[Federal Register: December 10, 2003 (Volume 68, Number 237)]
[Notices]
[Page 68972]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr10de03-140]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0578]
Proposed Information Collection Activity: Proposed Collection;
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 extension of a currently approved collection, and allow
60 days for public comment in response to the notice. This notice
solicits comments on information needed to approve requests for
preauthorization of certain health care services and benefits for
children of Vietnam veterans.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before February 9, 2004.
ADDRESSES: Submit written comments on the collection of information to
Ann Bickoff, Veterans Health Administration (193B1), Department of
Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail ann.bickoff@mail.va.gov. Please refer to ``OMB Control No. 2900-
0578'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Ann Bickoff at (202) 273-8310.
SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Public Law 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
a. Health Care for Certain Children of Vietnam Veterans--Spina
Bifida and Covered Birth Defects--Regulation.
b. Claim for Miscellaneous Expenses, VA Form 10-7959e.
OMB Control Number: 2900-0578.
Type of Review: Extension of a currently approved collection.
Abstract: VA's medical regulations 38 CFR part 17 (17.900 through
17.905) established regulations regarding provision of health care for
women Vietnam veterans' children born with spina bifida and certain
other covered birth defects. The information collected will be used to
determine whether to approve requests for preauthorization of certain
health care services and benefits for children of Vietnam veterans; the
appropriateness of billings for such services; and to make decisions
during the review and appeal process.
Beneficiaries complete VA Form 10-7959e to claim payment/
reimbursement of expenses related to spina bifida and certain covered
birth defects. Health care providers complete standard billing forms
such as: Uniform Billing-Forms (UB) 92, and HCFA 1500, Medicare Health
Insurance Claims Form. Without the requested information VA will be
unable to determine the correct amount to reimburse providers for their
services or beneficiaries for covered expenses.
Affected Public: Individuals or households, business or other for-
profit, and not for profit institutions.
Estimated Total Annual Burden: 3,400 hours.
Estimated Average Burden Per Respondent: 6\1/2\ minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 3,600.
Estimated Total Annual Responses: 31,400.
Dated: November 28, 2003.
By direction of the Secretary:
Jacqueline Parks,
IT Specialist, Records Management Service.
[FR Doc. 03-30574 Filed 12-9-03; 8:45 am]
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