60-day FRN - 2900-0867 - HEC Income Verification (IV) Forms - pub 04182025

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Federal Register / Vol. 90, No. 74 / Friday, April 18, 2025 / Notices

Veterans Health Administration (VHA),
Department of Veterans Affairs (VA),
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 and
recommendations for the proposed
information collection should be sent by
May 19, 2025.
ADDRESSES: To submit comments and
recommendations for the proposed
information collection, please type the
following link into your browser:
www.reginfo.gov/public/do/PRAMain,
select ‘‘Currently under Review—Open
for Public Comments’’, then search the
list for the information collection by
Title or ‘‘OMB Control No. 2900–0629.’’
FOR FURTHER INFORMATION CONTACT: VA
PRA information: Dorothy Glasgow,
202–461–1084, [email protected].
SUPPLEMENTARY INFORMATION:
Title: Application for Extended Care
Services (VA Form 10–10EC).
OMB Control Number: 2900–0629
https://www.reginfo.gov/public/do/
PRASearch.
Type of Review: Revision of a
currently approved collection.
Abstract: Title 38 U.S.C. chapter 17
authorizes VA to provide hospital care,
medical services, domiciliary care, and
nursing home care to eligible Veterans.
Title 38 U.S.C. 1705 requires VA to
design, establish, and operate a system
of annual patient enrollment in
accordance with a series of stipulated
priorities. A consequence of this is that
many groups of Veterans who are in a
lower priority group (WWI Veterans,
Veterans with disabilities rated as 0%
service-connected seeking treatment for
other than their service-connected
conditions, Veterans exposed to a toxic
substance, radiation, or environmental
hazard and nonservice-connected
Veterans) may request that they be
allowed to be income tested in order to
gain a higher priority. Title 38 U.S.C.
1722 establishes eligibility assessment
procedures for cost-free VA medical
care, based on income levels, which will
determine whether nonserviceconnected and 0% service-connected
non-compensable Veterans are able to
defray the necessary expenses of care for
nonservice-connected conditions. Title
38 U.S.C. 1722A establishes the
eligibility assessment procedures, based
on income levels, for determining
Veterans’ eligibility for cost-free
medications. Title 38 U.S.C. 1710B

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defines the procedures for establishing
eligibility for cost-free Extended Care
benefits. Title 38 U.S.C 1729 authorizes
VA to recover from Veterans’ health
insurance carriers the cost of care
furnished for their nonserviceconnected conditions.
VA Form 10–10EC, Application for
Extended Care Services, is used to
collect financial information necessary
to determine a Veteran’s copayment
obligation for extended care services,
also known as long term care (LTC). The
10–10EC design has been revised to
clarify the instructions and make it
easier to understand and complete the
form. However, there are no changes to
the anticipated annual number of
responses or burden hours for this
information collection.
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 89 FR
105177, December 26, 2024.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 3,000
hours.
Estimated Average Burden per
Respondent: 90 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
2,000.
(Authority: 44 U.S.C. 3501 et seq.)
Dorothy Glasgow,
Acting, VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2025–06740 Filed 4–17–25; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0867]

Agency Information Collection
Activity: Health Eligibility Center (HEC)
Income Verification (IV) Forms
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

Veterans Health
Administration (VHA), 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

SUMMARY:

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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: Comments must be received on
or before June 17, 2025.
ADDRESSES: Comments must be
submitted through www.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Program-Specific information:
Rebecca Mimnall, 202–695–9434,
[email protected].
VA PRA information: Dorothy
Glasgow, 202–461–1084, VAPRA@
va.gov.
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
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Title: Health Eligibility Center (HEC)
Income Verification (IV) Forms (VA
Forms 10–301, 10–302, 10–303 and 10–
304).
OMB Control Number: 2900–0867.
https://www.reginfo.gov/public/do/
PRASearch (Once at this link, you can
enter the OMB Control Number to find
the historical versions of this
Information Collection).
Type of Review: Revision of a
currently approved collection.
Abstract: VHA Directive 1909
provides policy for the VA Health
Eligibility Center (HEC) Income
Verification (IV) Program under
authority of 38 United States Code
(U.S.C.) 1722; 38 U.S.C. 5317. Title 38
U.S.C. 1722 established eligibility
assessment procedures, based on
income levels, for determining whether
nonservice-connected (NSC) Veterans
and non-compensable zero percent
service-connected (SC) Veterans, who

