81_FR_70474 81 FR 70278 - Agency Information Collection (Expanded Access to Non-VA Care Through the Veterans Choice Program)

81 FR 70278 - Agency Information Collection (Expanded Access to Non-VA Care Through the Veterans Choice Program)

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 81, Issue 196 (October 11, 2016)

Page Range70278-70279
FR Document2016-24482

In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Veterans Health Administration (VHA), Department of Veterans Affairs, 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 includes the actual data collection instrument.

Federal Register, Volume 81 Issue 196 (Tuesday, October 11, 2016) 
[Federal Register Volume 81, Number 196 (Tuesday, October 11, 2016)]
[Notices]
[Pages 70278-70279]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-24482]



[[Page 70278]]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0823]


Agency Information Collection (Expanded Access to Non-VA Care 
Through the Veterans Choice Program)

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

    Activities: OMB Review.
SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-3521), this notice announces that the Veterans Health 
Administration (VHA), Department of Veterans Affairs, 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 includes the actual data collection instrument.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before November 10, 2016.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov, or to Office of Information and Regulatory 
Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 
17th St. NW., Washington, DC 20503 or sent through electronic mail to 
[email protected]. Please refer to ``OMB Control No. 2900-
0823 (Expanded Access to Non-VA Care through the Veterans Choice 
Program)'' in any correspondence. During the comment period, comments 
may be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
[email protected]. Please refer to ``OMB Control No. 2900-
0823 (Expanded Access to Non-VA Care through the Veterans Choice 
Program)'' in any correspondence.

SUPPLEMENTARY 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.
    Titles: Secondary Authorization Request for VA Community Care (VA 
Form 10-10143e).
    OMB Control Number: 2900-0823.
    Type of Review: Revision (new form added).
    Abstract: VA Form 10-10143e would require non-VA health care 
providers to submit requests for additional services supporting the 
original authorized plan of care to the agency. A copy of all medical 
and dental records (including but not limited to images, test results, 
and notes or other records of what care was provided and why) related 
to a Veteran's care provided under this Program must be submitted to VA 
for entry into the veteran's electronic medical record. Providers will 
be required to submit records produced as a result of care authorized 
after the beginning of the Program.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 289,826 burden hours.
    Estimated Average Burden per Respondent: 20 minutes.
    Frequency of Response: 4.56 times per year.
    Estimated Number of Respondents: 190,675 respondents.
    Titles: Election to Receive Authorized Non-VA Care and Selection of 
Provider for the Veterans Choice Program (VA Form 10-10143).
    OMB Control Number: 2900-0823.
    Type of Review: Extension.
    Abstract: Section 17.1515 requires eligible veterans to notify VA 
whether the veteran elects to receive authorized non-VA care through 
the Veterans Choice Program, be placed on an electronic waiting list, 
or be scheduled for an appointment with a VA health care provider. 
Section 17.1515(b)(1) also allows eligible veterans to specify a 
particular non-VA entity or health care provider, if that entity or 
provider meets certain requirements.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 928,606 burden hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: 12.64 times per year.
    Estimated Number of Respondents: 440,794 respondents.
    Titles: Health-Care Plan Information for the Veterans Choice 
Program (VA Form 10-10143a).
    OMB Control Number: 2900-0823.
    Type of Review: Extension.
    Abstract: Section 17.1510(d) requires eligible veterans to submit 
to VA information about their health-care plan to participate in the 
Veterans Choice Program.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 88,159 burden hours.
    Estimated Average Burden per Respondent: 10 minutes.
    Frequency of Response: 1.2 times per year.
    Estimated Number of Respondents: 440,794 respondents.
    Titles: Submission of Medical Record Information under the Veterans 
Choice Program (VA Form 10-10143b).
    OMB Control Number: 2900-0823.
    Type of Review: Extension.
    Abstract: Participating eligible entities and providers are 
required to submit a copy of any medical record related to hospital 
care or medical services furnished under this Program to an eligible 
veteran.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 464,383 burden hours.
    Estimated Average Burden Per Respondent: 5 minutes.
    Frequency of Response: 29.80 times per year.
    Estimated Number of Respondents: 187,000 respondents.
    Titles: Submission of Information on Credentials and Licenses by 
Eligible Entities or Providers (VA Form 10-10143c).
    OMB Control Number: 2900-0823.
    Type of Review: Extension.
    Abstract: Section 17.1530 requires eligible entities and providers 
to submit verification that the entity or provider maintains at least 
the same or similar credentials and licenses as those required of VA's 
health care providers, as determined by the Secretary.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 15,583 burden hours.
    Estimated Average Burden per Respondent: 5 minutes.

