30-Day FRN (2900-0161)

30-Day FRN (2900-0161).pdf

Medical Expense Report (VA Form 21P-8416)

30-Day FRN (2900-0161)

OMB: 2900-0161

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Federal Register / Vol. 79, No. 109 / Friday, June 6, 2014 / Notices
announces that the Veterans Health
Administration (VHA), 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
includes the actual data collection
instrument.
Written comments and
recommendations on the proposed
collection of information should be
received on or before July 7, 2014.
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. 2900–0606 (Collection or
Recovery by VA for Medical Care or
Services Provided or Furnished to a
Veteran for a Nonservice-Connected
Disability)’’ in any correspondence.
During the comment period, comments
may be viewed online through the
FDMS.
DATES:

FOR FURTHER INFORMATION CONTACT:

Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0606 (Collection or Recovery by VA for
Medical Care or Services Provided or
Furnished to a Veteran for a NonserviceConnected Disability)’’ in any
correspondence.
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
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

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SUPPLEMENTARY INFORMATION:

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respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Supplementary Information:
Title: Collection or Recovery by VA
for Medical Care or Services Provided or
Furnished to a Veteran for a NonserviceConnected Disability.
OMB Control Number: 2900–0606.
Type of Review: Revision of a
currently approved collection.
Abstract: Public Law 105–33
amended the statutory provision of 38
U.S.C. 1729 to authorize VA to bill
‘‘reasonable charges’’ instead of
‘‘reasonable cost’’ for medical care or
services provided or furnished to a
Veteran:
(a) For a non-service connected
disability for which the Veteran is
entitled to care (or the payment of
expenses of care) under a health-plan
contract;
(b) For a non-service connected
disability incurred incident to the
Veteran’s employment and covered
under a worker’s compensation law or
plan that provides reimbursement or
indemnification for such care and
services; or
(c) For a non-service connected
disability incurred as a result of a motor
vehicle accident in a State that requires
automobile accident reparations
insurance.
‘‘Reasonable charges’’ are collected
from available data (that includes
complexity of care, degree of skill,
provider specialty, and third party payer
prevailing charges in other area) to set
the local market charges for each
geographic area where VA provides
care. ‘‘Reasonable cost’’, on the other
hand, does not factor all of these criteria
and can impact the amount reimbursed
to the VA. In the circumstances
described above, third party payers set
their allowable rate structure for
compensable care based on their
payment methodology, thus the
importance in obtaining this
information to ensure VA is reimbursed
similarly to non-government entities.
VA also utilizes reasonable charges to
settle subrogated claims for worker’s
compensation or motor vehicle
accidents.
Affected Public: Individuals or
households.
Estimated Annual Burden: 800 hours.
Estimated Average Burden per
Respondent: Two hours.
Frequency of Response: Annually.
Estimated Annual Responses: 800.
Dated: June 3, 2014.

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32823

By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2014–13159 Filed 6–5–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0161]

Agency Information Collection
(Medical Expense Report) Activity
Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), 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; it includes
the actual data collection instrument.
DATES: Comments must be submitted on
or before July 7, 2014.
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. 2900–0161’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0161.’’
SUPPLEMENTARY INFORMATION: Title:
Medical Expense Report, VA Form 21–
8416.
OMB Control Number: 2900–0161.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21–8416 is
completed by claimants in receipt of or
claiming income-based benefits to
report medical expenses paid.
Unreimbursed medical expenses may be
excluded as countable income in
determining a claimant’s entitlement to
SUMMARY:

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32824

Federal Register / Vol. 79, No. 109 / Friday, June 6, 2014 / Notices

income-based benefits and the rate
payable.
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 on
January 15, 2014, at pages 2754–2755.
Affected Public: Individuals or
households.
Estimated Annual Burden: 96,400
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
48,200.
Dated: June 2, 2014.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–13081 Filed 6–5–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–NEW]

Agency Information Collection (The
Veterans’ Outcome Assessment (VOA)
(Veteran Survey Interview)) Activities
Under OMB Review
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Health
Administration (VHA), 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
includes the actual data collection
instrument.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before July 7, 2014.
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

wreier-aviles on DSK5TPTVN1PROD with NOTICES

SUMMARY:

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18:07 Jun 05, 2014

Jkt 232001

electronic mail to oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–NEW (The Veterans’
Outcome Assessment (VOA) (Veteran
Survey Interview))’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
FOR FURTHER INFORMATION CONTACT:

Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
NEW (The Veterans’ Outcome
Assessment (VOA) (Veteran Survey
Interview))’’ in any correspondence.
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
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.
Supplementary Information:
Title: The Veterans’ Outcome
Assessment (VOA) (Veteran Survey
Interview), VA Form 10–XXXXX.
OMB Control Number: New 2900–
NEW. The Veterans’ Outcome
Assessment (VOA) (Veteran Survey
Interview).
Type of Review: New collection.
Abstract: This collection is in
response to the requirements set out by
The National Defense Authorization Act
of Fiscal Year 2013 (NDAA). The
National Defense Authorization Act of
Fiscal Year 2013 (NDAA) requires VA to
‘‘develop and implement a
comprehensive set of measures to assess
mental health care services furnished by
the Department of Veterans Affairs. The
workgroup therefore developed a plan
for a brief survey of a representative
sample of new mental health treatment
patients. Data collected will allow the

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program office to ensure that the target
audience is being reached effective
treatments are being offered, and
tangible, quantitative results are being
measured and tracked for continual
improvement.
Affected Public: Individuals or
households.
Estimated Total Annual Burden:
2,140 hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
4,280.
Dated: June 3, 2014.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2014–13157 Filed 6–5–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0711]

Agency Information Collection Activity
(VBA Loan Guaranty Service Lender
Satisfaction Survey) Under OMB
Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–21), this notice
announces that the Veterans Benefits
Administration (VBA), 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:

Comments must be submitted on
or before July 7, 2014.
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. 2900–0711’’ in any
correspondence.
DATES:

FOR FURTHER INFORMATION CONTACT:

Crystal Rennie, Enterprise Records

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