[Federal Register Volume 72, Number 15 (Wednesday, January 24, 2007)]
[Notices]
[Page 3196]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-964]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0091]


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, without change, of a currently approved 
collection, and allow 60 days for public comment in response to the 
notice. This notice solicits comments on the information needed to 
enroll veterans into the VA health care system and to update an 
existing enrollee's personal data.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before March 26, 2007.

ADDRESSES: Submit written comments on the collection of information 
through 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. 2900-0091'' in any correspondence. During 
the comment period, comments may be viewed online through the Federal 
Docket Management System (FDMS) at www.Regulations.gov.

FOR FURTHER INFORMATION CONTACT: Mary Stout at (202) 273-8664.

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) way 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. Application for Health Benefits, VA Form 10-10EZ.
    b. Health Benefits Renewal Form, VA Form 10-10EZR.
    OMB Control Number: 2900-0091.
    Type of Review: Extension, without change, of a currently approved 
collection.
    Abstract:
    a. Veterans complete VA Form 10-10EZ to enroll in VA health care 
system. VA will use the information collected to determine the 
veteran's eligibility for medical benefits.
    b. Veterans currently enrolled in VA health care system complete VA 
Form 10-10EZR to update their personal information such as martial 
status, address, health insurance and financial information.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,008,180 hours.
    a. VA Form 10-10EZ--527,580 hours.
    b. VA Form 10-10EZR--480,600.
    Estimated Average Burden Per Respondent:
    a. VA Form 10-10EZ--45 minutes.
    b. VA Form 10-10EZR--24 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 1,904,940.
    a. VA Form 10-10EZ--703,440.
    b. VA Form 10-10EZR--1,201,500.

    Dated: January 12, 2007.

    By direction of the Secretary.

Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E7-964 Filed 1-23-07; 8:45 am]
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