[[Page 70279]]

    Frequency of Response: Once annually.
    Estimated Number of Respondents: 187,000 respondents.

    By direction of the Secretary:
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2016-24482 Filed 10-7-16; 8:45 am]
 BILLING CODE 8320-01-P

70278 Federal Register / Vol. 81, No. 196 / Tuesday, October 11, 2016 / Notices DEPARTMENT OF VETERANS With respect to the following Affected Public: Individuals or AFFAIRS collection of information, VHA invites Households. comments on: (1) Whether the proposed Estimated Annual Burden: 928,606 [OMB Control No. 2900–0823] burden hours. collection of information is necessary for the proper performance of VHA’s Estimated Average Burden per Agency Information Collection functions, including whether the Respondent: 10 minutes. (Expanded Access to Non-VA Care information will have practical utility; Frequency of Response: 12.64 times Through the Veterans Choice Program) (2) the accuracy of VHA’s estimate of per year. AGENCY: Veterans Health the burden of the proposed collection of Estimated Number of Respondents: Administration, Department of Veterans information; (3) ways to enhance the 440,794 respondents. Affairs. quality, utility, and clarity of the Titles: Health-Care Plan Information ACTION: Notice. information to be collected; and (4) for the Veterans Choice Program (VA ways to minimize the burden of the Form 10–10143a). Activities: OMB Review. OMB Control Number: 2900–0823. collection of information on SUMMARY: In compliance with the Type of Review: Extension. respondents, including through the use Abstract: Section 17.1510(d) requires Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–3521), this notice of automated collection techniques or eligible veterans to submit to VA announces that the Veterans Health the use of other forms of information information about their health-care plan Administration (VHA), Department of technology. to participate in the Veterans Choice Veterans Affairs, will submit the Titles: Secondary Authorization Program. collection of information abstracted Request for VA Community Care (VA Affected Public: Individuals or below to the Office of Management and Form 10–10143e). Households. Budget (OMB) for review and comment. OMB Control Number: 2900–0823. Estimated Annual Burden: 88,159 The PRA submission describes the Type of Review: Revision (new form burden hours. nature of the information collection and added). Estimated Average Burden per its expected cost and burden and Abstract: VA Form 10–10143e would Respondent: 10 minutes. includes the actual data collection require non-VA health care providers to Frequency of Response: 1.2 times per instrument. submit requests for additional services year. supporting the original authorized plan Estimated Number of Respondents: DATES: Written comments and of care to the agency. A copy of all 440,794 respondents. recommendations on the proposed medical and dental records (including Titles: Submission of Medical Record collection of information should be but not limited to images, test results, Information under the Veterans Choice received on or before November 10, and notes or other records of what care Program (VA Form 10–10143b). 2016. OMB Control Number: 2900–0823. was provided and why) related to a ADDRESSES: Submit written comments Veteran’s care provided under this Type of Review: Extension. on the collection of information through Program must be submitted to VA for Abstract: Participating eligible entities www.Regulations.gov, or to Office of entry into the veteran’s electronic and providers are required to submit a Information and Regulatory Affairs, medical record. Providers will be copy of any medical record related to Office of Management and Budget, Attn: required to submit records produced as hospital care or medical services VA Desk Officer; 725 17th St. NW., a result of care authorized after the furnished under this Program to an Washington, DC 20503 or sent through beginning of the Program. eligible veteran. electronic mail to oira_submission@ Affected Public: Individuals or Affected Public: Individuals or omb.eop.gov. Please refer to ‘‘OMB Households. Households. Control No. 2900–0823 (Expanded Estimated Annual Burden: 289,826 Estimated Annual Burden: 464,383 Access to Non-VA Care through the burden hours. burden hours. Veterans Choice Program)’’ in any Estimated Average Burden per Estimated Average Burden Per correspondence. During the comment Respondent: 20 minutes. Respondent: 5 minutes. period, comments may be viewed online Frequency of Response: 29.80 times Frequency of Response: 4.56 times per through the FDMS. per year. year. FOR FURTHER INFORMATION CONTACT: Estimated Number of Respondents: Estimated Number of Respondents: 187,000 respondents. Cynthia Harvey-Pryor, Enterprise 190,675 respondents. Records Service (005R1B), Department Titles: Submission of Information on Titles: Election to Receive Authorized Credentials and Licenses by Eligible of Veterans Affairs, 810 Vermont Non-VA Care and Selection of Provider Avenue NW., Washington, DC 20420, Entities or Providers (VA Form 10– for the Veterans Choice Program (VA 10143c). (202) 461–5870 or email cynthia.harvey- Form 10–10143). pryor@va.gov. Please refer to ‘‘OMB OMB Control Number: 2900–0823. OMB Control Number: 2900–0823. Type of Review: Extension. Control No. 2900–0823 (Expanded Type of Review: Extension. Abstract: Section 17.1530 requires Access to Non-VA Care through the Abstract: Section 17.1515 requires eligible entities and providers to submit Veterans Choice Program)’’ in any eligible veterans to notify VA whether verification that the entity or provider correspondence. the veteran elects to receive authorized maintains at least the same or similar SUPPLEMENTARY INFORMATION: Under the non-VA care through the Veterans asabaliauskas on DSK3SPTVN1PROD with NOTICES credentials and licenses as those PRA of 1995 (Pub. L. 104–13; 44 U.S.C. Choice Program, be placed on an required of VA’s health care providers, 3501–3521), Federal agencies must electronic waiting list, or be scheduled as determined by the Secretary. obtain approval from the Office of for an appointment with a VA health Affected Public: Individuals or Management and Budget (OMB) for each care provider. Section 17.1515(b)(1) also Households. collection of information they conduct allows eligible veterans to specify a Estimated Annual Burden: 15,583 or sponsor. This request for comment is particular non-VA entity or health care burden hours. being made pursuant to Section provider, if that entity or provider meets Estimated Average Burden per 3506(c)(2)(A) of the PRA. certain requirements. Respondent: 5 minutes. VerDate Sep<11>2014 20:12 Oct 07, 2016 Jkt 241001 PO 00000 Frm 00194 Fmt 4703 Sfmt 4703 E:\FR\FM\11OCN1.SGM 11OCN1

