Notice2023-23784
Agency Information Collection Activity: Veteran Reimbursement Claim Form
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 27, 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 207 (Friday, October 27, 2023)</title>
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[Federal Register Volume 88, Number 207 (Friday, October 27, 2023)]
[Notices]
[Pages 73942-73943]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-23784]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-NEW]
Agency Information Collection Activity: Veteran Reimbursement
Claim Form
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 26, 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#95d2e7f4fbe1bbd7f0fbfbf0e1e1d5e3f4bbf2fae3"><span class="__cf_email__" data-cfemail="85c2f7e4ebf1abc7e0ebebe0f1f1c5f3e4abe2eaf3">[email protected]</span></a>. Please refer to
``OMB Control No. 2900-NEW'' 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#87eae6f5eee5e2eba9e6f7e8e9f3e2c7f1e6a9e0e8f1"><span class="__cf_email__" data-cfemail="5a373b2833383f36743b2a35342e3f1a2c3b743d352c">[email protected]</span></a>. Please refer to ``OMB Control No. 2900-NEW'' 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: Veteran Reimbursement Claim Form (VA Form 10-320).
OMB Control Number: 2900-NEW.
Type of Review: New collection.
Abstract: Veterans may claim reimbursement for certain medical
costs, as authorized by 38 U.S.C. 1728. The new Veteran Reimbursement
Claim Form, VA Form 10-320, will be utilized by Veterans requesting
reimbursement for various out-of-pocket expenses that occurred as a
result of non-VA medical services that may be eligible for payment
under 38 CFR 17.4025 (Veterans Community Care Program), 38 CFR 17.120
(Unauthorized), 38 CFR 17.1002 (Millennium Bill), and 38 CFR 17.1200--
17.1230 (COMPACT Act). In order for VA to process and repay these
expenses, Veterans must submit necessary information to support their
request and justify reimbursement.
VA Form 10-320 will be used to collect information from Veterans
seeking reimbursement for certain medical expenses. This claim form
will be used to support payment of certain unauthorized non-VA medical
services. Veterans may use this form to submit claims for reimbursement
for a variety of services, such as pharmacy costs, training classes,
emergent suicide care, and other medical expenses.
Affected Public: Individuals or households.
[[Page 73943]]
Estimated Annual Burden: 14,283 hours.
Estimated Average Burden per Respondent: 10 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: 85,700.
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. 2023-23784 Filed 10-26-23; 8:45 am]
BILLING CODE 8320-01-P
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