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Federal Register / Vol. 90, No. 102 / Thursday, May 29, 2025 / Notices
OMB Number: 1545–1504.
Form Number: 911.
Abstract: Form 911 is used by
taxpayers to apply for relief from a
significant hardship which may have
already occurred or is about to occur if
the IRS takes or fails to take certain
actions. This form is submitted to the
IRS Taxpayer Advocate Office in the
state or city where the taxpayer resides.
Current Actions: There is no change to
the existing collection.
Type of Review: Extension of a
currently approved collection.
Affected Public: Individuals or
households, business or other for-profit
organizations, not-for-profit institutions,
farms, and state, local or tribal
governments.
Estimated Number of Responses:
93,000.
Estimated Time per Respondent: 30
minutes.
Estimated Total Annual Burden
Hours: 46,500.
Dated: May 22, 2025.
Jason M. Schoonmaker,
Tax Analyst.
[FR Doc. 2025–09675 Filed 5–28–25; 8:45 am]
BILLING CODE 4830–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0822]
Agency Information Collection
Activity: Camp Lejeune Family Member
Program—Reimbursement of Certain
Medical Expenses
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
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 proposed
extension of a currently approved
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SUMMARY:
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collection, and allow 60 days for public
comment in response to the notice.
DATES: Comments must be received on
or before July 28, 2025.
ADDRESSES: Comments must be
submitted through www.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Program-specific information:
Rebecca Mimnall, 202–695–9434,
vhacopra@va.gov.
VA PRA information: Dorothy
Glasgow, 202–461–1084, VAPRA@
va.gov.
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.
Title: Camp Lejeune Family Member
Program—Reimbursement of Certain
Medical Expenses (VA Forms 10–10068,
10–10068a, 10–10068b and 10–10068c).
OMB Control Number: 2900–0822.
https://www.reginfo.gov/public/do/
PRASearch (Once at this link, you can
enter the OMB Control Number to find
the historical versions of this
Information Collection.)
Type of Review: Revision of a
currently approved collection.
Abstract: Pursuant to 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. The specific
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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. 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 forms in this collection are VA
Form 10–10068—Application, VA Form
10–10068a—Claim Form, VA Form 10–
10068b—Treating Physician Report, and
VA Form 10–10068c—Information
Update Form. These forms will be used
to determine eligibility and
reimbursement for the covered medical
care. Some minor changes to the
wording in VA Form 10–10068b have
been made to clarify the information
being collected from the treating
physician. There are no changes to the
estimated numbers of respondents and
burden hours.
Affected Public: Individuals or
Households.
Estimated Annual Burden: Total
hours = 5,838 hours.
10–10068—815 hours.
10–10068a—4,480 hours.
10–10068b—407 hours.
10–10068c—136 hours.
Estimated Average Burden per
Respondent:
10–10068—30 minutes.
10–10068a—15 minutes.
10–10068b—15 minutes.
10–10068c—15 minutes.
Frequency of Response:
10–10068—Once annually.
10–10068a—11 times per year.
10–10068b—Once annually.
10–10068c—Once annually.
Estimated Number of Respondents:
Total Respondents = 21,720.
10–10068—1,629.
10–10068a—17,919.
10–10068b—1,629.
10–10068c—543.
Authority: 44 U.S.C. 3501 et seq.
Lanea Haynes,
Acting, VA PRA Clearance Officer, (Alt.)
Office of Enterprise and Integration/Data
Governance Analytics, Department of
Veterans Affairs.
[FR Doc. 2025–09588 Filed 5–28–25; 8:45 am]
BILLING CODE 8320–01–P
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