Agency Information Collection Activity Under OMB Review: Foreign Medical Program (FMP) Registration Form and Claim Cover Sheet, 73596-73597 [2020-25404]

Download as PDF 73596 Federal Register / Vol. 85, No. 223 / Wednesday, November 18, 2020 / Notices khammond on DSKJM1Z7X2PROD with NOTICES exemptions are applicable as of December 10, 2020, and will expire on December 10, 2022. As of December 20, 2020, and in accordance with 49 U.S.C. 31136(e) and 31315, the following two individuals have satisfied the renewal conditions for obtaining an exemption from the vision requirement in the FMCSRs for interstate CMV drivers (77 FR 64839; 77 FR 75494; 79 FR 73393; 81 FR 96180; 84 FR 2326): Noah E. Bowen (OH); and Emin Toric (GA) The drivers were included in docket number FMCSA–2012–0280. Their exemptions are applicable as of December 20, 2020, and will expire on December 20, 2022. As of December 25, 2020, and in accordance with 49 U.S.C. 31136(e) and 31315, the following two individuals have satisfied the renewal conditions for obtaining an exemption from the vision requirement in the FMCSRs for interstate CMV drivers (79 FR 69985; 80 FR 8927; 81 FR 96180; 84 FR 2326): Thurman T. Clayton (LA); and Tig G. Cornell (ID) The drivers were included in docket number FMCSA–2014–0298. Their exemptions are applicable as of December 25, 2020, and will expire on December 25, 2022. As of December 30, 2020, and in accordance with 49 U.S.C. 31136(e) and 31315, the following individual has satisfied the renewal conditions for obtaining an exemption from the vision requirement in the FMCSRs for interstate CMV drivers (81 FR 86063; 82 FR 12683; 84 FR 2326): Michal Golebiowski (IL) The driver was included in docket number FMCSA–2016–0212. Their exemption is applicable as of December 30, 2020, and will expire on December 30, 2022. V. Conditions and Requirements The exemptions are extended subject to the following conditions: (1) Each driver must undergo an annual physical examination (a) by an ophthalmologist or optometrist who attests that the vision in the better eye continues to meet the requirements in 49 CFR 391.41(b)(10), and (b) by a certified medical examiner (ME), as defined by § 390.5, who attests that the driver is otherwise physically qualified under § 391.41; (2) each driver must provide a copy of the ophthalmologist’s or optometrist’s report to the ME at the time of the annual medical examination; and (3) each driver must provide a copy of the annual medical certification to the employer for retention in the VerDate Sep<11>2014 17:59 Nov 17, 2020 Jkt 253001 driver’s qualification file or keep a copy of his/her driver’s qualification if he/her is self-employed. The driver must also have a copy of the exemption when driving, for presentation to a duly authorized Federal, State, or local enforcement official. The exemption will be rescinded if: (1) The person fails to comply with the terms and conditions of the exemption; (2) the exemption has resulted in a lower level of safety than was maintained before it was granted; or (3) continuation of the exemption would not be consistent with the goals and objectives of 49 U.S.C. 31136(e) and 31315(b). VI. Preemption During the period the exemption is in effect, no State shall enforce any law or regulation that conflicts with this exemption with respect to a person operating under the exemption. VII. Conclusion Based upon its evaluation of the 63 exemption applications, FMCSA renews the exemptions of the aforementioned drivers from the vision requirement in 391.41(b)(10), subject to the requirements cited above. In accordance with 49 U.S.C. 31136(e) and 31315(b), each exemption will be valid for 2 years unless revoked earlier by FMCSA. Larry W. Minor, Associate Administrator for Policy. [FR Doc. 2020–25358 Filed 11–17–20; 8:45 am] BILLING CODE 4910–EX–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0648] Agency Information Collection Activity Under OMB Review: Foreign Medical Program (FMP) Registration Form and Claim Cover Sheet 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. SUMMARY: PO 00000 Frm 00142 Fmt 4703 Sfmt 4703 Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open for Public Comments’’ or by using the search function. Refer to ‘‘OMB Control No. 2900–0648. 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. 2900–0648’’ in any correspondence. DATES: SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3501–21. Title: Foreign Medical Program (FMP) Registration Form and Claim Cover Sheet (VA Forms 10–7959f–1, 10– 7959f–2) OMB Control Number: 2900–0648. Type of Review: Reinstatement without change of a previously approved collection. Abstract: The Foreign Medical Program (FMP) is a federal health benefits program for Veterans, which is administered by the Department of Veterans Affairs (VA) Veterans Health Administration (VHA). The FMP is a Fee for Service (indemnity plan) program and provides reimbursement for VA adjudicated service-connected conditions. Title 38 CFR 17.35 states that VA will provide coverage for the Veteran’s service-connected disability when the Veteran is residing or traveling overseas. Title 38 CFR 17.125(c) states that requests for consideration of claim reimbursement from approved health care providers and Veterans are to be mailed to VHA Health Administration Center. VA currently collects information for FMP reimbursement through an OMB approved collection under 2900–0648, using VA Form 10–7959f–1, Foreign Medical Program (FMP) Registration Form, and VA Form 10–7959f–2, Foreign Medical Program Claim Cover Sheet. This collection of information is necessary to continue to reimburse Veterans or providers under the FMP. a. VA Form 10–7959f–1 will collect information used to register into the FMP those Veterans with serviceconnected disabilities who are living or traveling overseas. b. VA Form 10–7959f–2 will collect information to streamline the FMP claims submission process for claimants or providers, while also reducing the E:\FR\FM\18NON1.SGM 18NON1 Federal Register / Vol. 85, No. 223 / Wednesday, November 18, 2020 / Notices khammond on DSKJM1Z7X2PROD with NOTICES time spent by VA on processing FMP claims. The cover sheet will explain to foreign providers and Veterans the 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 85 FR 82 on April 28, 2020, pages 23603 and 23604. VerDate Sep<11>2014 17:59 Nov 17, 2020 Jkt 253001 VA Form 10–7959f–1 Affected Public: Individuals and households. Estimated Annual Burden: 111 hours. Estimated Average Burden per Respondent: 4 minutes. Frequency of Response: Once annually. Estimated Number of Respondents: 1,660. VA Form 10–7959f–2 Affected Public: Individuals or households; private sector. PO 00000 Frm 00143 Fmt 4703 Sfmt 9990 73597 Estimated Annual Burden: 3,652 hours. Estimated Average Burden per Respondent: 11 minutes. Frequency of Response: 12 times annually. Estimated Number of Respondents: 1,660. 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. 2020–25404 Filed 11–17–20; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\18NON1.SGM 18NON1

