Federal Register / Vol. 88, No. 203 / Monday, October 23, 2023 / Notices 72823 

CONTESTING RECORD PROCEDURES: 

Individuals seeking to contest or 

amend records in this system pertaining 

to them must contact the system 

manager in writing as indicated above. 

A request to contest or amend must state 

clearly and concisely what record is 

being contested, the basis for contesting 

it, and the proposed amendment to the 

record. 

NOTIFICATION PROCEDURES: 

Generalized notice is provided by the 

publication of this notice. For specific 

notice, see Record Access Procedure, 

above. 

EXEMPTIONS PROMULGATED FOR THE SYSTEM: 

None. 

HISTORY: 

87 FR 36207 (June 15, 2022). 

[FR Doc. 2023–23327 Filed 10–20–23; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0648] 

Agency Information Collection 

Activity: Foreign Medical Program 

(FMP) Registration Form and Claim 

Cover Sheet 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: 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 

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 22, 

2023. 

ADDRESSES: Submit written comments 

on the collection of information through 

Federal Docket Management System 

(FDMS) at www.Regulations.gov or to 

Grant Bennett, Office of Regulations, 

Appeals, and Policy (10BRAP), 

Department of Veterans Affairs, 810 

Vermont Avenue NW, Washington, DC 

20420 or email to Grant.Bennett@va.gov. 

Please refer to ‘‘OMB Control No. 2900– 

0648’’ in any correspondence. During 

the comment period, comments may be 

viewed online through FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Maribel Aponte, Office of Enterprise 

and Integration, Data Governance 

Analytics (008), 810 Vermont Avenue 

NW, Washington, DC 20420, (202) 266– 

4688 or email maribel.aponte@va.gov. 

Please refer to ‘‘OMB Control No. 2900– 

0648’’ in any correspondence. 

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. 

Authority: Public Law 104–13; 44 

U.S.C. 3501–3521. 

Title: Foreign Medical Program (FMP) 

Registration Form and Claim Cover 

Sheet, VA Forms 10–7959f–1 and 10– 

7959f–2. 

OMB Control Number: 2900–0648. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: The Foreign Medical 

Program (FMP) is a federal health 

benefits program for Veterans, which is 

administered by the Department of 

Veterans Affairs (VA) Veterans Health 

Administration (VHA). The FMP is a 

Fee for Service (indemnity plan) 

program and provides reimbursement 

for VA adjudicated service-connected 

conditions. Title 38 CFR 17.35 states 

that VA will provide coverage for the 

Veteran’s service-connected disability 

when the Veteran is residing or 

traveling overseas. Title 38 CFR 

17.125(c) states that requests for 

consideration of claim reimbursement 

from approved health care providers 

and Veterans are to be mailed to VHA 

Health Administration Center. VA 

currently collects information for FMP 

reimbursement through an OMB 

approved collection under 2900–0648, 

using VA Form 10–7959f–1, Foreign 

Medical Program (FMP) Registration 

Form, and VA Form 10–7959f–2, 

Foreign Medical Program (FMP) Claim 

Cover Sheet. This collection of 

information is necessary to continue to 

reimburse Veterans or providers under 

the FMP. 

a. VA Form 10–7959f–1 will collect 

information used to register into the 

FMP those Veterans with serviceconnected disabilities who are living or 

traveling overseas. 

b. VA Form 10–7959f–2 will collect 

information to streamline the FMP 

claims submission process for claimants 

or providers, while also reducing the 

time spent by VA on processing FMP 

claims. The cover sheet will explain to 

foreign providers and Veterans the basic 

information required for the processing 

and payment of claims. 

VA Form 10–7959f–1 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 111 hours. 

Estimated Average Burden per 

Respondent: 4 minutes. 

Frequency of Response: Once 

annually. 

Estimated Number of Respondents: 

1,660. 

VA Form 10–7959f–2 

Affected Public: Individuals or 

households; private sector. 

Estimated Annual Burden: 3,652 

hours. 

Estimated Average Burden per 

Respondent: 11 minutes. 

Frequency of Response: 12 times 

annually. 

Estimated Number of Respondents: 

1,660. 

By direction of the Secretary. 

Maribel Aponte, 

VA PRA Clearance Officer, Office of 

Enterprise and Integration/Data Governance 

Analytics, Department of Veterans Affairs. 

[FR Doc. 2023–23297 Filed 10–20–23; 8:45 am] 

BILLING CODE 8320–01–P 


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