[Federal Register Volume 82, Number 223 (Tuesday, November 21, 2017)]
[Notices]
[Pages 55490-55491]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-25176]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0629]


Agency Information Collection Activity: Application for Extended 
Care Services

AGENCY: Veterans Health Administration, Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: Veterans Health Administration, Department of Veterans Affairs 
(VA), is announcing an opportunity for public comment on the proposed 
collection of certain information by the agency. Under the

[[Page 55491]]

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 renewal of a 
currently approved collection, and allow 60 days for public comment in 
response to the notice.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before January 22, 2018.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Brian McCarthy, Office of Regulatory and Administrative Affairs 
(10B4), Department of Veterans Affairs, 810 Vermont Avenue NW., 
Washington, DC 20420 or email to [email protected]. Please refer 
to ``OMB Control No. 2900-0629'' in any correspondence. During the 
comment period, comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Brian McCarthy at (202) 461-6345.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995, 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) 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.
    Authority: 38 U.S.C. 1705, 1710B, 1722A, 1729.
    Title: Application for Extended Care Services.
    OMB Control Number: 2900-0629.
    Type of Review: Renewal of a currently approved collection.
    Abstract: Title 38 U.S.C. Chapter 17 authorizes VA to provide 
hospital care, medical services, domiciliary care and nursing home care 
to eligible Veterans. Title 38 U.S.C. 1705 requires VA to design, 
establish and operate a system of annual patient enrollment in 
accordance with a series of stipulated priorities. A consequence of 
this is that many groups of Veterans who are in a lower priority group 
(WWI Veterans, Veterans with disabilities rated as 0% service-connected 
seeking treatment for other than their service-connected conditions, 
Veterans exposed to a toxic substance, radiation, or environmental 
hazard and nonservice-connected Veterans) may request that they be 
allowed to be income tested in order to gain a higher priority. Title 
38 U.S.C. 1722 establishes eligibility assessment procedures for cost-
free VA medical care, based on income levels, which will determine 
whether nonservice-connected and 0% service-connected non-compensable 
Veterans are able to defray the necessary expenses of care for 
nonservice-connected conditions. Title 38 U.S.C. 1722A establishes the 
eligibility assessment procedures, based on income levels, for 
determining Veterans' eligibility for cost-free medications and Title 
38 U.S.C. 1710B defines the procedures for establishing eligibility for 
cost-free Extended Care benefits. Title 38 U.S.C. 1729 authorizes VA to 
recover from Veterans' health insurance carriers the cost of care 
furnished for their nonservice-connected conditions. VA Form 10-10EC, 
Application for Extended Care Services, is used to collect financial 
information necessary to determine a Veteran's copayment obligation for 
extended care services, also known as long term care (LTC).
    Affected Public: Individuals and households.
    Estimated Annual Burden: 3,000 hours.
    Estimated Average Burden per Respondent: 90 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 2,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Quality, Privacy and Risk, 
Department of Veterans Affairs.
[FR Doc. 2017-25176 Filed 11-20-17; 8:45 am]
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