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###### Department of Veterans Affairs

          - [OMB Control No. 2900-0822]

# 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 May 17, 2022.

# ADDRESSES:

                        Submit written comments on the collection of information through Federal Docket Management System (FDMS) at                         *www.Regulations.gov*                         or to Janel Keyes, Office of Regulations, Appeals, and Policy (10BRAP), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420 or email to                         *Janel.Keyes@va.gov.*                         Please refer to “OMB Control No. 2900-0822” 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), 1717 H Street NW, Washington, DC 20006, (202) 266-4688 or email                         *maribel.aponte@va.gov.*                         Please refer to “OMB Control No. 2900-0822” 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:*                     Camp Lejeune Family Members Program—Reimbursement of Certain Medical Expenses, VA Forms 10-10068, 10-10068a, 10-10068b, 10-10068c.                

*OMB Control Number:*                     2900-0822.                

*Type of Review:*                     Reinstatement of a previously approved collection.                

*Abstract:*                     Under 38 U.S.C. 1787, VA is required to furnish hospital care and medical services to the family members of certain veterans who were stationed at Camp Lejeune between 1953 and 1987 and have specified medical conditions. In order to furnish such care, VA must collect necessary information from the family members to ensure that they meet the requirements of the law. The specific hospital care and medical services that VA must provide are for a number of illnesses and conditions connected to exposure to contaminated drinking water while at Camp Lejeune. The forms in this                           ( print page 15493)                        collection will be used to determine eligibility and reimbursement for this medical care.                

## VA Form 10-10068: Application Form

*Affected Public:*                     Individuals or households.                

*Estimated Annual Burden:*                     815 hours.                

*Estimated Average Burden per Respondent:*                     30 minutes.                

*Frequency of Response:*                     Once annually.                

*Estimated Number of Respondents:*                     1,629.                

## VA Form 10-10068a: Claim Form

*Affected Public:*                     Individuals or households.                

*Estimated Annual Burden:*                     4,480 hours.                

*Estimated Average Burden per Respondent:*                     15 minutes.                

*Frequency of Response:*                     11 times per year.                

*Estimated Number of Respondents:*                     1,629.                

## VA Form 10-10068b: Treating Physician Form

*Affected Public:*                     Individuals or households.                

*Estimated Annual Burden:*                     407 hours.                

*Estimated Average Burden per Respondent:*                     15 minutes.                

*Frequency of Response:*                     Once annually.                

*Estimated Number of Respondents:*                     1,629.                

## VA Form 10-10068c: Information Update Form

*Affected Public:*                     Individuals or households.                

*Estimated Annual Burden:*                     136 hours.                

*Estimated Average Burden per Respondent:*                     15 minutes.                

*Frequency of Response:*                     Once annually.                

*Estimated Number of Respondents:*                     543.                

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. 2022-05662 Filed 3-17-22; 8:45 am]

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