8950 Federal Register / Vol. 80, No. 33 / Thursday, February 19, 2015 / Notices 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0823] 

Proposed Information Collection 

(Expanded Access to Non-VA Care 

Through the Veterans Choice Program) 

Activity: Comment Request 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: The 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 extension 

collection, and allow 60 days for public 

comment in response to the notice. This 

notice solicits comments on the 

information needed for Veterans, 

Veteran Representatives and health care 

providers to request reimbursement 

from the federal government for 

emergency services at a private 

institution. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before April 20, 2015. 

ADDRESSES: Submit written comments 

on the collection of information through 

Federal Docket Management System 

(FDMS) at www.Regulations.gov; or 

Audrey Revere, Office of Regulatory and 

Administrative Affairs, Veterans Health 

Administration (10B4), Department of 

Veterans Affairs, 810 Vermont Avenue 

NW., Washington, DC 20420 or email: 

Audrey.revere@va.gov. Please refer to 

‘‘OMB Control No. 2900–0823’’ in any 

correspondence. During the comment 

period, comments may be viewed online 

through the FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Audrey Revere at (202) 461–5694. 

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: Election to Receive Authorized 

Non-VA Care and Selection of Provider 

for the Veterans Choice Program. 

OMB Control Number: 2900–0823. 

Type of Review: Extension. 

Abstract: Section 17.1515 requires 

eligible veterans to notify VA whether 

the veteran elects to receive authorized 

non-VA care through the Veterans 

Choice Program, be placed on an 

electronic waiting list, or be scheduled 

for an appointment with a VA health 

care provider. Section 17.1515(b)(1) also 

allows eligible veterans to specify a 

particular non-VA entity or health care 

provider, if that entity or provider meets 

certain requirements. 

Affected Public: Individuals or 

Households, 

Estimated Annual Burden: 185,721 

burden hours. 

Estimated Average Burden per 

Respondent: 2 minutes. 

Frequency of Response: 12.64 times 

per year. 

Estimated Number of Respondents: 

440,794 respondents. 

Titles: Health-Care Plan Information 

for the Veterans Choice Program. 

OMB Control Number: 2900–0823. 

Type of Review: Extension. 

Abstract: Section 17.1510(d) requires 

eligible veterans to submit to VA 

information about their health-care plan 

to participate in the Veterans Choice 

Program. 

Affected Public: Individuals or 

Households. 

Estimated Annual Burden: 88,159 

burden hours. 

Estimated Average Burden per 

Respondent: 10 minutes. 

Frequency of Response: 1.2 times per 

year. 

Estimated Number of Respondents: 

440,794 respondents. 

Titles: Submission of Medical Record 

Information under the Veterans Choice 

Program. 

OMB Control Number: 2900–0823. 

Type of Review: Extension. 

Abstract: Participating eligible entities 

and providers are required to submit a 

copy of any medical record related to 

hospital care or medical services 

furnished under this Program to an 

eligible veteran. 

Affected Public: Individuals or 

Households. 

Estimated Annual Burden: 464,428 

burden hours. 

Estimated Average Burden per 

Respondent: 5 minutes. 

Frequency of Response: 29.80 times 

per year. 

Estimated Number of Respondents: 

187,000 respondents. 

Titles: Submission of Information on 

Credentials and Licenses by Eligible 

Entities or Providers. 

OMB Control Number: 2900–0823. 

Type of Review: Extension. 

Abstract: Section 17.1530 requires 

eligible entities and providers to submit 

verification that the entity or provider 

maintains at least the same or similar 

credentials and licenses as those 

required of VA’s health care providers, 

as determined by the Secretary. 

Affected Public: Individuals or 

Households. 

Estimated Annual Burden: 15,583 

burden hours. 

Estimated Average Burden per 

Respondent: 5 minutes. 

Frequency of Response: Once 

annually. 

Estimated Number of Respondents: 

187,000 respondents. 

Dated: February 12, 2015. 

By direction of the Secretary. 

Crystal Rennie, 

Department Clearance Officer, Department of 

Veterans Affairs. 

[FR Doc. 2015–03354 Filed 2–18–15; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0681] 

Proposed Information Collection (IL 

Assessment) Activity: Comment 

Request 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: The Veterans Benefits 

Administration (VBA), 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 

revision of a currently approved 


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