[Federal Register Volume 68, Number 64 (Thursday, April 3, 2003)]
[Notices]
[Page 16349]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-8157]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0642]


Proposed Information Collection Activity: Proposed Collection; 
Comment Request

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

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 reimburse veterans insured 
by United Services Automobile Association (USAA) and Hartford Life 
Insurance for co-payments paid to VA for their medical care.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before June 2, 2003.

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 [email protected]. Please refer to ``OMB Control No. 2900-
0642'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Ann Bickoff at (202) 273-8310.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-3520), 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: VA Copayment Refund--USAA/Hartford Claim Form, VA Form 10-
0406.
    OMB Control Number: 2900-0642.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 10-0406 will be used to reimburse veterans 
insured by USAA/Hartford Life Insurance for co-payments they paid to VA 
for 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. The information collected will 
be used to determine the validity of such claims.
    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: March 25, 2003.

    By direction of the Secretary.
Martin L. Hill,
Acting Director, Records Management Service.
[FR Doc. 03-8157 Filed 4-2-03; 8:45 am]
BILLING CODE 8320-01-P