30-day FedRegNotice -- AQ46 VCCP -- 2900-0823_ published 100719

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Federal Register / Vol. 84, No. 194 / Monday, October 7, 2019 / Notices

Current Actions: There are no changes
to this information collection or its
estimated burden, and TTB is
submitting it for extension purposes
only.
Type of Review: Extension of a
currently approved collection.
Affected Public: Businesses or other
for-profits.
Estimated Annual Burden:
• Number of Respondents: 235.
• Average Responses per Respondent:
One.
• Number of Responses: 235.
• Average per-response and Total
Burden: None. (Per the OMB regulation
at 5 CFR 1320.3(b)(2), there is no burden
associated with the collection of usual
of customary records kept during the
normal course of business.)
Dated: September 30, 2019.
Amy R. Greenberg,
Director, Regulations and Rulings Division.
[FR Doc. 2019–21796 Filed 10–4–19; 8:45 am]
BILLING CODE 4810–31–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0823]

Agency Information Collection Activity
Under OMB Review: Expanded Access
to Non-VA Care Through the MISSION
Program: Veterans Community Care
Program (VCCP)
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.
DATES: Comments must be submitted on
or before November 6, 2019.
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. 2900–0823’’ in any
correspondence.
SUMMARY:

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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. 2900–0823’’ in any
correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501–21.

Title: Expanded Access to Non-VA
Care through the MISSION Program:
Veterans Community Care Program
(VCCP) (VA Forms 10–10143, 10–
10143a, 10–10143b, 10–10143c and 10–
10143e)
OMB Control Number: 2900–0823.
Type of Review: Non-substantive
change to a currently approved
collection.
Abstract: Section 101 of the VA
Maintaining Internal Systems and
Strengthening Integrated Outside
Networks (MISSION) Act of 2018
requires VA to implement the Veterans
Community Care Program (VCCP) to
furnish care in the community to
covered Veterans through eligible
entities and providers, under
circumstances as further prescribed in
the MISSION Act. VA currently collects
information that will be required to
implement the Veterans Community
Care Program under the Veterans Choice
Program, through an OMB approved
collection 2900–0823. OMB Collection
2900–0823 includes VA Form 10–
10143, Election to Receive Authorized
Non-VA Care and Selection of Provider
for the Veterans Choice Program; VA
Form 10–10143a, Health-Care Plan
Information for the Veterans Choice
Program; VA Form 10–10143b,
Submission of Medical Record
Information under the Veterans Choice
Program; VA Form 10–10143c,
Submission of Information on
Credentials and Licenses by Eligible
Entities and Providers; and VA Form
10–10143e,Secondary Authorization
Request for VA Community Care.
VA seeks to update OMB collection
2900–0823 to implement the Veterans
Community Care Program by updating
the title of VA forms and any associated
statutory citations to be consistent with
the new program and the MISSION Act,
and by updating burden hours to
account for estimated increased use of
community care under the new
program.
This collection of information is
required to properly adjudicate and
implement the requirements of the
MISSION Act.
a. VA Form 10–10143 will collect
Veteran information on whether covered

