[Federal Register Volume 81, Number 170 (Thursday, September 1, 2016)]
[Notices]
[Pages 60415-60416]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-21032]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0161]


Agency Information Collection (Medical Expense Report, VA Form 
21P-8416) Activity Under OMB Review

AGENCY: Veterans Benefits 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 Benefits 
Administration (VBA), 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; it includes the actual data collection instrument.

[[Page 60416]]


DATES: Comments must be submitted on or before October 3, 2016.

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-
0161'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 461-5870 or email 
[email protected]. Please refer to ``OMB Control No. 2900-
0161.''

SUPPLEMENTARY INFORMATION:
    Title: Medical Expense Report.
    OMB Control Number: 2900-0161.
    Type of Review: Revision of a Currently Approved Collection.
    Abstract: The Department of Veterans Affairs (VA), through its 
Veterans Benefits Administration (VBA), administers an integrated 
program of benefits and services established by law for veterans, 
service personnel, and their dependents and/or beneficiaries. 
Information is requested on VA Form 21P-8416 under the authority of 38 
U.S.C. 1503(a)(8) regarding exceptions to countable income for needs-
based benefits, specifically an amount equal to amounts paid by a 
claimant or beneficiary for unreimbursed medical expenses.
    VA Form 21P-8416 is used by claimants and beneficiaries to report 
unreimbursed medical expenses for the purpose of reducing their 
countable income associated with needs-based benefit programs such as 
VA Pension and Parents' Dependency and Indemnity Compensation (DIC). 
Unreimbursed medical expenses are deducted from otherwise countable 
income to determine eligibility for income-based benefits and the rate 
payable.
    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 period soliciting comments on this collection of information was 
published at 81 FR 32387 on May 23, 2016.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 48,200 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 96,400 respondents.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy & Records Management, Department 
of Veterans Affairs.
[FR Doc. 2016-21032 Filed 8-31-16; 8:45 am]
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