52972 Federal Register / Vol. 82, No. 219 / Wednesday, November 15, 2017 / Notices 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0606] 

Agency Information Collection Activity 

Under OMB Review: Regulation for 

Submission of Evidence 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act (PRA) of 

1995, this notice announces that the 

Veterans Health Administration, 

Department of Veterans Affairs, will 

submit 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 and it includes the 

actual data collection instrument. 

DATES: Comments must be submitted on 

or before December 15, 2017. 

ADDRESSES: Submit written comments 

on the collection of information through 

www.Regulations.gov, or to Office of 

Information and Regulatory Affairs, 

Office of Management and Budget, Attn: 

VA Desk Officer; 725 17th St. NW., 

Washington, DC 20503 or sent through 

electronic mail to oira_submission@

omb.eop.gov. Please refer to ‘‘OMB 

Control No. 2900–0606’’ in any 

correspondence. 

FOR FURTHER INFORMATION CONTACT: 

Cynthia Harvey-Pryor, Enterprise 

Records Service (005R1B), Department 

of Veterans Affairs, 810 Vermont 

Avenue NW., Washington, DC 20420, 

(202) 461–5870 or email cynthia.harveypryor@va.gov. Please refer to ‘‘OMB 

Control No. 2900–0606’’ in any 

correspondence. 

SUPPLEMENTARY INFORMATION: 

Authority: US Code: 38 U.S.C. 1729. 

Title: Regulation for Submission of 

Evidence—Title 38 CFR 17.101(a)(4). 

OMB Control Number: 2900–0606. 

Type of Review: Renewal of a 

currently approved collection. 

Abstract: Under the provisions of 38 

CFR, Section 17.101(a)(4), entitled 

‘‘Amount of Recovery or Collection— 

Third Party Liability’’, a third-party 

payer that is liable for reimbursing VA 

for health care VA provided to Veterans 

with non- service-connected conditions 

continues to have the option of paying 

either the billed charges as described in 

Section 17.101 or the amount the health 

plan demonstrates it would pay to 

providers other than entities of the 

United States for the same care or 

services in the same geographic area. If 

the amount submitted for payment is 

less than the amount billed, VA will 

accept the submission as payment, 

subject to verification at VA’s 

discretion. A VA employee having 

responsibility for collection of such 

charges may request that the third party 

payer submit evidence or information to 

substantiate the appropriateness of the 

payment amount (e.g., health plan 

policies, provider agreements, medical 

evidence, proof of payment to other 

providers demonstrating the amount 

paid for the same care and services VA 

provided). This information would be 

needed to determine whether the thirdparty payer has met the test of properly 

demonstrating its equivalent private 

sector provider payment amount for the 

same care or services and within the 

same geographic area as provided by 

VA. This form provides for requesting 

patient medical records, health plan 

policies, provider agreements and any 

type or records that provide evidence of 

medical services and proof of payments 

made to others for the same medical 

care and services. 

If VA accepts the submitted payment 

that is less than the billed charges, the 

third party payer can be subject to rate 

verification. In the event that rate 

verification is conducted, the results can 

be used to negotiate better rates, recoup 

underpayments, or amend agreements. 

Absent a third party payer agreement, 

VA should also be reimbursed billed 

charges or the amount third party payers 

would pay to non-government entities. 

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 at 82 FR 

40831 on August 28, 2017, pages 40831 

and 40832. 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 800 hours. 

Estimated Average Burden per 

Respondent: 120 minutes. 

Frequency of Response: Annually. 

Estimated Number of Respondents: 

400. 

By direction of the Secretary. 

Cynthia Harvey-Pryor, 

Department Clearance Officer, Office of 

Quality, Privacy and Risk, Department of 

Veterans Affairs. 

[FR Doc. 2017–24668 Filed 11–14–17; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0750] 

Agency Information Collection 

Activity: Ethics Consultation Feedback 

Tool (ECFT) 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: Veterans Health 

Administration, 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 

reinstatement 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 January 16, 2018. 

ADDRESSES: Submit written comments 

on the collection of information through 

Federal Docket Management System 

(FDMS) at www.Regulations.gov or to 

Brian McCarthy, Office of Regulatory 

and Administrative Affairs (10B4), 

Department of Veterans Affairs, 810 

Vermont Avenue NW., Washington, DC 

20420 or email to Brian.McCarthy4@

va.gov. Please refer to ‘‘OMB Control 

No. 2900–0750’’ in any correspondence. 

During the comment period, comments 

may be viewed online through FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Brian McCarthy at (202) 461–6345. 

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 


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