden: • Number of Respondents: 235. • Average Responses per Respondent: One. • Number of Responses: 235. • Average per-response and Total Burden: None. (Per the OMB regulation at 5 CFR 1320.3(b)(2), there is no burden associated with the collection of usual of customary records kept during the normal course of business.) Dated: September 30, 2019. Amy R. Greenberg, Director, Regulations and Rulings Division. [FR Doc. 2019–21796 Filed 10–4–19; 8:45 am] BILLING CODE 4810–31–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0823] Agency Information Collection Activity Under OMB Review: Expanded Access to Non-VA Care Through the MISSION Program: Veterans Community Care Program (VCCP) Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Health Administration, 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. DATES: Comments must be submitted on or before November 6, 2019. 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. 2900–0823’’ in any correspondence. SUMMARY: VerDate Sep<11>2014 18:29 Oct 04, 2019 Jkt 250001 FOR FURTHER INFORMATION CONTACT: Danny S. Green, Office of Quality, Performance and Risk (OQPR), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 421–1354 or email danny.green2@va.gov Please refer to ‘‘OMB Control No. 2900–0823’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–21. Title: Expanded Access to Non-VA Care through the MISSION Program: Veterans Community Care Program (VCCP) (VA Forms 10–10143, 10– 10143a, 10–10143b, 10–10143c and 10– 10143e) OMB Control Number: 2900–0823. Type of Review: Non-substantive change to a currently approved collection. Abstract: Section 101 of the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018 requires VA to implement the Veterans Community Care Program (VCCP) to furnish care in the community to covered Veterans through eligible entities and providers, under circumstances as further prescribed in the MISSION Act. VA currently collects information that will be required to implement the Veterans Community Care Program under the Veterans Choice Program, through an OMB approved collection 2900–0823. OMB Collection 2900–0823 includes VA Form 10– 10143, Election to Receive Authorized Non-VA Care and Selection of Provider for the Veterans Choice Program; VA Form 10–10143a, Health-Care Plan Information for the Veterans Choice Program; VA Form 10–10143b, Submission of Medical Record Information under the Veterans Choice Program; VA Form 10–10143c, Submission of Information on Credentials and Licenses by Eligible Entities and Providers; and VA Form 10–10143e,Secondary Authorization Request for VA Community Care. VA seeks to update OMB collection 2900–0823 to implement the Veterans Community Care Program by updating the title of VA forms and any associated statutory citations to be consistent with the new program and the MISSION Act, and by updating burden hours to account for estimated increased use of community care under the new program. This collection of information is required to properly adjudicate and implement the requirements of the MISSION Act. a. VA Form 10–10143 will collect Veteran information on whether covered PO 00000 Frm 00173 Fmt 4703 Sfmt 4703 Veterans would elect to receive authorized care under the VCCP if certain conditions are met, as required by 38 U.S.C. 1703(d)(3). This form also will allow a covered Veteran to specify a particular non-VA entity or provider. b. VA Form 10–10143a will collect other health insurance information from covered Veterans who elect to participate in the VCCP, as required by 38 U.S.C. 1705A. This information also is required by 38 U.S.C. 1703(j), which requires VA to recover or collect reasonable charges for community care that is furnished from a health care plan contract described in 38 U.S.C. 1729. c. VA Form 10–10143b will collect health records of covered Veterans from non-VA health care entities and providers for care authorized under the VCCP, as required by 38 U.S.C. 1703(a)(2)(A), which requires VA to establish a mechanism to receive medical records from non-VA providers. A copy of all medical and dental records (including but not limited to images, test results, and notes or other records of what care was provided and why) related to a Veteran’s care provided under the VCCP must be submitted to VA, including any claims for payment for the furnishing of such care. d. VA Form 10–10143c will collect information from non-VA entities and providers concerning relevant credentials and licenses as required for such entities or providers to furnish care and services generally. This information is authorized by section 133 of the MISSION Act, which requires VA to establish competency standards for nonVA providers, as well as 38 U.S.C. 1703C(a)(1), which requires VA to establish certain standards of quality for furnishing care and services (including through non-VA providers). e. VA Form 10–10143e will collect secondary authorization requests from non-VA entities and providers to furnish care and services in addition to or supporting the original authorization for care. This information is required by 38 U.S.C. 1703(a)(3), which establishes that a covered Veteran may only receive care or services under the VCCP upon VA’s authorization of such care or services. 