72820 Federal Register / Vol. 88, No. 203 / Monday, October 23, 2023 / Notices 

Designated pursuant to section 1(a)(iii)(A) 

of E.O. 13224, as amended, for being owned, 

controlled, or directed by, or having acted or 

purported to act for or on behalf of, directly 

or indirectly, Iran’s MINISTRY OF 

PETROLEUM, a person whose property and 

interests in property are blocked pursuant to 

E.O. 13224, as amended. 

8. NATIONAL IRANIAN OIL 

ENGINEERING AND CONSTRUCTION 

COMPANY (a.k.a. NIOEC), No. 247 Ostad 

Nejatollahi Avenue, Corner of Shahid 

Kalantary Street, Tehran, Iran; Additional 

Sanctions Information—Subject to Secondary 

Sanctions; National ID No. 89299 (Iran) 

[SDGT] [IFSR] (Linked To: MINISTRY OF 

PETROLEUM). 

Designated pursuant to section 1(a)(iii)(A) 

of E.O. 13224, as amended, for being owned, 

controlled, or directed by, or having acted or 

purported to act for or on behalf of, directly 

or indirectly, Iran’s MINISTRY OF 

PETROLEUM, a person whose property and 

interests in property are blocked pursuant to 

E.O. 13224, as amended. 

9. NATIONAL IRANIAN OIL PRODUCTS 

DISTRIBUTION COMPANY (a.k.a. NIOPDC), 

No 1, Iransahr Building, Opposite of 

Honarmandan Park Corner of Iransahr Street, 

Taleghani Avenue, Tehran, Iran; Additional 

Sanctions Information—Subject to Secondary 

Sanctions; National ID No. 67337 (Iran) 

[SDGT] [IFSR] (Linked To: MINISTRY OF 

PETROLEUM). 

Designated pursuant to section 1(a)(iii)(A) 

of of September 9, 2019, ‘‘Modernizing 

Sanctions to Combat Terrorism,’’ 84 FR 

48041 (E.O. 13224, as amended, for being 

owned, controlled, or directed by, or having 

acted or purported to act for or on behalf of, 

directly or indirectly, Iran’s MINISTRY OF 

PETROLEUM, a person whose property and 

interests in property are blocked pursuant to 

E.O. 13224, as amended. 

10. NATIONAL IRANIAN OIL REFINING 

AND DISTRIBUTION COMPANY (a.k.a. 

NIORDC), 4 Varsho Street, Tehran, Iran; P.O. 

Box 15815/3499, No. 4 Varsho Street, 

1598666611, Iran; Additional Sanctions 

Information—Subject to Secondary 

Sanctions; National ID No. 89152 (Iran) 

[SDGT] [IFSR] (Linked To: MINISTRY OF 

PETROLEUM). 

Designated pursuant to section 1(a)(iii)(A) 

of E.O. 13224, as amended, for being owned, 

controlled, or directed by, or having acted or 

purported to act for or on behalf of, directly 

or indirectly, Iran’s MINISTRY OF 

PETROLEUM, a person whose property and 

interests in property are blocked pursuant to 

E.O. 13224, as amended. 

11. NATIONAL PETROCHEMICAL 

COMPANY (a.k.a. THE NATIONAL 

PETROCHEMICAL COMPANY; a.k.a. 

‘‘NIPC’’; a.k.a. ‘‘NPC’’), No. 104, North 

Sheikh Bahaei Blvd., Molla Sadra Ave., 

Tehran, Iran; No 144, North Sheikh Bahayi 

Avenue, Mulla Sadra Street, Vanak Square, 

Tehran, Iran; P.O. Box 19395–6896, Tehran, 

Iran; Additional Sanctions Information— 

Subject to Secondary Sanctions; National ID 

No. 9614 (Iran); all offices worldwide [IRAN] 

[SDGT] [IFSR] (Linked To: MINISTRY OF 

PETROLEUM). 

Designated pursuant to section 1(a)(iii)(A) 

of E.O. 13224, as amended, for being owned, 

controlled, or directed by, or having acted or 

purported to act for or on behalf of, directly 

or indirectly, Iran’s MINISTRY OF 

PETROLEUM, a person whose property and 

interests in property are blocked pursuant to 

E.O. 13224, as amended. 

12. MOBIN HOLDING LIMITED (f.k.a. 

GOLDEN CROWN OVERSEAS LIMITED), 22 

Long Acre, Long Acre, London WC2E 9LY, 

United Kingdom; Additional Sanctions 

Information—Subject to Secondary 

Sanctions; Registration Number 09745038 

(United Kingdom) [SDGT] [IFSR] (Linked To: 

MADANIPOUR, Mahmoud). 

