OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation

ICR 200702-2900-001 · OMB 2900-0578 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 10-7959E Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation Form Modified Available
2900-0578 justification.doc Supporting Statement A Uploaded 0000-00-00 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28791 Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation Form Modified
ICR Details
2900-0578 200702-2900-001
Historical Active 200403-2900-003
VA 2900-0578
Health Care for Certain Children of Vietnam Veterans - Spina Bifida and Covered Birth Defects - Regulation
Extension without change of a currently approved collection   No
Regular
Approved without change 05/18/2007
Retrieve Notice of Action (NOA) 03/01/2007
  Inventory as of this Action Requested Previously Approved
05/31/2010 36 Months From Approved 05/31/2007
31,400 0 31,400
3,400 0 3,400
0 0 0
The collection enables VA to pay providers to provide health care to certain children of Korean and Vietnam veterans and women Vietnam veterans’ children born with spina bifida and certain other covered birth defects. This information allows VA to determine whether to approve requests for preauthorization of these benefits, to determine the appropriateness of billings for health care services, and to make decisions during the review and appeal process concerning the health of these individuals.
PL: Pub.L. 106 - 419 401 Name of Law: Benefits For The Children of Women Vietnam Veterans Who Suffer From Certain Birth Defects
   PL: Pub.L. 108 - 183 102 Name of Law: Benefits for child with spina bifida of veterans of certain service in Korea
  
None
Not associated with rulemaking
  71 FR 211 02/01/2007
72 FR 35 02/22/2007
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 31,400 31,400 0 0 0 0
Annual Time Burden (Hours) 3,400 3,400 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$60,060
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/01/2007