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 84 FR 35181 on July 22, 2019, pages 35181 and 35182. E:\FR\FM\07OCN1.SGM 07OCN1 Federal Register / Vol. 84, No. 194 / Monday, October 7, 2019 / Notices VA Form 10–10143 DEPARTMENT OF VETERANS AFFAIRS Affected Public: Individuals or households. Estimated Annual Burden: 610,833 hours. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 3,665,000. [OMB Control No. 2900–0846] Agency Information Collection Activity: VA Financial Services Center (VA–FSC) Vendor File Request Form Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: Affected Public: Individuals or households. Estimated Annual Burden: 610,833 hours. Estimated Average Burden per Respondent: 10 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 3,665,000. VA Form 10–10143b Affected Public: Private Sector. Estimated Annual Burden: 1,039,332 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Average of 34 times annually. Estimated Number of Respondents: 366,823. VA Form 10–10143c Affected Public: Private Sector. Estimated Annual Burden: 10,190 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 122,274. VA Form 10–10143e Affected Public: Private Sector. Estimated Annual Burden: 611,372 hours. Estimated Average Burden per Respondent: 20 minutes. Frequency of Response: Average of 5 times annually. Estimated Number of Respondents: 366,823. By direction of the Secretary. Danny S. Green, Interim VA Clearance Officer, Office of Quality, Performance and Risk (OQPR), Department of Veterans Affairs. [FR Doc. 2019–21704 Filed 10–4–19; 8:45 am] BILLING CODE 8320–01–P VerDate Sep<11>2014 18:29 Oct 04, 2019 Veterans Health Administration, 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. DATES: Written comments and recommendations on the proposed collection of information should be received on or before December 6, 2019. 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 (10B4), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420 or email to Brian.McCarthy4@ va.gov. Please refer to ‘‘OMB Control No. 2900–0846’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 615–9241. SUPPLEMENTARY INFORMATION: Under the PRA of 1995, 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 SUMMARY: VA Form 10–10143a Jkt 250001 PO 00000 Frm 00174 Fmt 4703 Sfmt 9990 53571 respondents, including through the use of automated collection techniques or the use of other forms of information technology. Authority: Public Law 104–13; 44 U.S.C. 3501–3521. Title: VA Financial Services Center (VA–FSC) Vendor File Request Form (VA Form 10091) OMB Control Number: 2900–0846. Type of Review: Extension of a currently approved collection. Abstract: The authorizing statute for this data collection falls under 31 U.S.C. 3701 and Public Law 104–134, Section 31001, Debt Collection Improvement Act of 1996. The mission of the Nationwide Vendor File Division of the Department of Veterans Affairs— Financial Services Center (VA–FSC) is to add, modify, or delete vendor records in the Financial Management Services (FMS) vendor file. The VA–FSC FMS vendor file controls aspects of when, where, and how vendors are paid. There are currently more than 2.4 million active vendor records in FMS. The VA–FSC Vendor File Request Form, VA Form 10091, was previously created to streamline the data required to establish a vendor record from multiple sources into a single form. The VA now seeks a routine three-year extension of the previous OMB PRA clearance for this form. VA Form 10091 will be used throughout the VA to gather essential payment data from vendors (commercial, individuals, Veterans, employees, etc.) to establish or update vendor records in order to process electronic payments through the ACH network to the vendor’s financial institution. Affected Public: Individuals and households. Estimated Annual Burden: 37,500 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 150,000. By direction of the Secretary. Danny S. Green, Interim VA Clearance Officer, Office of Quality, Performance and Risk (OQPR), Department of Veterans Affairs. [FR Doc. 2019–21756 Filed 10–4–19; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\07OCN1.SGM 07OCN1

