Notice2024-09336
Agency Information Collection Activity Under OMB Review: Authorization and Consent To Release Information to the Department of Veterans Affairs (VA), General Release for Medical Provider Information to the Department of Veterans Affairs (VA)
Primary source
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Published
May 1, 2024
Issuing agencies
Veterans Affairs Department
Abstract
Veterans Benefits 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 revision 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 89 Issue 85 (Wednesday, May 1, 2024)</title>
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[Federal Register Volume 89, Number 85 (Wednesday, May 1, 2024)]
[Notices]
[Page 35308]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-09336]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0858]
Agency Information Collection Activity Under OMB Review:
Authorization and Consent To Release Information to the Department of
Veterans Affairs (VA), General Release for Medical Provider Information
to the Department of Veterans Affairs (VA)
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
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SUMMARY: Veterans Benefits 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 revision 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 July 1, 2024.
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 Nancy J. Kessinger, Veterans Benefits Administration (20M33),
Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC
20420 or email to <a href="/cdn-cgi/l/email-protection#bed0dfd0ddc790d5dbcdcdd7d0d9dbccfec8df90d9d1c8"><span class="__cf_email__" data-cfemail="c3ada2ada0baeda8a6b0b0aaada4a6b183b5a2eda4acb5">[email protected]</span></a>. Please refer to ``OMB Control
No. 2900-0858'' 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 Ave. NW,
Washington, DC 20006, (202) 266-4688 or email <a href="/cdn-cgi/l/email-protection#5e333f2c373c3b32703f2e31302a3b1e283f70393128"><span class="__cf_email__" data-cfemail="95f8f4e7fcf7f0f9bbf4e5fafbe1f0d5e3f4bbf2fae3">[email protected]</span></a>.
Please refer to ``OMB Control No. 2900-0858'' 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, VBA
invites comments on: (1) whether the proposed collection of information
is necessary for the proper performance of VBA's functions, including
whether the information will have practical utility; (2) the accuracy
of VBA'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 104-191 (``HIPAA''), 42 U.S.C. 290dd-242, 38
CFR part 2, 45 CFR parts 160 and 164.
Title: Authorization and Consent to Release Information to the
Department of Veterans Affairs (VA) (VA Form 21-4142), General Release
for Medical Provider Information to the Department of Veterans Affairs
(VA) (VA Form 21-4142a).
OMB Control Number: 2900-0858.
Type of Review: Revision of a currently approved collection.
Abstract: VA Form 21-4142 is used to authorize the disclosure of
information to the VA and VA Form 21-4142a is used to gather the
necessary information to request medical provider information to the
VA. Without the information solicited by these forms, VA would be
unable to determine eligibility, and benefits would not be properly
paid. No changes have been made to these forms. The respondent burden
has increased due to the estimated number of receivables averaged over
the past year.
Affected Public: Individuals and households.
Estimated Annual Burden: 36,687 hours.
Estimated Average Burden per Respondent: 5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 440,246 per year.
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. 2024-09336 Filed 4-30-24; 8:45 am]
BILLING CODE 8320-01-P
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