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Veterans would elect to receive
authorized care under the VCCP if
certain conditions are met, as required
by 38 U.S.C. 1703(d)(3). This form also
will allow a covered Veteran to specify
a particular non-VA entity or provider.
b. VA Form 10–10143a will collect
other health insurance information from
covered Veterans who elect to
participate in the VCCP, as required by
38 U.S.C. 1705A. This information also
is required by 38 U.S.C. 1703(j), which
requires VA to recover or collect
reasonable charges for community care
that is furnished from a health care plan
contract described in 38 U.S.C. 1729.
c. VA Form 10–10143b will collect
health records of covered Veterans from
non-VA health care entities and
providers for care authorized under the
VCCP, as required by 38 U.S.C.
1703(a)(2)(A), which requires VA to
establish a mechanism to receive
medical records from non-VA providers.
A copy of all medical and dental records
(including but not limited to images,
test results, and notes or other records
of what care was provided and why)
related to a Veteran’s care provided
under the VCCP must be submitted to
VA, including any claims for payment
for the furnishing of such care.
d. VA Form 10–10143c will collect
information from non-VA entities and
providers concerning relevant
credentials and licenses as required for
such entities or providers to furnish care
and services generally. This information
is authorized by section 133 of the
MISSION Act, which requires VA to
establish competency standards for nonVA providers, as well as 38 U.S.C.
1703C(a)(1), which requires VA to
establish certain standards of quality for
furnishing care and services (including
through non-VA providers).
e. VA Form 10–10143e will collect
secondary authorization requests from
non-VA entities and providers to
furnish care and services in addition to
or supporting the original authorization
for care. This information is required by
38 U.S.C. 1703(a)(3), which establishes
that a covered Veteran may only receive
care or services under the VCCP upon
VA’s authorization of such care or
services.
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 84 FR
35181 on July 22, 2019, pages 35181 and
35182.

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Federal Register / Vol. 84, No. 194 / Monday, October 7, 2019 / Notices
VA Form 10–10143

DEPARTMENT OF VETERANS
AFFAIRS

Affected Public: Individuals or
households.
Estimated Annual Burden: 610,833
hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
3,665,000.

[OMB Control No. 2900–0846]

Agency Information Collection
Activity: VA Financial Services Center
(VA–FSC) Vendor File Request Form
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

Affected Public: Individuals or
households.
Estimated Annual Burden: 610,833
hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
3,665,000.
VA Form 10–10143b
Affected Public: Private Sector.
Estimated Annual Burden: 1,039,332
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Average of 34
times annually.
Estimated Number of Respondents:
366,823.
VA Form 10–10143c
Affected Public: Private Sector.
Estimated Annual Burden: 10,190
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
122,274.
VA Form 10–10143e
Affected Public: Private Sector.
Estimated Annual Burden: 611,372
hours.
Estimated Average Burden per
Respondent: 20 minutes.
Frequency of Response: Average of 5
times annually.
Estimated Number of Respondents:
366,823.
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. 2019–21704 Filed 10–4–19; 8:45 am]
BILLING CODE 8320–01–P

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Veterans Health
Administration, 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 6, 2019.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Brian McCarthy, Office of Regulatory
and Administrative Affairs (10B4),
Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC
20420 or email to Brian.McCarthy4@
va.gov. Please refer to ‘‘OMB Control
No. 2900–0846’’ in any correspondence.
During the comment period, comments
may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT:
Brian McCarthy at (202) 615–9241.
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
SUMMARY:

VA Form 10–10143a

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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: VA Financial Services Center
(VA–FSC) Vendor File Request Form
(VA Form 10091)
OMB Control Number: 2900–0846.
Type of Review: Extension of a
currently approved collection.
Abstract: The authorizing statute for
this data collection falls under 31 U.S.C.
3701 and Public Law 104–134, Section
31001, Debt Collection Improvement
Act of 1996. The mission of the
Nationwide Vendor File Division of the
Department of Veterans Affairs—
Financial Services Center (VA–FSC) is
to add, modify, or delete vendor records
in the Financial Management Services
(FMS) vendor file. The VA–FSC FMS
vendor file controls aspects of when,
where, and how vendors are paid. There
are currently more than 2.4 million
active vendor records in FMS.
The VA–FSC Vendor File Request
Form, VA Form 10091, was previously
created to streamline the data required
to establish a vendor record from
multiple sources into a single form. The
VA now seeks a routine three-year
extension of the previous OMB PRA
clearance for this form. VA Form 10091
will be used throughout the VA to
gather essential payment data from
vendors (commercial, individuals,
Veterans, employees, etc.) to establish or
update vendor records in order to
process electronic payments through the
ACH network to the vendor’s financial
institution.
Affected Public: Individuals and
households.
Estimated Annual Burden: 37,500
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
150,000.
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. 2019–21756 Filed 10–4–19; 8:45 am]
BILLING CODE 8320–01–P

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