Federal Register / Vol. 81, No. 196 / Tuesday, October 11, 2016 / Notices 70279 Frequency of Response: Once DEPARTMENT OF VETERANS Advisory Committee Act) that the annually. AFFAIRS subcommittees of the Joint Biomedical Estimated Number of Respondents: Laboratory Research and Development 187,000 respondents. Joint Biomedical Laboratory Research and Clinical Science Research and By direction of the Secretary: and Development and Clinical Science Development Services Scientific Merit Research and Development Services Review Board (JBL/CS SMRB) will meet Cynthia Harvey-Pryor, Scientific Merit Review Board from 8 a.m. to 5 p.m. on the dates Program Specialist, Office of Privacy and Amended; Notice of Meetings Records Management, Department of indicated below (unless otherwise Veterans Affairs. The Department of Veterans Affairs listed). This Notice of Meetings is being [FR Doc. 2016–24482 Filed 10–7–16; 8:45 am] (VA) gives notice under Public Law 92– amended due to date changes. BILLING CODE 8320–01–P 463; Title 5 U.S.C. App. 2 (Federal Subcommittee Date Location Surgery ...................................................................... November 16, 2016 .......................... Residence Inn Arlington Pentagon City. Infectious Diseases-B ................................................ November 17, 2016 .......................... Hilton Crystal City—Reagan National Airport. Oncology-A/D ............................................................ November 17, 2016 .......................... Hilton Crystal City—Reagan National Airport. Hematology ................................................................ November 18, 2016 .......................... Hilton Crystal City—Reagan National Airport. Oncology-C ................................................................ November 18, 2016 .......................... * VA Central Office. Cellular & Molecular Medicine ................................... November 21, 2016 .......................... * VA Central Office. Oncology-E ................................................................ November 21, 2016 .......................... Hilton Crystal City—Reagan National Airport. Oncology-B ................................................................ November 28, 2016 .......................... * VA Central Office. Epidemiology ............................................................. November 29, 2016 .......................... * VA Central Office. Infectious Diseases-A ................................................ November 29, 2016 .......................... * VA Central Office. Mental Health & Behavioral Sciences-A ................... November 29, 2016 .......................... * VA Central Office. Nephrology ................................................................ November 29, 2016 .......................... Hilton Crystal City—Reagan National Airport. Immunology-A ............................................................ November 30, 2016 .......................... Hilton Crystal City—Reagan National Airport. Mental Health & Behavioral Sciences-B ................... November 30, 2016 .......................... Hilton Crystal City—Reagan National Airport. Cardiovascular Studies-A .......................................... December 1, 2016 ............................ Hilton Crystal City—Reagan National Airport. Endocrinology-B ........................................................ December 1, 2016 ............................ Hilton Crystal City—Reagan National Airport. Neurobiology-C .......................................................... December 1, 2016 ............................ Hilton Crystal City—Reagan National Airport. Pulmonary Medicine .................................................. December 1, 2016 ............................ Hilton Crystal City—Reagan National Airport. Neurobiology-A .......................................................... December 2, 2016 ............................ * VA Central Office. Neurobiology-E .......................................................... December 2, 2016 ............................ Hilton Crystal City—Reagan National Airport. Special Emphasis on Genomics ............................... December 2, 2016 ............................ * VA Central Office. Endocrinology-A ........................................................ December 5, 2016 ............................ Hyatt Regency Washington. Neurobiology-B .......................................................... December 6, 2016 ............................ Hilton Crystal City—Reagan National Airport. Cardiovascular Studies-B .......................................... December 8, 2016 ............................ Hilton Crystal City—Reagan National Airport. Gastroenterology ....................................................... December 8, 2016 ............................ Hilton Crystal City—Reagan National Airport. Neurobiology-D .......................................................... December 9, 2016 ............................ Hilton Crystal City—Reagan National Airport. Gulf War Research .................................................... December 9, 2016 ............................ * VA Central Office. Jt BL/CS SMRB ......................................................... January 26, 2017 .............................. * VA Central Office. Eligibility ..................................................................... January 27, 2017 .............................. Hyatt Regency Washington. The addresses of the meeting sites are: Hilton Crystal City—Reagan National Airport, 2399 Jefferson Davis Hwy., Arlington, VA. Hyatt Regency Washington on Capitol Hill, 400 New Jersey Avenue NW., Washington, DC. * VA Central Office, 1100 First Street NE., Suite 600, Washington, DC. * Teleconference. The purpose of the subcommittees is Discussions will deal with scientific Those who would like to obtain a to provide advice on the scientific merit of each proposal and copy of the minutes from the closed quality, budget, safety and mission qualifications of personnel conducting subcommittee meetings and rosters of relevance of investigator-initiated the studies, the disclosure of which the subcommittee members should research proposals submitted for VA would constitute a clearly unwarranted contact Holly Krull, Ph.D., Manager, merit review evaluation. Proposals invasion of personal privacy. Merit Review Program (10P9B), submitted for review include diverse Additionally, premature disclosure of Department of Veterans Affairs, 810 medical specialties within the general research information could significantly Vermont Avenue NW., Washington, DC areas of biomedical, behavioral and frustrate implementation of proposed 20420, at (202) 632–8522 or email at clinical science research. agency action regarding the research holly.krull@va.gov. These subcommittee meetings will be proposals. As provided by subsection Dated: October 5, 2016. closed to the public for the review, 10(d) of Public Law 92–463, as amended LaTonya L. Small, discussion, and evaluation of initial and by Public Law 94–409, closing the asabaliauskas on DSK3SPTVN1PROD with NOTICES Advisory Committee Management Officer. renewal research proposals, which subcommittee meetings is in accordance [FR Doc. 2016–24510 Filed 10–7–16; 8:45 am] involve reference to staff and consultant critiques of research proposals. with Title 5 U.S.C. 552b(c)(6) and (9)(B). BILLING CODE 8320–01–P VerDate Sep<11>2014 20:12 Oct 07, 2016 Jkt 241001 PO 00000 Frm 00195 Fmt 4703 Sfmt 9990 E:\FR\FM\11OCN1.SGM 11OCN1


Document Created: 2018-02-13 16:33:44
Document Modified: 2018-02-13 16:33:44
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesWritten comments and recommendations on the proposed collection of information should be received on or before November 10, 2016.
ContactCynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-5870 or email [email protected] Please refer to ``OMB Control No. 2900- 0823 (Expanded Access to Non-VA Care through the Veterans Choice Program)'' in any correspondence.
FR Citation81 FR 70278 
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