83 FR 18879 - Agency Information Collection Activity Under OMB Review: Application for Extended Care Services

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 83, Issue 83 (April 30, 2018)

In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Health Administration, 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 it includes the actual data collection instrument.

[Federal Register Volume 83, Number 83 (Monday, April 30, 2018)]
[Notices]
[Page 18879]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-09052]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0629]


Agency Information Collection Activity Under OMB Review: 
Application for Extended Care Services

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, 
this notice announces that the Veterans Health Administration, 
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 it 
includes the actual data collection instrument.

DATES: Comments must be submitted on or before May 30, 2018.

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-
0629'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Office of 
Quality, Privacy and Risk (OQPR), 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-
0629'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 38 U.S.C. 1705, 1710B, 1722A, 1729.
    Title: Application for Extended Care Services.
    OMB Control Number: 2900-0629.
    Type of Review: Renewal of a currently approved collection.
    Abstract: Title 38 U.S.C. Chapter 17 authorizes VA to provide 
hospital care, medical services, domiciliary care and nursing home care 
to eligible Veterans. Title 38 U.S.C. 1705 requires VA to design, 
establish and operate a system of annual patient enrollment in 
accordance with a series of stipulated priorities. A consequence of 
this is that many groups of Veterans who are in a lower priority group 
(WWI Veterans, Veterans with disabilities rated as 0% service-connected 
seeking treatment for other than their service-connected conditions, 
Veterans exposed to a toxic substance, radiation, or environmental 
hazard and nonservice-connected Veterans) may request that they be 
allowed to be income tested in order to gain a higher priority. Title 
38 U.S.C. 1722 establishes eligibility assessment procedures for cost-
free VA medical care, based on income levels, which will determine 
whether nonservice-connected and 0% service-connected non-compensable 
Veterans are able to defray the necessary expenses of care for 
nonservice-connected conditions. Title 38 U.S.C. 1722A establishes the 
eligibility assessment procedures, based on income levels, for 
determining Veterans' eligibility for cost-free medications and Title 
38 U.S.C. 1710B defines the procedures for establishing eligibility for 
cost-free Extended Care benefits. Title 38 U.S.C. 1729 authorizes VA to 
recover from Veterans' health insurance carriers the cost of care 
furnished for their nonservice-connected conditions.
    VA Form 10-10EC, Application for Extended Care Services, is used to 
collect financial information necessary to determine a Veteran's 
copayment obligation for extended care services, also known as long 
term care (LTC).
    An agency may not conduct or sponsor, and a person is not required 
to respond to a collection of information unless it displays a 
currently valid OMB control number. The Federal Register Notice with a 
60-day comment period soliciting comments on this collection of 
information was published at 82 FR 55490 on November 21, 2017, pages 
55490-55491.
    Affected Public: Individuals and households.
    Estimated Annual Burden: 3,000 hours.
    Estimated Average Burden per Respondent: 90 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 2,000.

    By direction of the Secretary.
Cynthia D. Harvey-Pryor,
Department Clearance Officer, Office of Quality, Privacy and Risk, 
Department of Veterans Affairs.
[FR Doc. 2018-09052 Filed 4-27-18; 8:45 am]
 BILLING CODE 8320-01-P