[Federal Register Volume 78, Number 168 (Thursday, August 29, 2013)]
[Notices]
[Page 53507]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-21086]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Agency Information Collection (Beneficiary Travel Mileage 
Reimbursement Application Form) Activity Under OMB Review

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. 3501-3521), this notice announces that the Veterans Health 
Administration (VHA), Department of Veterans Affairs, will submit the 
collection of information abstracted below to the Office of Management 
and Budget (OMB) for review and comment. The PRA submission describes 
the nature of the information collection and its expected cost and 
burden and includes the actual data collection instrument.

DATES: Comments must be submitted on or before September 30, 2013.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov, or to Office of Information and Regulatory 
Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 
17th St. NW., Washington, DC 20503 or sent through electronic mail to 
[email protected]. Please refer to ``OMB Control No. 2900-
NEW (Beneficiary Travel Mileage Reimbursement Application Form)'' in 
any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW, Washington, DC 20420, (202) 632-7492 or email 
[email protected]. Please refer to ``OMB Control No. 2900-NEW 
(Beneficiary Travel Mileage Reimbursement Application Form).''

SUPPLEMENTARY INFORMATION: 
    Title: Beneficiary Travel Mileage Reimbursement Application Form, 
VA Form 10-3542.
    OMB Control Number: 2900-NEW.
    Type of Review: New collection.
    Abstract: The purpose of the information collection is for 
beneficiaries to apply for the beneficiary travel mileage reimbursement 
benefit in an efficient, convenient and accurate manner. VHA must 
determine the identity of the claimant, the dates and length of the 
trip being claimed based on addresses of starting and ending points, 
and whether expenses other than mileage are being claimed. The form is 
used only when the claimant chooses not to apply verbally and is 
provided for their convenience. This collection of information is 
necessary to enable the VHA to provide this benefit and appropriately 
ensure that funds are being paid to the correct claimant.
    An agency may not conduct or sponsor, and a person is not required 
to respond to a collection of information unless it displays a 
currently valid OMB control number. The Federal Register Notice with a 
60-day comment period soliciting comments on this collection of 
information was published on June 14, 2013, at page 36035.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden: 580,000.
    Estimated Average Burden per Respondent: 3 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 11,600,000.

    Dated: August 26, 2013.
    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2013-21086 Filed 8-28-13; 8:45 am]
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