[Federal Register Volume 87, Number 130 (Friday, July 8, 2022)]
[Notices]
[Page 40884]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-14540]



[[Page 40884]]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0822]


Agency Information Collection Activity Under OMB Review: Camp 
Lejeune Family Member Program--Reimbursement of Certain Medical 
Expenses

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, 
this notice announces that the Veterans Health Administration, 
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 it 
includes the actual data collection instrument.

DATES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Refer to 
``OMB Control No. 2900-0822.''

FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise 
and Integration, Data Governance Analytics (008), 1717 H Street NW, 
Washington, DC 20006, (202) 266-4688 or email [email protected]. 
Please refer to ``OMB Control No. 2900-0822'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 44 U.S.C. 3501-3521.
    Title: Camp Lejeune Family Member Program--Reimbursement of Certain 
Medical Expenses, VA Forms 10-10068, 10-10068a, 10-10068b, 10-10068c.
    OMB Control Number: 2900-0822.
    Type of Review: Reinstatement of a previously approved collection.
    Abstract: Under 38 U.S.C. 1787, VA is required to furnish hospital 
care and medical services to the family members of certain veterans who 
were stationed at Camp Lejeune between 1953 and 1987 and have specified 
medical conditions. In order to furnish such care, VA must collect 
necessary information from the family members to ensure that they meet 
the requirements of the law. The specific hospital care and medical 
services that VA must provide are for a number of illnesses and 
conditions connected to exposure to contaminated drinking water while 
at Camp Lejeune. The forms in this collection will be used to determine 
eligibility and reimbursement for this medical care.
    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 at 87 FR 53 on March 18, 2022, pages 15492 
and 15493.
    Total Estimated Annual Burden: 5,838 hours.
    Total Estimated Annual Number of Responses: 21,720.

VA Form 10-10068: Application Form

    Affected Public: Individuals or households.
    Estimated Annual Burden: 815 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 1,629.

VA Form 10-10068a: Claim Form

    Affected Public: Individuals or households.
    Estimated Annual Burden: 4,480 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: 11 times per year.
    Estimated Number of Respondents: 1,629.

VA Form 10-10068b: Treating Physician Form

    Affected Public: Individuals or households.
    Estimated Annual Burden: 407 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 1,629.

VA Form 10-10068c: Information Update Form

    Affected Public: Individuals or households.
    Estimated Annual Burden: 136 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: Once annually.
    Estimated Number of Respondents: 543.

    By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data 
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2022-14540 Filed 7-7-22; 8:45 am]
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