[Federal Register Volume 78, Number 115 (Friday, June 14, 2013)]
[Notices]
[Page 36035]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-14176]


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DEPARTMENT OF VETERANS AFFAIRS

 [OMB Control No. 2900--NEW]


Proposed Information Collection Activity: [Beneficiary Travel 
Mileage Reimbursement Application Form]; Comment Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Health Administration (VHA) 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 revision of a currently approved collection, and allow 60 
days for public comment in response to the notice. This notice solicits 
comments on information needed to determine mileage reimbursement to 
qualified Veterans or other claimants who incur expense in traveling to 
healthcare.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 13, 2013.

ADDRESSES: Submit written comments on the collection of information 
through the Federal Docket Management System (FDMS) at 
www.Regulations.gov; or to Cynthia Harvey-Pryor, Veterans Health 
Administration (10B4), Department of Veterans Affairs, 810 Vermont 
Avenue NW, Washington, DC 20420 or email: [email protected]. 
Please refer to ``OMB Control No. 2900--NEW (Beneficiary Travel Mileage 
Reimbursement Application Form)'' in any correspondence. During the 
comment period, comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor at (202) 461-5870 
or Fax (202) 495-5397.

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.
    Titles: Beneficiary Travel Mileage Reimbursement Application Form, 
VA Form 10-3542.
    OMB Control Number: 2900-NEW (Beneficiary Travel Mileage 
Reimbursement Application Form).
    Type of Review: New data collection.
    Abstract: The purpose of the information collection is for 
beneficiaries to apply for the beneficiary travel mileage reimbursement 
benefit in an efficient, convenient and accurate manner. VHA must 
determine the identity of the claimant, the dates and length of the 
trip being claimed based on addresses of starting and ending points, 
and whether expenses other than mileage are being claimed. The form is 
used only when the claimant chooses not to apply verbally and is 
provided for their convenience. This collection of information is 
necessary to enable the VHA to provide this benefit and appropriately 
ensure that funds are being paid to the correct claimant.
    Affected Public: Individuals or Households.
    Estimated Total Annual Burden: 580,000.
    Estimated Average Burden per Respondent: 3 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 11,600,000.

    Dated: June 11, 2013.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2013-14176 Filed 6-13-13; 8:45 am]
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