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Federal Register / Vol. 81, No. 103 / Friday, May 27, 2016 / Notices

Estimated Total Annual Burden
Hours: 1.
Brenda Simms,
Treasury PRA Clearance Officer.
[FR Doc. 2016–12626 Filed 5–26–16; 8:45 am]
BILLING CODE 4810–31–P

DEPARTMENT OF THE TREASURY
Proposed Collections; Comment
Requests
Departmental Offices;
Department of the Treasury.
ACTION: Notice and request for
comments.
AGENCY:

The Department of the
Treasury, as part of its continuing effort
to reduce paperwork burdens, invites
the general public and other Federal
agencies to comment on revisions of an
information collection that are proposed
for approval by the Office of
Management and Budget. The Office of
International Affairs within the
Department of the Treasury is soliciting
comments concerning Treasury
International Capital Forms CQ–1 and
CQ–2, ‘‘Financial and Commercial
Liabilities to, and Claims on,
Unaffiliated Foreign Residents.’’
DATES: Written comments should be
received on or before July 26, 2016 to be
assured of consideration.
ADDRESSES: Direct all written comments
to Dwight Wolkow, International
Portfolio Investment Data Systems,
Department of the Treasury, Room 5422,
1500 Pennsylvania Avenue NW.,
Washington, DC 20220. In view of
possible delays in mail delivery, please
also notify Mr. Wolkow by email
(comments2TIC@treasury.gov), fax
(202–622–2009) or telephone (202–622–
1276).
FOR FURTHER INFORMATION CONTACT:
Copies of the proposed forms and
instructions are available on the
Treasury’s TIC Web page for forms,
http://www.treasury.gov/resourcecenter/data-chart-center/tic/Pages/
forms.aspx. Requests for additional
information should be directed to Mr.
Wolkow.
SUPPLEMENTARY INFORMATION:
Title: Treasury International Capital
Form CQ–1, ‘‘Financial Liabilities to,
and Claims on, Unaffiliated Foreign
Residents;’’ and Treasury International
Capital Form CQ–2, ‘‘Commercial
Liabilities to, and Claims on,
Unaffiliated Foreign Residents.’’
OMB Number: 1505–0024.
Abstract: Forms CQ–1 and CQ–2 are
part of the Treasury International
Capital (TIC) reporting system, which is

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SUMMARY:

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required by law (22 U.S.C. 286f; 22
U.S.C. 3103; E.O. 10033; 31 CFR part
128), and is designed to collect timely
information on international portfolio
capital movements. Forms CQ–1 and
CQ–2 are quarterly reports filed by nonfinancial enterprises in the U.S. to
report their international portfolio
transactions with unaffiliated foreign
residents. This information is necessary
for compiling the U.S. balance of
payments accounts and the U.S.
international investment position, and
for use in formulating U.S. international
financial and monetary policies.
Current Actions: No changes are
proposed at this time.
Type of Review: Extension of a
currently approved data collection.
Affected Public: Business or other forprofit organizations.
Forms: CQ–1 and CQ–2 (1505–0024).
Estimated Number of Respondents:
148.
Estimated Average Time per
Respondent: Six and nine-tenths (6.9)
hours per respondent per filing. This
average time varies from 13 hours for
the approximately 12 major data
reporters to 6.5 hours for the other
reporters.
Estimated Total Annual Burden
Hours: 4,085 hours, based on 4 reporting
periods per year.
Request For Comments: Comments
submitted in response to this notice will
be summarized and/or included in the
request for Office of Management and
Budget approval. All comments will
become a matter of public record. The
public is invited to submit written
comments concerning: (a) Whether
Forms CQ–1 and CQ–2 are necessary for
the proper performance of the functions
of the Office, including whether the
information will have practical uses; (b)
the accuracy of the above estimate of the
burdens; (c) ways to enhance the
quality, usefulness and clarity of the
information to be collected; (d) ways to
minimize the reporting and/or record
keeping burdens on respondents,
including the use of information
technologies to automate the collection
of the data; and (e) estimates of capital
or start-up costs of operation,
maintenance and purchase of services to
provide information.
Dwight Wolkow,
Administrator, International Portfolio
Investment Data Systems.
[FR Doc. 2016–12273 Filed 5–26–16; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0823]

Proposed Information Collection
Activity; Comment Request (Expanded
Access to Non-VA Care Through the
Veterans Choice Program)
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

The Veterans Health
Administration (VHA), Department of
Veterans Affairs (VA), is announcing an
opportunity for public comment on the
proposed collection of certain
information by the agency. Under the
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 extension
collection, and allow 60 days for public
comment in response to the notice. This
notice solicits comments on the
information needed for Veterans,
Veteran Representatives and health care
providers to request reimbursement
from the federal government for
emergency services at a private
institution.

