Notice2026-19410
Agency Information Collection Activity: VA Reimbursement Claim 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 23, 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
<html>
<head>
<title>Federal Register, Volume 91 Issue 183 (Wednesday, September 23, 2026)</title>
</head>
<body><pre>
[Federal Register Volume 91, Number 183 (Wednesday, September 23, 2026)]
[Notices]
[Pages 60492-60493]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-19410]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0940]
Agency Information Collection Activity: VA Reimbursement Claim
Forms
AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
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 23, 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#1c6a747d7f736c6e7d5c6a7d327b736a"><span class="__cf_email__" data-cfemail="22544a43414d5250436254430c454d54">[email protected]</span></a>.
VA PRA information: Dorothy Glasgow, 202-461-1084, <a href="/cdn-cgi/l/email-protection#96c0d7c6c4d7d6e0f7b8f1f9e0"><span class="__cf_email__" data-cfemail="d2849382809392a4b3fcb5bda4">[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: VA Reimbursement Claim Forms, 10-485 and 10-487.
OMB Control Number: 2900-0940. <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: Veterans may claim reimbursement for certain medical and
pharmaceutical costs, as authorized by 38 U.S.C. 1728. VA has been
using VA Form 10-320 for 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), 38 CFR 17.1200-17.1230 (COMPACT Act) and
Public Law 118-210 (Sec. 143 Senator Elizabeth Dole 21st Century
Veterans Healthcare and Benefits Improvement Act).
The 10-320 form will be replaced by two forms: Veteran
Reimbursement Claim Forms 10-485 and 10-487. Using two forms will allow
Veteran claims for prescription drug reimbursement to be separated from
claims for reimbursement of certain medical and transportation costs.
This will make it simpler for Veterans to file claims instead of using
one universal form for several different types of costs.
[[Page 60493]]
In order for VA to process and repay eligible out-of-pocket
expenses, Veterans must submit necessary information to support their
request and justify reimbursement. VA Form 10-485 will be used to
collect information from Veterans seeking reimbursement for
prescription drug costs. VA Form 10-487 will be used to collect
information from Veterans seeking reimbursement for certain emergent
medical or transportation costs. VA Form 10-320 will be discontinued
when the two new forms are approved and published for use by Veterans.
Total Hours = 5,000 hours
Total Responses = 30,000
VA Form 10-485
Affected Public: Individuals or Households.
Estimated Annual Burden: 4,833 hours.
Estimated Average Burden per Respondent: 10 minutes.
Frequency of Response: One time.
Estimated Number of Responses: 29,000.
VA Form 10-487
Affected Public: Individuals or Households.
Estimated Annual Burden: 167 hours.
Estimated Average Burden per Respondent: 10 minutes.
Frequency of Response: One time.
Estimated Number of Responses: 1,000.
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. 2026-19410 Filed 9-22-26; 8:45 am]
BILLING CODE 8320-01-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on September 23, 2026.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.