[Federal Register Volume 73, Number 185 (Tuesday, September 23, 2008)]
[Notices]
[Pages 54897-54898]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-22186]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0620]


Agency Information Collection (Payment and Reimbursement for 
Emergency Services for Non Service-Connected Conditions in Non-VA 
Facilities) Activities Under OMB Review

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-21), this notice announces that the Veterans Health 
Administration (VHA), Department of Veterans Affairs, has submitted the 
collection of information abstracted below to the Office of Management 
and Budget (OMB) for review and comment. The PRA submission describes 
the nature of the information collection and its expected cost and 
burden; it includes the actual data collection instrument.

DATE: Comments must be submitted on or before October 23, 2008.

ADDRESSES: Submit written comments on the collection of information 
through http://www.Regulations.gov; or to VA's OMB Desk Officer, OMB 
Human Resources and Housing Branch, New Executive Office Building, Room 
10235, Washington, DC 20503 (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0620'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., Washington, DC 20420, (202) 461-7485, fax (202) 273-0443 or e-mail 
<a href="/cdn-cgi/l/email-protection#7a1e1f1413091f541719161b17183a171b1316540c1b541d150c"><span class="__cf_email__" data-cfemail="90f4f5fef9e3f5befdf3fcf1fdf2d0fdf1f9fcbee6f1bef7ffe6">[email protected]</span></a>. Please refer to ``OMB Control No. 2900-
0620.''

SUPPLEMENTARY INFORMATION:
    Title: Payment and Reimbursement for Emergency Services for Non 
Service-Connected Conditions in Non-VA Facilities, 38 U.S.C. 1725.
    OMB Control Number: 2900-0620.
    Type of Review: Extension of a currently approved collection.
    Abstract: Veterans enrolled in VA's health-care system are 
personally liable for emergency treatment rendered at non-VA health 
facilities. Veterans or

[[Page 54898]]

their representative, and the health care provider of the emergency 
treatment to the veteran must submit a claim in writing or complete a 
Health Insurance Claim Form CMS 1500 or Medical Uniform Institutional 
Provider Bill Form UB-04 to request payment or reimbursement for such 
treatment. VA uses the data collected to determine the claimant's 
eligibility for payment or reimbursement.
    An agency may not conduct or sponsor, and a person is not required 
to respond to a collection of information unless it displays a 
currently valid OMB control number. The Federal Register Notice with a 
60-day comment period soliciting comments on this collection of 
information was published on July 16, 2008, at pages 40912-40913.
    Affected Public: Business or other for-profit, individuals or 
households, and not-for-profit institutions.
    Estimated Total Annual Burden: 82,690 hours.
    Estimated Average Burden Per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 330,759.

    Dated: September 16, 2008.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E8-22186 Filed 9-22-08; 8:45 am]
BILLING CODE 8320-01-P


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