Agency Information Collection Activity: Veteran Reimbursement Claim Form, 73942-73943 [2023-23784]
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73942
Federal Register / Vol. 88, No. 207 / Friday, October 27, 2023 / Notices
alcohol excise return and simplified
operations report under the due dates
currently applicable to their excise tax
returns.
The collected information will allow
TTB to identify the excise taxpayer, the
amount of taxes due, and the amount of
payment made. Additionally, the
collected information will allow TTB to
identify the amount of distilled spirits,
wine, or beer the taxpayer produced,
removed, transferred, and disposed of
during the reporting period, which
effects the amount of alcohol excise tax
due, while reducing the overall burden
of filing separate tax returns and
operations reports.
TTB is beginning this pilot test
program with the information collection
and instruments related to the combined
beer excise tax and operations report; it
will issue information collections and
instruments related to the wine and
distilled spirits excise tax and
operations reports at later dates.
Form: TTB F 5130.Pilot-A & B.
Affected Public: Businesses or other
for-profits.
Estimated Number of Respondents:
8,300.
Frequency of Response: Semimonthly, Quarterly, Annually.
Estimated Total Number of Annual
Responses: 60,000.
Estimated Time per Response: Varies
from 27 to 40 minutes per response.
Estimated Total Annual Burden
Hours: 32,950.
2. Title: Usual and Customary
Business Records Relating to Denatured
Spirits (TTB REC 5150/1).
OMB Control Number: 1513–0062.
Type of Review: Extension without
change of a currently approved
collection.
Description: Denatured distilled
spirits, which generally are not subject
to Federal excise tax, may be used for
industrial purposes in the manufacture
of nonbeverage products. To prevent
diversion of denatured spirits to taxable
beverage use, the Internal Revenue Code
(IRC) at 26 U.S.C. 5271–5275 imposes a
system of permits, bonds,
recordkeeping, and reporting
requirements on persons that procure or
use such alcohol. Those IRC sections
also authorize the Secretary of the
Treasury to issue regulations regarding
those matters. Under those IRC
authorities, the Alcohol and Tobacco
Tax and Trade Bureau (TTB) regulations
in 27 CFR part 20 require industrial
alcohol users to keep certain usual and
customary business records regarding
the distribution, procurement, and use
of denatured spirits. TTB uses the
required records to account for
denatured spirits and ensure
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compliance with statutory and
regulatory requirements.
Form: None.
Affected Public: Businesses or other
for-profits.
Estimated Number of Respondents:
3,100.
Frequency of Response: Annually.
Estimated Total Number of Annual
Responses: 3,100.
Estimated Time per Response: None.
Estimated Total Annual Burden
Hours: 0.
Authority: 44 U.S.C. 3501 et seq.
Spencer W. Clark,
Treasury PRA Clearance Officer.
[FR Doc. 2023–23799 Filed 10–26–23; 8:45 am]
BILLING CODE 4810–31–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–NEW]
Agency Information Collection
Activity: Veteran Reimbursement
Claim Form
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
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.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before December 26,
2023.
SUMMARY:
Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Grant Bennett, Office of Regulations,
Appeals, and Policy (10BRAP),
Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC
20420 or email to Grant.Bennett@va.gov.
Please refer to ‘‘OMB Control No. 2900–
NEW’’ in any correspondence. During
the comment period, comments may be
viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
ADDRESSES:
PO 00000
Frm 00120
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and Integration, Data Governance
Analytics (008), 810 Vermont Avenue
NW, Washington, DC 20420, (202) 266–
4688 or email maribel.aponte@va.gov.
Please refer to ‘‘OMB Control No. 2900–
NEW’’ in any correspondence.
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
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: Veteran Reimbursement Claim
Form (VA Form 10–320).
OMB Control Number: 2900–NEW.
Type of Review: New collection.
Abstract: Veterans may claim
reimbursement for certain medical
costs, as authorized by 38 U.S.C. 1728.
The new Veteran Reimbursement Claim
Form, VA Form 10–320, will be utilized
by Veterans requesting reimbursement
for various out-of-pocket expenses that
occurred as a result of non-VA medical
services that may be eligible for
payment under 38 CFR 17.4025
(Veterans Community Care Program), 38
CFR 17.120 (Unauthorized), 38 CFR
17.1002 (Millennium Bill), and 38 CFR
17.1200—17.1230 (COMPACT Act). In
order for VA to process and repay these
expenses, Veterans must submit
necessary information to support their
request and justify reimbursement.
VA Form 10–320 will be used to
collect information from Veterans
seeking reimbursement for certain
medical expenses. This claim form will
be used to support payment of certain
unauthorized non-VA medical services.
Veterans may use this form to submit
claims for reimbursement for a variety
of services, such as pharmacy costs,
training classes, emergent suicide care,
and other medical expenses.
Affected Public: Individuals or
households.
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Federal Register / Vol. 88, No. 207 / Friday, October 27, 2023 / Notices
Estimated Annual Burden: 14,283
hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
85,700.
73943
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2023–23784 Filed 10–26–23; 8:45 am]
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]]>Agencies
[Federal Register Volume 88, Number 207 (Friday, October 27, 2023)]
[Notices]
[Pages 73942-73943]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-23784]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-NEW]
Agency Information Collection Activity: Veteran Reimbursement
Claim Form
AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: 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.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before December 26, 2023.
ADDRESSES: Submit written comments on the collection of information
through Federal Docket Management System (FDMS) at www.Regulations.gov
or to Grant Bennett, Office of Regulations, Appeals, and Policy
(10BRAP), Department of Veterans Affairs, 810 Vermont Avenue NW,
Washington, DC 20420 or email to [email protected]. Please refer to
``OMB Control No. 2900-NEW'' in any correspondence. During the comment
period, comments may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise
and Integration, Data Governance Analytics (008), 810 Vermont Avenue
NW, Washington, DC 20420, (202) 266-4688 or email
[email protected]. Please refer to ``OMB Control No. 2900-NEW'' in
any correspondence.
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 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: Veteran Reimbursement Claim Form (VA Form 10-320).
OMB Control Number: 2900-NEW.
Type of Review: New collection.
Abstract: Veterans may claim reimbursement for certain medical
costs, as authorized by 38 U.S.C. 1728. The new Veteran Reimbursement
Claim Form, VA Form 10-320, will be utilized by Veterans requesting
reimbursement for various out-of-pocket expenses that occurred as a
result of non-VA medical services that may be eligible for payment
under 38 CFR 17.4025 (Veterans Community Care Program), 38 CFR 17.120
(Unauthorized), 38 CFR 17.1002 (Millennium Bill), and 38 CFR 17.1200--
17.1230 (COMPACT Act). In order for VA to process and repay these
expenses, Veterans must submit necessary information to support their
request and justify reimbursement.
VA Form 10-320 will be used to collect information from Veterans
seeking reimbursement for certain medical expenses. This claim form
will be used to support payment of certain unauthorized non-VA medical
services. Veterans may use this form to submit claims for reimbursement
for a variety of services, such as pharmacy costs, training classes,
emergent suicide care, and other medical expenses.
Affected Public: Individuals or households.
[[Page 73943]]
Estimated Annual Burden: 14,283 hours.
Estimated Average Burden per Respondent: 10 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 85,700.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration/Data
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2023-23784 Filed 10-26-23; 8:45 am]
BILLING CODE 8320-01-P
