Veterans Health Administration, Department of Veterans Affairs.
The Veterans Health Administration (VHA) 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 new collection, and allow 60 days for public comment in response to the notice. This notice solicits comments on information needed to allow claimants to pay their medical care copayment online.
Written comments and recommendations on the proposed collection of information should be received on or before June 28, 2010.
Submit written comments on the collection of information through Federal Docket Management System (FDMS) at http://www.Regulations.gov; or to Mary Stout, Veterans Health Administration (193E1), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail: firstname.lastname@example.org. Please refer to “OMB Control No. 2900—New (10-0505)” in any correspondence. During the comment period, comments may be viewed online through FDMS.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Mary Stout (202) 461-5867 or FAX (202) 273-9381.End Further Info End Preamble Start Supplemental Information
Under the PRA of 1995 (Pub. L. 104-13; 44 U.S.C. 3501-3521), 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 Resource Center Medical Center Payment Form, VA Form 10-0505.
OMB Control Number: 2900—New (10-0505).
Type of Review: New collection.
Abstract: Data collected on VA Form 10-0505 will be used to allow claimants with medical care copayment debts to pay online with a credit card or Automated Clearing House transaction.
Affected Public: Individuals or households.
Estimated Total Annual Burden: 48,000.
Estimated Average Burden per Respondent: 4 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 60,000.
Estimated Number of Responses: 720,000.Start Signature
Dated: April 23, 2010.
By direction of the Secretary.
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-9807 Filed 4-27-10; 8:45 am]
BILLING CODE 8320-01-P