Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-7959E Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation	Form	Modified	Available
2900-0578 justification.doc	Supporting Statement A	Uploaded 0000-00-00	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28791	Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation	Form	Modified

ICR Details

OMB Control No: 2900-0578	ICR Reference No: 200702-2900-001
Status: Historical Active	Previous ICR Reference No: 200403-2900-003
Agency/Subagency: VA	Agency Tracking No: 2900-0578
Title: Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/18/2007
	Date Received in OIRA: 03/01/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	36 Months From Approved	05/31/2007
Responses	31,400	0	31,400
Time Burden (Hours)	3,400	0	3,400
Cost Burden (Dollars)	0	0	0

---

Abstract: The collection enables VA to pay providers to provide health care to certain children of Korean and Vietnam veterans and women Vietnam veterans’ children born with spina bifida and certain other covered birth defects. This information allows VA to determine whether to approve requests for preauthorization of these benefits, to determine the appropriateness of billings for health care services, and to make decisions during the review and appeal process concerning the health of these individuals.

---

Authorizing Statute(s): PL: Pub.L. 106 - 419 401 Name of Law: Benefits For The Children of Women Vietnam Veterans Who Suffer From Certain Birth Defects
   PL: Pub.L. 108 - 183 102 Name of Law: Benefits for child with spina bifida of veterans of certain service in Korea
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 211	02/01/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 35	02/22/2007
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation	10-7959E	Claims for Miscellaneous Expenses

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	31,400	31,400	0	0	0	0
Annual Time Burden (Hours)	3,400	3,400	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $60,060

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/01/2007

---