Notice2022-14540
Agency Information Collection Activity Under OMB Review: Camp Lejeune Family Member Program-Reimbursement of Certain Medical Expenses
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
July 8, 2022
Issuing agencies
Veterans Affairs Department
Abstract
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.
Full Text
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<title>Federal Register, Volume 87 Issue 130 (Friday, July 8, 2022)</title>
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[Federal Register Volume 87, Number 130 (Friday, July 8, 2022)]
[Notices]
[Page 40884]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-14540]
[[Page 40884]]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0822]
Agency Information Collection Activity Under OMB Review: Camp
Lejeune Family Member Program--Reimbursement of Certain Medical
Expenses
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,
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: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Refer to
``OMB Control No. 2900-0822.''
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#fd909c8f949f9891d39c8d92938998bd8b9cd39a928b"><span class="__cf_email__" data-cfemail="204d41524942454c0e41504f4e54456056410e474f56">[email protected]</span></a>.
Please refer to ``OMB Control No. 2900-0822'' in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 44 U.S.C. 3501-3521.
Title: Camp Lejeune Family Member 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 collection will be used to determine
eligibility and reimbursement for this medical care.
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 87 FR 53 on March 18, 2022, pages 15492
and 15493.
Total Estimated Annual Burden: 5,838 hours.
Total Estimated Annual Number of Responses: 21,720.
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. 2022-14540 Filed 7-7-22; 8:45 am]
BILLING CODE 8320-01-P
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