Notice2023-23297
Agency Information Collection Activity: Foreign Medical Program (FMP) Registration Form and Claim Cover Sheet
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
October 23, 2023
Issuing agencies
Veterans Affairs Department
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.
Full Text
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<title>Federal Register, Volume 88 Issue 203 (Monday, October 23, 2023)</title>
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[Federal Register Volume 88, Number 203 (Monday, October 23, 2023)]
[Notices]
[Page 72823]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-23297]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0648]
Agency Information Collection Activity: Foreign Medical Program
(FMP) Registration Form and Claim Cover Sheet
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 December 22, 2023.
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 Grant Bennett, 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#581f2a39362c761a3d36363d2c2c182e39763f372e"><span class="__cf_email__" data-cfemail="6e291c0f001a402c0b00000b1a1a2e180f40090118">[email protected]</span></a>. Please refer to
``OMB Control No. 2900-0648'' 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), 810 Vermont Avenue
NW, Washington, DC 20420, (202) 266-4688 or email
<a href="/cdn-cgi/l/email-protection#452824372c2720296b24352a2b31200533246b222a33"><span class="__cf_email__" data-cfemail="c4a9a5b6ada6a1a8eaa5b4abaab0a184b2a5eaa3abb2">[email protected]</span></a>. Please refer to ``OMB Control No. 2900-0648'' 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: Foreign Medical Program (FMP) Registration Form and Claim
Cover Sheet, VA Forms 10-7959f-1 and 10-7959f-2.
OMB Control Number: 2900-0648.
Type of Review: Extension of a currently approved collection.
Abstract: The Foreign Medical Program (FMP) is a federal health
benefits program for Veterans, which is administered by the Department
of Veterans Affairs (VA) Veterans Health Administration (VHA). The FMP
is a Fee for Service (indemnity plan) program and provides
reimbursement for VA adjudicated service-connected conditions. Title 38
CFR 17.35 states that VA will provide coverage for the Veteran's
service-connected disability when the Veteran is residing or traveling
overseas. Title 38 CFR 17.125(c) states that requests for consideration
of claim reimbursement from approved health care providers and Veterans
are to be mailed to VHA Health Administration Center. VA currently
collects information for FMP reimbursement through an OMB approved
collection under 2900-0648, using VA Form 10-7959f-1, Foreign Medical
Program (FMP) Registration Form, and VA Form 10-7959f-2, Foreign
Medical Program (FMP) Claim Cover Sheet. This collection of information
is necessary to continue to reimburse Veterans or providers under the
FMP.
a. VA Form 10-7959f-1 will collect information used to register
into the FMP those Veterans with service-connected disabilities who are
living or traveling overseas.
b. VA Form 10-7959f-2 will collect information to streamline the
FMP claims submission process for claimants or providers, while also
reducing the time spent by VA on processing FMP claims. The cover sheet
will explain to foreign providers and Veterans the basic information
required for the processing and payment of claims.
VA Form 10-7959f-1
Affected Public: Individuals and households.
Estimated Annual Burden: 111 hours.
Estimated Average Burden per Respondent: 4 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 1,660.
VA Form 10-7959f-2
Affected Public: Individuals or households; private sector.
Estimated Annual Burden: 3,652 hours.
Estimated Average Burden per Respondent: 11 minutes.
Frequency of Response: 12 times annually.
Estimated Number of Respondents: 1,660.
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. 2023-23297 Filed 10-20-23; 8:45 am]
BILLING CODE 8320-01-P
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