[Federal Register Volume 75, Number 81 (Wednesday, April 28, 2010)]
[Notices]
[Page 22438]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-9807]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-New (10-0505)]
Proposed Information Collection (Health Resource Center Medical
Center Payment Form) Activity: Comment Request
AGENCY: Veterans Health Administration, Department of Veterans Affairs.
ACTION: Notice.
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SUMMARY: 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.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before June 28, 2010.
ADDRESSES: 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: [email protected]. Please refer to
``OMB Control No. 2900--New (10-0505)'' in any correspondence. During
the comment period, comments may be viewed online through FDMS.
FOR FURTHER INFORMATION CONTACT: Mary Stout (202) 461-5867 or FAX (202)
273-9381.
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.
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.
Dated: April 23, 2010.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-9807 Filed 4-27-10; 8:45 am]
BILLING CODE 8320-01-P