Designated pursuant to section 1(a)(iii)(A) 

of E.O. 13224, as amended, for being owned, 

controlled, or directed by, or having acted or 

purported to act for or on behalf of, directly 

or indirectly, Mahmoud MADANIPOUR, a 

person whose property and interests in 

property are blocked pursuant to E.O. 13224, 

as amended. 

13. MOBIN INTERNATIONAL LIMITED 

(a.k.a. ‘‘MOBIN INTERNATIONAL LTD.’’), 

Office 2403, Ahmad-Abberrhaim al-Attar, 

Dubai, United Arab Emirates; website 

www.mobinogp.com; Additional Sanctions 

Information—Subject to Secondary Sanctions 

[SDGT] [IFSR] (Linked To: NATIONAL 

IRANIAN OIL PRODUCTS DISTRIBUTION 

COMPANY). 

Designated pursuant to section 1(a)(iii)(C) 

of E.O. 13224, as amended, for having 

materially assisted, sponsored, or provided 

financial, material, or technological support 

for, or goods or services to or in support of, 

NATIONAL IRANIAN OIL PRODUCTS 

DISTRIBUTION COMPANY, a person whose 

property and interests in property are 

blocked pursuant to E.O. 13224, as amended. 

14. OMAN FUEL TRADING LTD, 22 Long 

Acre, Long Acre, London WC2E 9LY, United 

Kingdom; 51 Creighton Road, London W5 

4SH, United Kingdom; Additional Sanctions 

Information—Subject to Secondary 

Sanctions; Registration Number 11751545 

(United Kingdom) [SDGT] [IFSR] (Linked To: 

MADANIPOUR, Mahmoud). 

Designated pursuant to section 1(a)(iii)(A) 

of E.O. 13224, as amended, for being owned, 

controlled, or directed by, or having acted or 

purported to act for or on behalf of, directly 

or indirectly, Mahmoud MADANIPOUR, a 

person whose property and interests in 

property are blocked pursuant to E.O. 13224, 

as amended. 

Vessels 

1. LONGBOW LAKE (f.k.a. GULF 

FALCON; f.k.a. GULF GLORY; f.k.a. 

NICHINORI) Crude Oil Tanker Honduras 

flag; Additional Sanctions Information— 

Subject to Secondary Sanctions; Vessel 

Registration Identification IMO 9237539 

(vessel) [SDGT] [IFSR] (Linked To: 

NATIONAL IRANIAN OIL COMPANY). 

Identified pursuant to E.O. 13224, as 

amended, as property in which NATIONAL 

IRANIAN OIL COMPANY, a person whose 

property and interests in property are 

blocked pursuant to E.O. 13224, as amended, 

has an interest. 

2. WU XIAN Crude Oil Tanker Panama 

flag; Additional Sanctions Information— 

Subject to Secondary Sanctions; Vessel 

Registration Identification IMO 9102239 

(vessel) [SDGT] [IFSR] (Linked To: 

NATIONAL IRANIAN OIL COMPANY). 

Identified pursuant to E.O. 13224, as 

amended, as property in which NATIONAL 

IRANIAN OIL COMPANY, a person whose 

property and interests in property are 

blocked pursuant to E.O. 13224, as amended, 

has an interest. 

Dated: October 18, 2023. 

Bradley T. Smith, 

Director, Office of Foreign Assets Control, 

U.S. Department of the Treasury. 

[FR Doc. 2023–23346 Filed 10–20–23; 8:45 am] 

BILLING CODE 4810–AL–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Privacy Act of 1974; System of 

Records 

AGENCY: Veterans Experience Office, 

Department of Veterans Affairs (VA). 

ACTION: Notice of a modified system of 

records. 

SUMMARY: Pursuant to the Privacy Act of 

1974, notice is hereby given that the 

Department of Veterans Affairs (VA) is 

modifying the system of records titled 

‘‘Veterans Affairs Profile-VA’’ 

(192VA30). VA Profile contains 

information about Veterans; their 

families, caregivers, and survivors; and 

other VA customers to facilitate the title 

38 benefits and services provided by the 

different administrations and program 

offices. 

DATES: Comments on this modified 

system of records must be received no 

later than 30 days after date of 

publication in the Federal Register. If 

no public comment is received during 

the period allowed for comment or 

unless otherwise published in the 

Federal Register by VA, the modified 

system of records will become effective 

a minimum of 30 days after the date of 

publication in the Federal Register. If 

VA receives public comments, VA shall 

review the comments to determine 

whether any changes to the notice are 

necessary. 

