Reimbursement of Adoption Expenses for Certain Veterans

Forms and Documents

Document Name	Status
Form 10-10152 Reimbursement of Adoption Expenses for Certain Veterans Form	New
Adoption Expenses Supporting Statement A 09.25.18.docx Supporting Statement A	2018-09-27
Published Interim Final Rule.pdf Supplementary Document	2018-04-12
OMB Memo for Emergency Clearance_092618.pdf Supplementary Document	2018-09-27

IC Document Collections

IC ID	Document Title	Status
226992	Reimbursement of Adoption Expenses for Certain Veterans Form	New

ICR Details

OMB Control No: 2900-0860	ICR Reference No: 201705-2900-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Reimbursement of Adoption Expenses for Certain Veterans
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 09/28/2018
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/28/2018
	Date Received in OIRA: 09/26/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	6 Months From Approved
Responses	80	0	0
Time Burden (Hours)	480	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Section 260 of the Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act (Public Law 114-223) states that VA may use appropriated funds available to VA for the Medical Services account to provide fertility counseling and treatment using assisted reproductive technology to a covered veteran or the spouse of a covered veteran, or adoption reimbursement to a covered veteran. “Covered veteran” means a veteran who has a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment. The term ``adoption reimbursement'' is defined at P. Law 114-223 section 260(a)(4) to mean reimbursement for the adoption-related expenses for an adoption that is finalized after the date of the enactment of the Act under the same terms as apply under the adoption reimbursement program of the Department of Defense, as authorized in Department of Defense Instruction 1341.09, including the reimbursement limits and requirements set forth in such instruction. This law was enacted on September 29, 2016, and funding for the program is authorized through September 30, 2018. DoD Instruction 1341.09, “DoD Adoption Reimbursement Policy” (July 5, 2016) establishes policy, assigns responsibilities within DoD, and provides procedures for the reimbursement of qualifying adoption expenses incurred by members of the Military Services (including document submission requirements) pursuant to 10 U.S.C. 1052. That statute was enacted in 1991 and establishes the parameters of DoD’s adoption reimbursement program.

Emergency Justfication: This data collection is needed prior to the expiration of time periods established in 5 CFR part 1320. Congress authorized VA to provide reimbursement of qualifying adoption expenses incurred by covered Veterans. This is a new benefit which has been funded only through FY18. VA would be unable to provide this new benefit to covered Veterans to the extent intended by Congress in absence of an emergency clearance given the length of time associated with the approval of a normal rulemaking-related information collection (proposed rule, public comment, final rule publication with a delayed effective date). Following the typical time periods established in 5 CFR Part 1320 would more likely than not result in VA being authorized to collect information and administer this benefit for only a limited period prior to expiration of our statutory authority. Therefore, VA has elected to pursue interim final rulemaking and emergency clearance under 5 CFR1320.13.

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Authorizing Statute(s): PL: Pub.L. 114 - 223 260 Name of Law: Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropri
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AQ01	Final or interim final rulemaking	83 FR 9208	03/05/2018

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Reimbursement of Adoption Expenses for Certain Veterans	10-10152	Reimbursement Request for Qualifying Adoption Expenses

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ICR Summary 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	80	0	0	80	0	0
Annual Time Burden (Hours)	480	0	0	480	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new collection and all burden hours are considered a program increase.

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Annual Cost to Federal Government:

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 09/26/2018

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