Notice2026-18446
Agency Information Collection Activity: Foreign Medical Program (FMP) Veteran and Provider 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
September 10, 2026
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 a 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 91 Issue 174 (Thursday, September 10, 2026)</title>
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[Federal Register Volume 91, Number 174 (Thursday, September 10, 2026)]
[Notices]
[Pages 57695-57696]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-18446]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0648]
Agency Information Collection Activity: Foreign Medical Program
(FMP) Veteran and Provider 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 a 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 November 9, 2026.
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#a7d1cfc6c4c8d7d5c6e7d1c689c0c8d1"><span class="__cf_email__" data-cfemail="41372920222e3133200137206f262e37">[email protected]</span></a>.
VA PRA information: Dorothy Glasgow, 202-461-1084, <a href="/cdn-cgi/l/email-protection#0254435250434274632c656d74"><span class="__cf_email__" data-cfemail="06504756544746706728616970">[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: Foreign Medical Program (FMP) Veteran and Provider Forms (VA
Forms 10-488, 10-489 and 10-7959f-2).
OMB Control Number: 2900-0648. <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: 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). FMP is a
Fee for Service (indemnity plan) program and provides payment/
reimbursement for VA adjudicated service-connected conditions. Title 38
U.S.C. 1724 and 38 CFR 17.35 authorize VA to provide coverage for a
Veteran with a service-connected disability when the Veteran is
residing or traveling overseas. Title 31 U.S.C. 3332 and 31 CFR 210
establish requirements for direct deposits of Federal payments. The
information collected in the forms allows VA to expedite claim payments
via direct deposit, which will alleviate delays in payment being
received by both the Veteran and provider, prevent payment information
from being lost, and ensure a secure payment methodology.
VA is introducing two new forms for this collection--VA Form 10-488
will be used by Veterans and VA Form 10-489 will be used by providers
to register for direct deposit payment/reimbursement for foreign
medical services. VA Form 10-7959f-1 is discontinued and removed from
this collection because 10-488 replaces it as the registration form for
Veterans. VA Form 10-7959f-2 will continue to be used as a cover sheet
for submitting claims to FMP. The 10-7959f-2 form streamlines the
claims submission process for claimants and providers while also
reducing the time spent by VA on processing FMP claims.
a. VA Form 10-488--International Direct Deposit Enrollment
(Veteran): This form collects relevant information that is used to
register Veterans in the FMP who have service-connected disabilities
and are living or traveling overseas.
b. VA Form 10-489--Foreign Medical Provider--International Direct
Deposit Enrollment: This form collects relevant direct deposit
enrollment information from the provider, which is used to pay for
medical services rendered to eligible Veterans while they are overseas.
c. VA Form 10-7959f-2--Foreign Medical Program Claim Cover Sheet:
This form is used for submitting claims for payment or reimbursement of
medical expenses related to Veterans who are overseas and have a
service-connected disability. The form outlines the basic information
necessary for the consideration of claims and processing of payments.
Total hours = 25,000 hours.
Total responses = 123,000.
VA Form 10-488
Affected Public: Individuals or Households.
Estimated Annual Burden: 7,000 hours.
Estimated Average Burden per Respondent: 20 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 21,000.
[[Page 57696]]
VA Form 10-489
Affected Public: Individuals or Households.
Estimated Annual Burden: 2,000 hours.
Estimated Average Burden per Respondent: 20 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 6,000.
VA Form 10-7959f-2
Affected Public: Individuals or Households.
Estimated Annual Burden: 16,000 hours.
Estimated Average Burden per Respondent: 11 minutes.
Frequency of Response: 12 times per year.
Estimated Number of Respondents: 96,000.
Authority: 44 U.S.C. 3501 et seq.
Lanea Haynes,
Alternate, VA PRA Clearance Officer, Office of Information and
Technology, Office of Data Governance and Analytics, Department of
Veterans Affairs.
[FR Doc. 2026-18446 Filed 9-9-26; 8:45 am]
BILLING CODE 8320-01-P
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