SUMMARY:

Written comments and
recommendations on the proposed
collection of information should be
received on or before July 26, 2016.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov; or
Brian McCarthy, Office of Regulatory
and Administrative Affairs, Veterans
Health Administration (10B4),
Department of Veterans Affairs, 810
Vermont Avenue NW., Washington, DC
20420 or email: Brian.McCarthy4@
va.gov. Please refer to ‘‘OMB Control
No. 2900–0823’’ in any correspondence.
During the comment period, comments
may be viewed online through the
FDMS.
DATES:

FOR FURTHER INFORMATION CONTACT:

Brian McCarthy at (202) 461–6345.
Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–3521), 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

SUPPLEMENTARY INFORMATION:

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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.
Titles: Election to Receive Authorized
Non-VA Care and Selection of Provider
for the Veterans Choice Program (VA
Form 10–10143).
OMB Control Number: 2900–0823.
Type of Review: Extension.
Abstract: Section 17.1515 requires
eligible veterans to notify VA whether
the veteran elects to receive authorized
non-VA care through the Veterans
Choice Program, be placed on an
electronic waiting list, or be scheduled
for an appointment with a VA health
care provider. Section 17.1515(b)(1) also
allows eligible veterans to specify a
particular non-VA entity or health care
provider, if that entity or provider meets
certain requirements.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 928,606
burden hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: 12.64 times
per year.
Estimated Number of Respondents:
440,794 respondents.
Titles: Health-Care Plan Information
for the Veterans Choice Program (VA
Form 10–10143a).
OMB Control Number: 2900–0823.
Type of Review: Extension.
Abstract: Section 17.1510(d) requires
eligible veterans to submit to VA

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information about their health-care plan
to participate in the Veterans Choice
Program.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 88,159
burden hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: 1.2 times per
year.
Estimated Number of Respondents:
440,794 respondents.
Titles: Submission of Medical Record
Information Under the Veterans Choice
Program (VA Form 10–10143b).
OMB Control Number: 2900–0823.
Type of Review: Extension.
Abstract: Participating eligible entities
and providers are required to submit a
copy of any medical record related to
hospital care or medical services
furnished under this Program to an
eligible veteran.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 464,428
burden hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: 29.80 times
per year.
Estimated Number of Respondents:
187,000 respondents.
Titles: Submission of Information on
Credentials and Licenses by Eligible
Entities or Providers (VA Form 10–
10143c).
OMB Control Number: 2900–0823.
Type of Review: Extension.
Abstract: Section 17.1530 requires
eligible entities and providers to submit
verification that the entity or provider
maintains at least the same or similar
credentials and licenses as those
required of VA’s health care providers,
as determined by the Secretary.
Affected Public: Individuals or
Households.

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Estimated Annual Burden: 15,583
burden hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Once
annually.
Estimated Number of Respondents:
187,000 respondents.
Titles: Secondary Authorization
Request for VA Community Care (VA
Form 10–10143e).
OMB Control Number: 2900–0823.
Type of Review: New.
Abstract: VA Form 10–10143e would
require non-VA health care providers to
submit requests for additional services
supporting the original authorized plan
of care to the agency. A copy of all
medical and dental records (including
but not limited to images, test results,
and notes or other records of what care
was provided and why) related to a
Veteran’s care provided under this
Program must be submitted to VA for
entry into the veteran’s electronic
medical record. Providers will be
required to submit records produced as
a result of care authorized after the
beginning of the Program.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 289,826
burden hours.
Estimated Average Burden per
Respondent: 20 minutes.
Frequency of Response: 4.56 times per
year.
Estimated Number of Respondents:
190,675 respondents.
By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office
of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2016–12574 Filed 5–26–16; 8:45 am]
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