Notice2024-12119
Agency Information Collection Activity Under OMB Review: VA Health Benefits: Application, Update, Hardship Determination
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
June 3, 2024
Issuing agencies
Veterans Affairs Department
Abstract
In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Health Administration (VHA), Department of Veterans Affairs (VA), 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 89 Issue 107 (Monday, June 3, 2024)</title>
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[Federal Register Volume 89, Number 107 (Monday, June 3, 2024)]
[Notices]
[Pages 47684-47685]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-12119]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0091]
Agency Information Collection Activity Under OMB Review: VA
Health Benefits: Application, Update, Hardship Determination
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 (VHA),
Department of Veterans Affairs (VA), 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: Comments and recommendations for the proposed information
collection should be sent within 30 days of publication of this notice
by clicking on the following link <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>,
select ``Currently under Review--Open for Public Comments,'' then
search the list for the information collection by Title or ``OMB
Control No. 2900-0091.''
FOR FURTHER INFORMATION CONTACT: VA PRA information: Maribel Aponte,
202-461-8900, <a href="/cdn-cgi/l/email-protection#6d1b0c0e021d0c1d081f1a021f061f0809180c0e192d1b0c430a021b"><span class="__cf_email__" data-cfemail="354354565a4554455047425a475e475051405456417543541b525a43">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Title: VA Health Benefits: Application, Update, Hardship
Determination (VA Forms 10-10EZ, 10-10EZR and 10-10HS).
OMB Control Number: 2900-0091 <a href="https://www.reginfo.gov/public/do/PRASearch">https://www.reginfo.gov/public/do/PRASearch</a>.
Type of Review: Extension of a currently approved collection.
Abstract: Title 38 U.S.C. chapter 17 authorizes VA to provide
hospital care, medical services, domiciliary care, and nursing home
care to eligible Veterans. Title 38 U.S.C. 1705 requires VA to design,
establish, and operate a system of annual patient enrollment in
[[Page 47685]]
accordance with a series of stipulated priorities. Title 38 U.S.C. 1722
establishes eligibility assessment procedures for cost-free VA medical
care, based on income levels, which determines whether nonservice-
connected and 0% service-connected non-compensable Veterans are able to
defray the necessary expenses of care for nonservice-connected
conditions. Further, when the Veteran projects that their attributable
income for the current calendar year would be substantially below the
applicable income thresholds, the Veteran would be considered unable to
defray the expenses of care and VA may exempt the Veteran from the
requirement to pay copayments for hospital or outpatient care. In
addition, section 103 of Public Law 117-168, titled the Sergeant First
Class Heath Robinson Honoring our Promise to Address Comprehensive
Toxics (PACT) Act of 2022, amended title 38 U.S.C. 1710(e) (3) by
expanding the health care eligibility benefit for Veterans who
participated in a toxic exposure risk activity (TERA) while serving on
active duty, active duty for training, or inactive duty training.
This collection of information is required to properly administer
health benefits to eligible Veterans.
a. VA Form 10-10EZ, Application for Health Benefits, is used to
collect Veteran information during the initial application process for
VA medical care, nursing home, domiciliary, dental benefits, etc.
b. VA Form 10-10EZR, Health Benefits Update Form, is used to update
a Veteran's personal information, such as marital status, address,
health insurance and financial information, for renewal of health
benefits.
c. VA Form 10-10HS, Request for Hardship Determination, is used to
collect information from Veterans who are in a copay required status
for hospital care and medical services, but due to a loss of income
project that their income for the current year will be substantially
below the VA means test limits.
These forms collect information to enroll a Veteran for health
benefits, establish basic eligibility, determine TERA benefit
eligibility, identify 3rd party health insurance coverage, identify
prescription copayment, provide for income verification, and serve as a
mechanism to make changes upon admission for benefits or yearly
financial updates.
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 89 FR 20537, March 22, 2024.
Total Annual Burden: 703,300 hours.
Total Annual Responses: 1,406,000.
VA Form 10-10EZ
Affected Public: Individuals and Households.
Estimated Annual Burden: 315,000 hours.
Estimated Average Burden per Respondent: 35 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents: 540,000.
VA Form 10-10EZR
Affected Public: Individuals and Households.
Estimated Annual Burden: 386,550 hours.
Estimated Average Burden Per Respondent: 27 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents: 859,000.
VA Form 10-10HS
Affected Public: Individuals and Households.
Estimated Annual Burden: 1,750 hours.
Estimated Average Burden per Respondent: 15 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents: 7,000.
Authority: 44 U.S.C. 3501 et seq.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2024-12119 Filed 5-31-24; 8:45 am]
BILLING CODE 8320-01-P
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