ADDRESSES: Comments may be 

submitted through www.Regulations.gov 

or mailed to VA Privacy Service, 810 

Vermont Avenue NW, (005X6F), 

Washington, DC 20420. Comments 

should indicate that they are submitted 

in response to’’ Veterans Affairs ProfileVA’’ (192VA30). Comments received 

will be available at regulations.gov for 

public viewing, inspection or copies. 

FOR FURTHER INFORMATION CONTACT: 

Trisha Dang, Veterans Experience Office 

(VEO), Department of Veterans Affairs, 

810 Vermont Ave. NW, Building 810, 


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Washington, DC 20420; Telephone (202) 

461–9898; email trisha.dang@va.gov. 

SUPPLEMENTARY INFORMATION: VA is 

modifying the Veterans Affairs Profile 

system of records by making minor 

revisions to the Routine Uses of Records 

Maintained in the System; and updating 

the System Location; Purpose of the 

System; Categories of Individuals 

Covered by the System; Categories of 

Records in the System; Record Source 

Categories; Policies and Practices for 

Storage of Records; Administrative, 

Technical, and Physical Safeguards; 

Record Access Procedures; and 

Contesting Record Procedures. 

The Report of Intent to Amend a 

System of Records Notice and an 

advance copy of the system notice have 

been sent to the appropriate 

Congressional committees and to the 

Director of the Office of Management 

and Budget (OMB) as required by 5 

U.S.C. 552a(r) (Privacy Act) and 

guidelines issued by OMB (65 FR 

77677), December 12, 2000. 

Signing Authority 

The Senior Agency Official for 

Privacy, or designee, approved this 

document and authorized the 

undersigned to sign and submit the 

document to the Office of the Federal 

Register for publication electronically as 

an official document of the Department 

of Veterans Affairs. Kurt D. DelBene, 

Assistant Secretary for Information and 

Technology and Chief Information 

Officer, approved this document on 

September 13, 2023 for publication. 

Dated: October 18, 2023. 

Amy L. Rose, 

Government Information Specialist, VA 

Privacy Service, Office of Compliance, Risk 

and Remediation, Office of Information and 

Technology, Department of Veterans Affairs. 

SYSTEM NAME AND NUMBER: 

Veterans Affairs Profile (VA Profile) 

(192VA30). 

SECURITY CLASSIFICATION: 

Unclassified. 

SYSTEM LOCATION: 

The VA Profile system is maintained 

in a system known as the VA Profile 

Data Repository (VA PROFILEDB) 

hosted at an OI&T approved VA 

sponsored data warehouse location via 

secured cloud storage on a Federal Risk 

and Authorization Management 

Program (FedRAMP) certified VA 

Enterprise Cloud (VAEC). 

SYSTEM MANAGER(S): 

Trisha Dang, Veterans Experience 

Office (VEO), Department of Veterans 

Affairs, 810 Vermont Ave. NW, Building 

810, Washington, DC 20420; Telephone 

(202) 461–9898; email trisha.dang@

va.gov. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

38 U.S.C. 501, 7304. 

PURPOSE(S) OF THE SYSTEM: 

The purpose of VA Profile is to serve 

as the authoritative data source for 

common customer profiles of Veterans; 

their families, caregivers, and survivors; 

and other VA customers. The profile 

data in this system of records is 

mastered and synchronized with 

information in other data sources, meet 

VA data quality standards, and is 

updated using a single touchpoint 

service. Through synchronization of 

information from various data sources, 

VA Profile provides VA administrations 

and program offices with a customer 

profile that is accurate, relevant, 

complete, and timely. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

Records in the system contain 

information about Veterans; their 

families, caregivers, and survivors; and 

eligible beneficiaries who are receiving 

or have received title 38 benefits and 

services; and other individuals who may 

be entitled to title 38 benefits and 

services. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Records may include identifying data 

and contact information, such as names; 

mailing and residential addresses; 

daytime, evening, mobile, and fax 

phone numbers; and email addresses. 

RECORD SOURCE CATEGORIES: 

Records contain information provided 

by Veterans as well as their families, 

advocates, and dependents. Information 

is also obtained from other VA 

components and systems of records, 

including National Patient Database-VA 

(121VA10A7), VA/DoD Identity 

Repository (138VA005Q); Enrollment 

and Eligibility Records-VA (147VA10), 

Veterans Health Information Systems 

and Technology Architecture (VistA) 

Records-VA (79VA10),Compensation, 

Pension, Education, and Vocational 

Rehabilitation and Employment Records 

(58VA21/22/28), Administrative Data 

Repository-VA (150VA19), and 

supplemented with information 

purchased from data brokers. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

PURPOSES OF SUCH USES: 

1. Congress: To a Member of Congress 

or staff acting upon the Member’s behalf 

when the Member or staff requests the 

information on behalf of, and at the 

request of, the individual who is the 

subject of the record. 

