Notice2025-06657
Agency Information Collection Activity: Health Eligibility Center (HEC) Income Verification (IV) Forms
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
April 18, 2025
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 90 Issue 74 (Friday, April 18, 2025)</title>
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[Federal Register Volume 90, Number 74 (Friday, April 18, 2025)]
[Notices]
[Pages 16596-16597]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-06657]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0867]
Agency Information Collection Activity: Health Eligibility Center
(HEC) Income Verification (IV) Forms
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: Comments must be received on or before June 17, 2025.
ADDRESSES: Comments must be submitted through <a href="http://www.regulations.gov">www.regulations.gov</a>.
FOR FURTHER INFORMATION CONTACT:
Program-Specific information: Rebecca Mimnall, 202-695-9434,
<a href="/cdn-cgi/l/email-protection#8dfbe5eceee2fdffeccdfbeca3eae2fb"><span class="__cf_email__" data-cfemail="7d0b151c1e120d0f1c3d0b1c531a120b">[email protected]</span></a>.
VA PRA information: Dorothy Glasgow, 202-461-1084, <a href="/cdn-cgi/l/email-protection#06504756544746706728616970"><span class="__cf_email__" data-cfemail="89dfc8d9dbc8c9ffe8a7eee6ff">[email protected]</span></a>.
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.
Title: Health Eligibility Center (HEC) Income Verification (IV)
Forms (VA Forms 10-301, 10-302, 10-303 and 10-304).
OMB Control Number: 2900-0867. <a href="https://www.reginfo.gov/public/do/PRASearch">https://www.reginfo.gov/public/do/PRASearch</a> (Once at this link, you can enter the OMB Control Number to
find the historical versions of this Information Collection).
Type of Review: Revision of a currently approved collection.
Abstract: VHA Directive 1909 provides policy for the VA Health
Eligibility Center (HEC) Income Verification (IV) Program under
authority of 38 United States Code (U.S.C.) 1722; 38 U.S.C. 5317. Title
38 U.S.C. 1722 established eligibility assessment procedures, based on
income levels, for determining whether nonservice-connected (NSC)
Veterans and non-compensable zero percent service-connected (SC)
Veterans, who
[[Page 16597]]
have no other special eligibility, are eligible to receive VA health
care at no cost. Title 26 U.S.C. 6103 (l)(7) of the Internal Revenue
Code and 38 U.S.C. 5317 establish authority for VA to verify Veterans'
gross household income information against records maintained by the
Internal Revenue Service (IRS) and Social Security Administration (SSA)
when that information indicates the Veteran is eligible for cost-free
VA health care.
This information collection is necessary for HEC's Income
Verification Division (IVD) to verify the income of Veterans and
spouses. It consists of VA Forms 10-301, 10-302, 10-303 and 10-304. HEC
IVD sends Veterans, and their spouses, individual letters and forms to
confirm income information reported by IRS and SSA. HEC does not change
the Veteran's copay status until information supplied by IRS and SSA
has been independently verified, either by the Veteran or through
appropriate due process procedures. This collection has been revised by
removing VA Form 10-302A because all relevant information can be
reported on VA Form 10-302. There is a reduction in the burden hours
due to the removal of VA Form 10-302A from the collection.
Affected Public: Individuals and households.
Estimated Annual Burden: Total hours = 48,338 hours.
10-301--27,948 hours.
10-302--5,679 hours.
10-303--42 hours.
10-304--14,669 hours.
Estimated Average Burden per Respondent:
10-301--30 minutes.
10-302--20 minutes.
10-303--15 minutes.
10-304--20 minutes.
Frequency of Response: Once annually.
Estimated Number of Respondents: Total Respondents = 117,109.
10-301--55,896.
10-302--17,038.
10-303--167.
10-304--44,008.
Authority: 44 U.S.C. 3501 et seq.
Dorothy Glasgow,
Acting, VA PRA Clearance Officer, Office of Enterprise and Integration/
Data Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2025-06657 Filed 4-17-25; 8:45 am]
BILLING CODE 8320-01-P
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