Agency Information Collection Activity: Health Eligibility Center (HEC) Income Verification (IV) Forms
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Issuing agencies
Abstract
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.
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<title>Federal Register, Volume 86 Issue 223 (Tuesday, November 23, 2021)</title>
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[Federal Register Volume 86, Number 223 (Tuesday, November 23, 2021)]
[Notices]
[Pages 66619-66620]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-25530]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0867]
Agency Information Collection Activity: Health Eligibility Center
(HEC) Income Verification (IV) Forms
AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
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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 January 24, 2022.
ADDRESSES: Submit written comments on the collection of information
through Federal Docket Management System (FDMS) at <a href="http://www.Regulations.gov">www.Regulations.gov</a>
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 <a href="/cdn-cgi/l/email-protection#b0fad1ded5dc9efbd5c9d5c3f0c6d19ed7dfc6"><span class="__cf_email__" data-cfemail="2268434c474e0c69475b47516254430c454d54">[email protected]</span></a>. Please refer to ``OMB Control No.
2900-0867'' 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 <a href="/cdn-cgi/l/email-protection#b8d5d9cad1daddd496d9c8d7d6ccddf8ced996dfd7ce"><span class="__cf_email__" data-cfemail="afc2ceddc6cdcac381cedfc0c1dbcaefd9ce81c8c0d9">[email protected]</span></a>.
Please refer to ``OMB Control No. 2900-0867'' 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: Health Eligibility Center (HEC) Income Verification (IV)
Forms, VA Forms 10-301, 10-302, 10-302A, 10-303, and 10-304.
OMB Control Number: 2900-0867.
Type of Review: Reinstatement of a previously approved collection.
Abstract: VHA Directive 1909 provides policy for the Department of
Veterans Affairs (VA) Health Eligibility Center (HEC) Income
Verification (IV) Program under authority of 38 United States Code
(U.S.C.) 1722; 38 U.S.C. 5317. Title 38 U.S.C. 1722 established
eligibility assessment procedures, based on income levels, for
determining whether nonservice-connected (NSC) Veterans and non-
compensable zero percent service-connected (SC) Veterans, who have no
other special eligibility, are eligible to receive VA health care at no
cost. Title 26 U.S.C. 6103(l)(7) of the Internal Revenue Code and 38
U.S.C. 5317 establish authority for VA to verify Veterans' gross
household income information against records maintained by the Internal
Revenue Service (IRS) and Social Security Administration (SSA) when
that information indicates the Veteran is eligible for cost-free VA
health care.
This information collection is necessary for HEC's Income
Verification Division (IVD) to verify the income of Veterans and
spouses. HEC IVD sends Veterans, and their spouses, individual letters
to confirm income information reported by IRS and SSA. HEC does not
change the Veteran's copay status until information supplied by IRS and
SSA has been independently verified, either by the Veteran or through
appropriate due process procedures.
Affected Public: Individuals and households.
Estimated Annual Burden: Total hours = 49,758.
10-301--27,948 hours.
10-302--5,679 hours.
10-302a--1,420 hours.
10-303--42 hours.
10-304--14,669 hours.
Estimated Average Burden per Respondent:
10-301--30 minutes.
10-302--20 minutes.
10-302a--15 minutes.
[[Page 66620]]
10-303--15 minutes.
10-304--20 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: Total Respondents = 122,789.
10-301--55,896.
10-302--17,038.
10-302a--5,680.
10-303--167.
10-304--44,008.
By direction of the Secretary.
Dorothy Glasgow,
VA PRA Clearance Officer (Alt.), Office of Enterprise and Integration/
Data Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2021-25530 Filed 11-22-21; 8:45 am]
BILLING CODE 8320-01-P
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