Agencies

DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 85, Number 223 (Wednesday, November 18, 2020)]
[Notices]
[Pages 73596-73597]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-25404]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0648]


Agency Information Collection Activity Under OMB Review: Foreign 
Medical Program (FMP) Registration Form and Claim Cover Sheet

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: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Refer to 
``OMB Control No. 2900-0648.

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. 2900-0648'' in 
any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-21.
    Title: Foreign Medical Program (FMP) Registration Form and Claim 
Cover Sheet (VA Forms 10-7959f-1, 10-7959f-2)
    OMB Control Number: 2900-0648.
    Type of Review: Reinstatement without change of a previously 
approved collection.
    Abstract: The Foreign Medical Program (FMP) is a federal health 
benefits program for Veterans, which is administered by the Department 
of Veterans Affairs (VA) Veterans Health Administration (VHA). The FMP 
is a Fee for Service (indemnity plan) program and provides 
reimbursement for VA adjudicated service-connected conditions. Title 38 
CFR 17.35 states that VA will provide coverage for the Veteran's 
service-connected disability when the Veteran is residing or traveling 
overseas. Title 38 CFR 17.125(c) states that requests for consideration 
of claim reimbursement from approved health care providers and Veterans 
are to be mailed to VHA Health Administration Center.
    VA currently collects information for FMP reimbursement through an 
OMB approved collection under 2900-0648, using VA Form 10-7959f-1, 
Foreign Medical Program (FMP) Registration Form, and VA Form 10-7959f-
2, Foreign Medical Program Claim Cover Sheet. This collection of 
information is necessary to continue to reimburse Veterans or providers 
under the FMP.
    a. VA Form 10-7959f-1 will collect information used to register 
into the FMP those Veterans with service-connected disabilities who are 
living or traveling overseas.
    b. VA Form 10-7959f-2 will collect information to streamline the 
FMP claims submission process for claimants or providers, while also 
reducing the

[[Page 73597]]

time spent by VA on processing FMP claims. The cover sheet will explain 
to foreign providers and Veterans the 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 85 FR 82 on April 28, 2020, pages 23603 
and 23604.

VA Form 10-7959f-1

    Affected Public: Individuals and households.
    Estimated Annual Burden: 111 hours.
    Estimated Average Burden per Respondent: 4 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 1,660.

VA Form 10-7959f-2

    Affected Public: Individuals or households; private sector.
    Estimated Annual Burden: 3,652 hours.
    Estimated Average Burden per Respondent: 11 minutes.
    Frequency of Response: 12 times annually.
    Estimated Number of Respondents: 1,660.

    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. 2020-25404 Filed 11-17-20; 8:45 am]
BILLING CODE 8320-01-P

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