82 FR 3075 - Agency Information Collection Activity: (Application Requirements To Receive VA Dental Insurance Plan Benefits under 38 CFR 17.169)

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 82, Issue 6 (January 10, 2017)

Page Range		3075-3075
FR Document		2017-00208

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; it includes the actual data collection instrument.

Federal Register, Volume 82 Issue 6 (Tuesday, January 10, 2017)

[Federal Register Volume 82, Number 6 (Tuesday, January 10, 2017)]
[Notices]
[Page 3075]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-00208]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0789]


Agency Information Collection Activity: (Application Requirements 
To Receive VA Dental Insurance Plan Benefits under 38 CFR 17.169)

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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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; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before February 9, 2017.

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-
0789'' in any correspondence.

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-
0789.''

SUPPLEMENTARY INFORMATION: 
    Titles: VA Dental Insurance Plan (VADIP) Fact Sheet.
    OMB Control Number: 2900-0789.
    Type of Review: Extension of a currently approved collection.
    Abstract: Department of Veteran Affairs Dental Insurance 
Reauthorization Act of 2016 (Pub. L. 114-218) requires VA to establish 
and administer a dental insurance plan for Veterans enrolled in VA 
health care and survivors and dependents of Veterans eligible for VA's 
Civilian Health and Medical Program (CHAMPVA). Public Law 114-218 
requires VA to contract with a private insurer (using the Federal 
contracting process) to offer dental insurance, and the private insurer 
will be responsible for virtually all aspects of the administration of 
the dental insurance program. VA's role will primarily be to form the 
contract with the private insurer and verify eligibility of veterans 
and certain survivors and dependents. Enrolled veterans and certain 
survivors and dependents of veterans will be required to complete an 
application to be enrolled in this dental insurance program, and will 
be required to submit certain documentation/information for certain 
types of disenrollment requests and for appeals of claims decisions. VA 
will not prescribe the form these collections are to take, but is 
prescribing regulations that nonetheless require these collections. 
These collections are required to fulfill VA's obligations under Public 
Law 114-218.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 38,350.
    Estimated Average Burden per Respondent: 76 minutes
    Frequency of Response: Annually.
    Estimated Annual Responses: 283,500.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-00208 Filed 1-9-17; 8:45 am]
 BILLING CODE 8320-01-P

Federal Register / Vol. 82, No. 6 / Tuesday, January 10, 2017 / Notices 3075

briefings from Veterans Benefits Dated: January 5, 2017. SUPPLEMENTARY INFORMATION:
Administration (VBA) and Veterans LaTonya L. Small, Titles: VA Dental Insurance Plan
Health Administration (VHA) officials. Federal Advisory Committee Management (VADIP) Fact Sheet.
On Wednesday, February 1, 2017, the Officer. OMB Control Number: 2900–0789.
Committee will conduct an open session [FR Doc. 2017–00235 Filed 1–9–17; 8:45 am] Type of Review: Extension of a
from 9:00 a.m. to 11:00 a.m. From 11:00 BILLING CODE P currently approved collection.
a.m. to 12:00 p.m., the Committee will Abstract: Department of Veteran
convene a closed session for discussion Affairs Dental Insurance
of committee issues. At 12:00 p.m., the DEPARTMENT OF VETERANS Reauthorization Act of 2016 (Pub. L.
committee meeting will be formally AFFAIRS 114–218) requires VA to establish and
adjourned. [OMB Control No. 2900–0789] administer a dental insurance plan for
Veterans enrolled in VA health care and
Public participation will commence Agency Information Collection survivors and dependents of Veterans
as follows: Activity: (Application Requirements To eligible for VA’s Civilian Health and
Receive VA Dental Insurance Plan Medical Program (CHAMPVA). Public
Open Law 114–218 requires VA to contract
Date Time session Benefits under 38 CFR 17.169)
with a private insurer (using the Federal
AGENCY: Veterans Health contracting process) to offer dental
January 30, 9:00 a.m.–2:30 Yes. Administration, Department of Veterans
2017. p.m. insurance, and the private insurer will
Affairs.
2:30 p.m.–4:00 No*. be responsible for virtually all aspects of
ACTION: Notice. the administration of the dental
p.m.
January 31, 9:00 a.m.–4:30 Yes. SUMMARY: In compliance with the insurance program. VA’s role will
2017. p.m. Paperwork Reduction Act (PRA) of 1995 primarily be to form the contract with
February 1, 9:00 a.m.– Yes. (44 U.S.C. 3501–3521), this notice the private insurer and verify eligibility
2017. 11:00 a.m. of veterans and certain survivors and
announces that the Veterans Health
No. dependents. Enrolled veterans and
Administration (VHA), Department of
* Public access will be restricted to protect Veterans Affairs, will submit the certain survivors and dependents of
patient privacy. collection of information abstracted veterans will be required to complete an
below to the Office of Management and application to be enrolled in this dental
FPOWs who wish to speak at the Budget (OMB) for review and comment. insurance program, and will be required
public forum are invited to submit a 1– The PRA submission describes the to submit certain documentation/
2 page commentary for inclusion in nature of the information collection and information for certain types of
official meeting records. Members of the its expected cost and burden; it includes disenrollment requests and for appeals
public may also submit a 1–2 page the actual data collection instrument. of claims decisions. VA will not
commentary for the Committee’s review. DATES: Comments must be submitted on prescribe the form these collections are
Any member of the public wishing to or before February 9, 2017. to take, but is prescribing regulations
attend the meeting or seeking additional ADDRESSES: Submit written comments
that nonetheless require these
information should contact Ms. Leslie on the collection of information through collections. These collections are
N. Williams, Designated Federal Officer, www.Regulations.gov, or to Office of required to fulfill VA’s obligations
Advisory Committee on Former Information and Regulatory Affairs, under Public Law 114–218.
Prisoners of War. Ms. Williams contact Office of Management and Budget, Attn: Affected Public: Individuals or
information is Leslie.Williams@va.gov or VA Desk Officer; 725 17th St. NW., households.
via phone at (202) 530–9219. Washington, DC 20503 or sent through Estimated Annual Burden: 38,350.
electronic mail to oira_submission@ Estimated Average Burden per
Because the meeting is being held in Respondent: 76 minutes
a government building, a photo I.D. omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0789’’ in any Frequency of Response: Annually.
must be presented at the security desk Estimated Annual Responses:
correspondence.
as a part of the clearance process. Due 283,500.
to an increase in security protocols, and FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor, Enterprise By direction of the Secretary.
in order to prevent delays in clearance
Records Service (005R1B), Department Cynthia Harvey-Pryor,
processing, you should allow an
additional 15 minutes before the of Veterans Affairs, 810 Vermont Program Specialist, Office of Privacy and
Avenue NW., Washington, DC 20420, Records Management, Department of
meeting begins. Veterans Affairs.
(202) 461–5870 or email cynthia.harvey-
pryor@va.gov. Please refer to ‘‘OMB [FR Doc. 2017–00208 Filed 1–9–17; 8:45 am]
Control No. 2900–0789.’’ BILLING CODE 8320–01–P
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Document Created: 2018-02-01 14:54:14
Document Modified: 2018-02-01 14:54:14

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		Comments must be submitted on or before February 9, 2017.
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- 0789.''
FR Citation		82 FR 3075