2. Data breach response and 

remediation, for VA: To appropriate 

agencies, entities, and persons when (a) 

VA suspects or has confirmed that there 

has been a breach of the system of 

records; (b) VA has determined that as 

a result of the suspected or confirmed 

breach there is a risk of harm to 

individuals, VA (including its 

information systems, programs, and 

operations), the Federal Government, or 

national security; and (c) the disclosure 

made to such agencies, entities, and 

persons is reasonably necessary to assist 

in connection with VA’s efforts to 

respond to the suspected or confirmed 

breach or to prevent, minimize, or 

remedy such harm. 

3. Data breach response and 

remediation, for another Federal 

agency: To another Federal agency or 

Federal entity, when VA determines 

that information from this system of 

records is reasonably necessary to assist 

the recipient agency or entity in (a) 

responding to a suspected or confirmed 

breach or (b) preventing, minimizing, or 

remedying the risk of harm to 

individuals, the recipient agency or 

entity (including its information 

systems, programs, and operations), the 

Federal Government, or national 

security, resulting from a suspected or 

confirmed breach. 

4. Law Enforcement: To a Federal, 

state, local, territorial, tribal, or foreign 

law enforcement authority or other 

appropriate entity charged with the 

responsibility of investigating or 

prosecuting a violation or potential 

violation of law, whether civil, criminal, 

or regulatory in nature, or charged with 

enforcing or implementing such law, 

provided that the disclosure is limited 

to information that, either alone or in 

conjunction with other information, 

indicates such a violation or potential 

violation. The disclosure of the names 

and addresses of veterans and their 

dependents from VA records under this 

routine use must also comply with the 

provisions of 38 U.S.C. 5701. 

5. DoJ, Litigation, Administrative 

Proceeding: To the Department of 

Justice (DoJ), or in a proceeding before 

a court, adjudicative body, or other 

administrative body before which VA is 

authorized to appear, when: 

(a) VA or any component thereof; 

(b) Any VA employee in his or her 

official capacity; 

(c) Any VA employee in his or her 

individual capacity where DoJ has 

agreed to represent the employee; or 

(d) The United States, where VA 

determines that litigation is likely to 

affect the agency or any of its 


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components, is a party to such 

proceedings or has an interest in such 

proceedings, and VA determines that 

use of such records is relevant and 

necessary to the proceedings. 

6. Contractors: To contractors, 

grantees, experts, consultants, students, 

and others performing or working on a 

contract, service, grant, cooperative 

agreement, or other assignment for VA, 

when reasonably necessary to 

accomplish an agency function related 

to the records. 

7. OPM: To the Office of Personnel 

Management (OPM) in connection with 

the application or effect of civil service 

laws, rules, regulations, or OPM 

guidelines in particular situations. 

8. EEOC: To the Equal Employment 

Opportunity Commission (EEOC) in 

connection with investigations of 

alleged or possible discriminatory 

practices, examination of Federal 

affirmative employment programs, or 

other functions of the Commission as 

authorized by law. 

9. FLRA: To the Federal Labor 

Relations Authority (FLRA) in 

connection with: the investigation and 

resolution of allegations of unfair labor 

practices, the resolution of exceptions to 

arbitration awards when a question of 

material fact is raised, matters before the 

Federal Service Impasses Panel; and the 

investigation of representation petitions 

and the conduct or supervision of 

representation elections. 

10. MSPB: To the Merit Systems 

Protection Board (MSPB) in connection 

with appeals, special studies of the civil 

service and other merit systems, review 

of rules and regulations, investigation of 

alleged or possible prohibited personnel 

practices, and such other functions 

promulgated in 5 U.S.C. 1205 and 1206, 

or as authorized by law. 

11. NARA: To the National Archives 

and Records Administration (NARA) in 

records management inspections 

conducted under 44 U.S.C. 2904 and 

2906, or other functions authorized by 

laws and policies governing NARA 

operations and VA records management 

responsibilities. 

12. Federal Agencies, for Computer 

Matches: To other federal agencies for 

the purpose of conducting computer 

matches to obtain information to 

determine or verify eligibility of 

veterans receiving VA benefits or 

medical care under title 38. 

