Veteran/Beneficiary Claim for Reimbursement of Travel Expenses (VA Form 10-3542 and BTSSS)

ICR 202402-2900-022

OMB: 2900-0798

Federal Form Document

IC Document Collections
ICR Details
2900-0798 202402-2900-022
Received in OIRA 201604-2900-019
VA 2900-0798
Veteran/Beneficiary Claim for Reimbursement of Travel Expenses (VA Form 10-3542 and BTSSS)
Reinstatement with change of a previously approved collection   No
Regular 09/18/2024
  Requested Previously Approved
36 Months From Approved
7,300,000 0
1,216,667 0
0 0

Pursuant to 38 U.S.C. 111 and 38 C.F.R. Part 70, Subpart A, the Veterans Health Administration (VHA) Beneficiary Travel (BT) Program provides payments for authorized travel expenses to help Veterans and other beneficiaries obtain care or services from VHA and VA authorized non-VA providers in the community. VHA must administer payments according to statutory mandates, including the Payment Integrity Information Act of 2019 (PIIA) (Public Law 116-117). In compliance with the PIIA and other program requirements, VHA must gather certain information to determine whether BT eligibility and other criteria for approval have been met, and the amount of payment or reimbursement that is authorized under the BT program. Claimants may include Veterans and other BT beneficiaries, and entities or individuals who provided or paid for travel. Claimants may apply for BT reimbursement orally or in writing through VA Form 10-3542 or the Beneficiary Travel Self Service System (BTSSS). This standard collection of information is necessary to enable VHA to provide this benefit and appropriately ensure that funds are being paid to the correct claimant.

US Code: 38 USC Section 111 Name of Law: Payments or allowances for beneficiary travel
   PL: Pub.L. 116 - 117 1-3 Name of Law: Payment Integrity Information Act
  
None

Not associated with rulemaking

  89 FR 15928 03/05/2024
89 FR 76623 09/18/2024
Yes

1
IC Title Form No. Form Name
Veteran/Beneficiary Claim for Reimbursement of Travel Expenses VA Form 10-3542 Veteran/Beneficiary Claim for Reimbursement of Travel Expenses

  Total Request 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 7,300,000 0 0 -4,300,000 0 11,600,000
Annual Time Burden (Hours) 1,216,667 0 0 636,667 0 580,000
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The burden increased based upon an increase in the estimated average minutes per claim submission and historical BT program data.

$29,216,875
No
    Yes
    Yes
No
No
No
No
Frances O'Donnell 703 405-2449 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/18/2024


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