Agencies

[Federal Register Volume 84, Number 194 (Monday, October 7, 2019)]
[Notices]
[Pages 53570-53571]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-21704]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0823]


Agency Information Collection Activity Under OMB Review: Expanded 
Access to Non-VA Care Through the MISSION Program: Veterans Community 
Care Program (VCCP)

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 
this notice announces that the Veterans Health Administration, 
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.

DATES: Comments must be submitted on or before November 6, 2019.

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 
[email protected]. Please refer to ``OMB Control No. 2900-
0823'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Danny S. Green, Office of Quality, 
Performance and Risk (OQPR), Department of Veterans Affairs, 810 
Vermont Avenue NW, Washington, DC 20420, (202) 421-1354 or email 
[email protected] Please refer to ``OMB Control No. 2900-0823'' in 
any correspondence.

SUPPLEMENTARY INFORMATION: 

    Authority: 44 U.S.C. 3501-21.

    Title: Expanded Access to Non-VA Care through the MISSION Program: 
Veterans Community Care Program (VCCP) (VA Forms 10-10143, 10-10143a, 
10-10143b, 10-10143c and 10-10143e)
    OMB Control Number: 2900-0823.
    Type of Review: Non-substantive change to a currently approved 
collection.
    Abstract: Section 101 of the VA Maintaining Internal Systems and 
Strengthening Integrated Outside Networks (MISSION) Act of 2018 
requires VA to implement the Veterans Community Care Program (VCCP) to 
furnish care in the community to covered Veterans through eligible 
entities and providers, under circumstances as further prescribed in 
the MISSION Act. VA currently collects information that will be 
required to implement the Veterans Community Care Program under the 
Veterans Choice Program, through an OMB approved collection 2900-0823. 
OMB Collection 2900-0823 includes VA Form 10-10143, Election to Receive 
Authorized Non-VA Care and Selection of Provider for the Veterans 
Choice Program; VA Form 10-10143a, Health-Care Plan Information for the 
Veterans Choice Program; VA Form 10-10143b, Submission of Medical 
Record Information under the Veterans Choice Program; VA Form 10-
10143c, Submission of Information on Credentials and Licenses by 
Eligible Entities and Providers; and VA Form 10-10143e,Secondary 
Authorization Request for VA Community Care.
    VA seeks to update OMB collection 2900-0823 to implement the 
Veterans Community Care Program by updating the title of VA forms and 
any associated statutory citations to be consistent with the new 
program and the MISSION Act, and by updating burden hours to account 
for estimated increased use of community care under the new program.
    This collection of information is required to properly adjudicate 
and implement the requirements of the MISSION Act.
    a. VA Form 10-10143 will collect Veteran information on whether 
covered Veterans would elect to receive authorized care under the VCCP 
if certain conditions are met, as required by 38 U.S.C. 1703(d)(3). 
This form also will allow a covered Veteran to specify a particular 
non-VA entity or provider.
    b. VA Form 10-10143a will collect other health insurance 
information from covered Veterans who elect to participate in the VCCP, 
as required by 38 U.S.C. 1705A. This information also is required by 38 
U.S.C. 1703(j), which requires VA to recover or collect reasonable 
charges for community care that is furnished from a health care plan 
contract described in 38 U.S.C. 1729.
    c. VA Form 10-10143b will collect health records of covered 
Veterans from non-VA health care entities and providers for care 
authorized under the VCCP, as required by 38 U.S.C. 1703(a)(2)(A), 
which requires VA to establish a mechanism to receive medical records 
from non-VA providers. A copy of all medical and dental records 
(including but not limited to images, test results, and notes or other 
records of what care was provided and why) related to a Veteran's care 
provided under the VCCP must be submitted to VA, including any claims 
for payment for the furnishing of such care.
    d. VA Form 10-10143c will collect information from non-VA entities 
and providers concerning relevant credentials and licenses as required 
for such entities or providers to furnish care and services generally. 
This information is authorized by section 133 of the MISSION Act, which 
requires VA to establish competency standards for non-VA providers, as 
well as 38 U.S.C. 1703C(a)(1), which requires VA to establish certain 
standards of quality for furnishing care and services (including 
through non-VA providers).
    e. VA Form 10-10143e will collect secondary authorization requests 
from non-VA entities and providers to furnish care and services in 
addition to or supporting the original authorization for care. This 
information is required by 38 U.S.C. 1703(a)(3), which establishes that 
a covered Veteran may only receive care or services under the VCCP upon 
VA's authorization of such care or services.
    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 84 FR 35181 on July 22, 2019, pages 35181 
and 35182.

[[Page 53571]]

VA Form 10-10143

    Affected Public: Individuals or households.
    Estimated Annual Burden: 610,833 hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 3,665,000.

VA Form 10-10143a

    Affected Public: Individuals or households.
    Estimated Annual Burden: 610,833 hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 3,665,000.

VA Form 10-10143b

    Affected Public: Private Sector.
    Estimated Annual Burden: 1,039,332 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Average of 34 times annually.
    Estimated Number of Respondents: 366,823.

VA Form 10-10143c

    Affected Public: Private Sector.
    Estimated Annual Burden: 10,190 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 122,274.

VA Form 10-10143e

    Affected Public: Private Sector.
    Estimated Annual Burden: 611,372 hours.
    Estimated Average Burden per Respondent: 20 minutes.
    Frequency of Response: Average of 5 times annually.
    Estimated Number of Respondents: 366,823.

    By direction of the Secretary.
Danny S. Green,
Interim VA Clearance Officer, Office of Quality, Performance and Risk 
(OQPR), Department of Veterans Affairs.
[FR Doc. 2019-21704 Filed 10-4-19; 8:45 am]
BILLING CODE 8320-01-P
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