[Federal Register Volume 79, Number 10 (Wednesday, January 15, 2014)]
[Notices]
[Pages 2754-2755]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-00616]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0161]


Proposed Information Collection (Medical Expense Report); Comment 
Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs (VA), 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 report medical expenses paid in connection 
with claims for pension and other income-based benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before March 17, 2014.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue

[[Page 2755]]

NW., Washington, DC 20420 or email to [email protected]. Please 
refer to ``OMB Control No. 2900-0161'' in any correspondence. During 
the comment period, comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or FAX (202) 632-8925.

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, VBA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VBA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VBA'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: Medical Expense Report, VA Form 21-8416.
    OMB Control Number: 2900-0161.
    Type of Review: Extension without change of a currently approved 
collection.
    Abstract: VA Form 21-8416 is completed by claimants in receipt of 
or claiming income-based benefits to report medical expenses paid. 
Unreimbursed medical expenses may be excluded as countable income in 
determining a claimant's entitlement to income-based benefits and the 
rate payable.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 96,400 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: On ocassion.
    Estimated Number of Respondents: 48,200.

    Dated: January 10, 2014.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-00616 Filed 1-14-14; 8:45 am]
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