[Federal Register Volume 68, Number 44 (Thursday, March 6, 2003)]
[Notices]
[Page 10779]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-5195]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New, USAA/Hartford]


Agency Information Collection: Emergency Submission for OMB 
Review; Comment Request

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 et seq.), this notice announces that the United States 
Department of Veterans Affairs (VA), has submitted to the Office of 
Management and Budget (OMB) the following emergency proposal for the 
collection of information under the provisions of the Paperwork 
Reduction Act (44 U.S.C. 3507(j)(1)). An emergency clearance is being 
requested pursuant to a Settlement Agreement resolving litigation 
between VA and United Services Automobile Association (USAA) and 
Hartford Life Insurance to reimburse veterans insured by either carrier 
during the period from January 1, 1995 through December 31, 2001 who 
paid copayments to VA during that period for their VA care. OMB has 
been requested to act on this emergency clearance request by March 10, 
2003.

DATE: Comments must be submitted on or before March 13, 2003.

FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise 
McLamb, Records Management Service (005E3), Department of Veterans 
Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-8030, 
FAX (202) 273-5981 or e-mail: [email protected]. Please refer 
to ``OMB Control No. 2900-New, USAA/Hartford.''
    Send comments and recommendations concerning any aspect of the 
information collection to VA's OMB Desk Officer, OMB Human Resources 
and Housing Branch, New Executive Office Building, Room 10235, 
Washington, DC 20503 (202) 395-7316 or FAX (202) 395-6974. Please refer 
to ``2900-New, USAA/Hartford.''

SUPPLEMENTARY INFORMATION: 
    Title: VA Copayment Refund--USAA/Hartford Claim Form, VA Form 10-
0406.
    OMB Control Number: 2900-New, USAA/Hartford.
    Type of Review: New collection.
    Abstract: As a result of a Settlement Agreement between VA, USAA 
and Hartford, VA will reimburse veterans insured by either carrier for 
co-payments they paid to VA for their medical care from January 1, 1995 
through December 31, 2001. Such insured veterans will have a one year 
time period from the initial notification date on a first-come-first-
served basis, to file claim with VA for refund of their co-payments. VA 
Form 10-0406 will be used to collect the information and to determine 
the validity of such claims. If the information is not collected, VA 
will not be able to reimburse those insured veterans.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden: 12,000 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 24,000.

    Dated: February 26, 2003.

    By direction of the Secretary.
Martin L. Hill,
Acting Director, Records Management Service.
[FR Doc. 03-5195 Filed 3-5-03; 8:45 am]
BILLING CODE 8320-01-P