[Federal Register Volume 83, Number 74 (Tuesday, April 17, 2018)]
[Notices]
[Pages 16922-16923]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-07947]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900--NEW]
Agency Information Collection Activity: Federal Medical Care
Recovery Act Bill Requests
AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: 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 new 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 18, 2018.
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 [email protected]. Please refer
to ``OMB Control No. 2900--NEW'' 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 of the PRA.
[[Page 16923]]
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.
Authority: 38 U.S.C. 501, 38 CFR 1.900 et seq.; 42 U.S.C. 2651-
2653; 38 U.S.C. 1729; 28 CFR 43.2; and E.O. 9397.
Title: Federal Medical Care Recovery Act Bill Requests; Request for
VA Billing, CHAMPVA Request for Billing.
OMB Control Number: 2900--NEW.
Type of Review: New collection.
Abstract: The purpose of collecting this information is to provide
basic information from which potential liability can be assessed for VA
to recover the cost of care from the liable party instead of the
American taxpayer and Veteran paying for the care. Failure to provide
any or all of the requested information may delay or result in VA's
inability to create accident-related billing, assert a claim for
reimbursement, and assist the Veteran in their personal injury or
workers compensation claim. Without a third party paying for the care,
the Veteran may owe VA copayments. With regards to the CHAMPVA form
alone: Failure to provide any or all of the requested information may
delay or result in VA's inability to provide CHAMPVA benefits.
Affected Public: Individuals and households.
Estimated Annual Burden:
Request for VA Billing--385 hours.
CHAMPVA Request for Billing--303 hours.
Estimated Average Burden per Respondent:
Request for VA Billing--7 minutes.
CHAMPVA Request for Billing--7 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
Request for VA Billing--3,300.
CHAMPVA Request for Billing--2,600.
By direction of the Secretary.
Cynthia D. Harvey-Pryor,
Department Clearance Officer, Office of Quality, Privacy and Risk,
Department of Veterans Affairs.
[FR Doc. 2018-07947 Filed 4-16-18; 8:45 am]
BILLING CODE 8320-01-P