[Federal Register Volume 82, Number 6 (Tuesday, January 10, 2017)]
[Notices]
[Page 3075]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-00208]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0789]


Agency Information Collection Activity: (Application Requirements 
To Receive VA Dental Insurance Plan Benefits under 38 CFR 17.169)

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; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before February 9, 2017.

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-
0789'' 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-
0789.''

SUPPLEMENTARY INFORMATION: 
    Titles: VA Dental Insurance Plan (VADIP) Fact Sheet.
    OMB Control Number: 2900-0789.
    Type of Review: Extension of a currently approved collection.
    Abstract: Department of Veteran Affairs Dental Insurance 
Reauthorization Act of 2016 (Pub. L. 114-218) requires VA to establish 
and administer a dental insurance plan for Veterans enrolled in VA 
health care and survivors and dependents of Veterans eligible for VA's 
Civilian Health and Medical Program (CHAMPVA). Public Law 114-218 
requires VA to contract with a private insurer (using the Federal 
contracting process) to offer dental insurance, and the private insurer 
will be responsible for virtually all aspects of the administration of 
the dental insurance program. VA's role will primarily be to form the 
contract with the private insurer and verify eligibility of veterans 
and certain survivors and dependents. Enrolled veterans and certain 
survivors and dependents of veterans will be required to complete an 
application to be enrolled in this dental insurance program, and will 
be required to submit certain documentation/information for certain 
types of disenrollment requests and for appeals of claims decisions. VA 
will not prescribe the form these collections are to take, but is 
prescribing regulations that nonetheless require these collections. 
These collections are required to fulfill VA's obligations under Public 
Law 114-218.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 38,350.
    Estimated Average Burden per Respondent: 76 minutes
    Frequency of Response: Annually.
    Estimated Annual Responses: 283,500.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-00208 Filed 1-9-17; 8:45 am]
 BILLING CODE 8320-01-P