13. Federal Agencies, for Research: To 

a Federal agency for the purpose of 

conducting research and data analysis to 

perform a statutory purpose of that 

Federal agency upon the prior written 

request of that agency. 

14. Researchers, for Research: To 

epidemiological and other research 

facilities approved by the Under 

Secretary for Health for research 

purposes determined to be necessary 

and proper, provided that the names 

and addresses of veterans and their 

dependents will not be disclosed unless 

those names and addresses are first 

provided to VA by the facilities making 

the request. 

15. Federal Agencies, Courts, 

Litigants, for Litigation or 

Administrative Proceedings: To another 

federal agency, court, or party in 

litigation before a court or in an 

administrative proceeding conducted by 

a federal agency, when the government 

is a party to the judicial or 

administrative proceeding. 

16. Consumer Reporting Agencies: To 

a consumer reporting agency for the 

purpose of locating the individual, 

obtaining a consumer report to 

determine the ability of the individual 

to repay an indebtedness to the United 

States, or assisting in the collection of 

such indebtedness, provided that the 

provisions of 38 U.S.C. 5701(g)(2) and 

(4) have been met, and the disclosure is 

limited to information as is reasonably 

necessary to identify such individual or 

concerning that individual’s 

indebtedness to the United States by 

virtue of the person’s participation in a 

benefits program administered by the 

Department. 

17. Law Enforcement, for Locating 

Fugitive: To any Federal, state, local, 

territorial, tribal, or foreign law 

enforcement agency to identify, locate, 

or report a known fugitive felon, in 

compliance with 38 U.S.C. 5313B(d). 

18. OMB: To the Office of 

Management and Budget (OMB) for the 

performance of its statutory 

responsibilities for evaluating Federal 

programs. 

19. Nonprofits, for Release of Names 

and Addresses (RONA): To a nonprofit 

organization if the release is directly 

connected with the conduct of programs 

and the utilization of benefits under 

Title 38, provided that the disclosure is 

limited to the names and addresses of 

present or former members of the armed 

services or their beneficiaries, that the 

records will not be used for any purpose 

other than that stated in the request, and 

the that organization is aware of the 

penalty provision of 38 U.S.C. 5701(f). 

POLICIES AND PRACTICES FOR STORAGE OF

RECORDS: 

Records will be maintained at an 

OI&T approved VA sponsored data 

warehouse location via secured cloud 

storage on a Federal Risk and 

Authorization Management Program 

(FedRAMP) certified VA Government 

Cloud (GovCloud) site. 

POLICIES AND PRACTICES FOR RETRIEVAL OF

RECORDS: 

Records may be retrieved by name or 

other identifiers, such as an internal 

entry number of a partner system that 

maintains information on the 

individuals. 

POLICIES AND PRACTICES FOR RETENTION AND

DISPOSAL OF RECORDS: 

Records in this system are maintained 

and disposed of in accordance with the 

schedule approved by the Archivist of 

the United States, General Records 

Schedule 5.2, item 020, which provides 

for disposition of intermediary records, 

e.g., copies of electronic records from 

one system that are used as source 

records to another system. 

ADMINISTRATIVE, TECHNICAL, AND PHYSICAL

SAFEGUARDS: 

Access to VA Profile is limited to 

those persons whose official duties 

require such access. VA has established 

security procedures to ensure that 

access is appropriately limited, 

including review by information 

security officers and system data 

stewards of data access requests; and 

privacy and information security 

training required annually of all users of 

VA information or information systems. 

Access is regulated with security 

software that requires each user to be 

authenticated, and the system is hosted 

on a FedRAMP-certified, FISMA-high 

VA Government Cloud (GovCloud); and 

transmissions are protected by firewalls, 

intrusion detection devices, encryption, 

and other security measures. 

Physical access to computer rooms 

housing national administrative 

databases, warehouses, and data marts 

is restricted to authorized staff and 

protected by a variety of security 

devices. Unauthorized employees, 

contractors, and other staff are not 

allowed in computer rooms. The 

Federal Protective Service or other 

security personnel provide physical 

security for the buildings housing 

computer rooms and data centers, and 

copies of back-up computer files are 

generally maintained at off-site 

locations. 

RECORD ACCESS PROCEDURES: 

Individuals seeking access to records 

in this system pertaining to them must 

contact the system manager in writing 

as indicated above. The request for 

access must contain the requester’s full 

name, address, telephone number, and 

signature, and describe the records 

sought in sufficient detail to enable VA 

to locate them with a reasonable amount 

of effort. 


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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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