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Federal Register / Vol. 90, No. 74 / Friday, April 18, 2025 / Notices
have no other special eligibility, are
eligible to receive VA health care at no
cost. Title 26 U.S.C. 6103 (l)(7) of the
Internal Revenue Code and 38 U.S.C.
5317 establish authority for VA to verify
Veterans’ gross household income
information against records maintained
by the Internal Revenue Service (IRS)
and Social Security Administration
(SSA) when that information indicates
the Veteran is eligible for cost-free VA
health care.
This information collection is
necessary for HEC’s Income Verification
Division (IVD) to verify the income of
Veterans and spouses. It consists of VA
Forms 10–301, 10–302, 10–303 and 10–
304. HEC IVD sends Veterans, and their
spouses, individual letters and forms to
confirm income information reported by
IRS and SSA. HEC does not change the
Veteran’s copay status until information
supplied by IRS and SSA has been
independently verified, either by the
Veteran or through appropriate due
process procedures. This collection has
been revised by removing VA Form 10–
302A because all relevant information
can be reported on VA Form 10–302.
There is a reduction in the burden hours
due to the removal of VA Form 10–302A
from the collection.
Affected Public: Individuals and
households.
Estimated Annual Burden: Total
hours = 48,338 hours.
10–301—27,948 hours.
10–302—5,679 hours.
10–303—42 hours.
10–304—14,669 hours.
Estimated Average Burden per
Respondent:
10–301—30 minutes.
10–302—20 minutes.
10–303—15 minutes.
10–304—20 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
Total Respondents = 117,109.
10–301—55,896.
10–302—17,038.
10–303—167.
10–304—44,008.
Authority: 44 U.S.C. 3501 et seq.
Dorothy Glasgow,
Acting, VA PRA Clearance Officer, Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2025–06657 Filed 4–17–25; 8:45 am]

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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0910]

Agency Information Collection
Activity: Statement of a Person
Claiming Loan Fee Refund Due a
Deceased Veteran, Service Member, or
Surviving Spouse
Veterans Benefits
Administration, Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

Veterans Benefits
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 June 17, 2025.
ADDRESSES: Comments must be
submitted through www.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Program-Specific information: Nancy
Kessinger, 202–632–8924, Nancy
[email protected].
VA PRA information: Dorothy
Glasgow, 202–461–1084, VAPRA@
va.gov.
SUMMARY:

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, VBA invites
comments on: (1) whether the proposed
collection of information is necessary
for the proper performance of VBA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VBA’s estimate of the

SUPPLEMENTARY INFORMATION:

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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.
Title: Statement of a Person Claiming
Loan Fee Refund Due a Deceased
Veteran, Service Member, or Surviving
Spouse.
OMB Control Number: 2900–0910.
https://www.reginfo.gov/public/do/
PRASearch (Once at this link, you can
enter the OMB Control Number to find
the historical versions of this
Information Collection).
Type of Review: Extension without
change of a currently approved
collection.
Abstract: The information in VA Form
26–10280 and VA FORM 26–10280a
will be used by VA to determine
whether a refund owed to a Veteran may
be remitted to another individual,
including the Veteran’s spouse, the
executor or administrator of the
Veteran’s estate, or another individual
with a relationship to the Veteran. The
information collected is necessary for
VA to ensure that it is releasing the
refund to an appropriate individual who
will disburse the refund according to
the laws of the state where the Veteran
was a legal resident (e.g., estate laws).
Affected Public: Individuals and
households.
Estimated Annual Burden: 250 hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
1,000.
Authority: 44 U.S.C. 3501 et seq.
Dorothy Glasgow,
Acting, VA PRA Clearance Officer, Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2025–06717 Filed 4–17–25; 8:45 am]
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