View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0823	ICR Reference No: 201604-2900-018
Status: Historical Active	Previous ICR Reference No: 201502-2900-004
Agency/Subagency: VA	Agency Tracking No: 2900-0823
Title: Expanded Acess to Non-VA Care Through the Veterans Choice Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/27/2017
	Date Received in OIRA: 01/22/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2020	36 Months From Approved	09/30/2018
Responses	12,729,667	0	11,860,189
Time Burden (Hours)	1,786,557	0	1,496,731
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	12,729,667	11,860,189	869,478
Annual Time Burden (Hours)	1,786,557	1,496,731	289,826
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: VA Form 10-10434e is now required to provide a communication tool for secondary authorization requests from VA Community providers directly to VA staff. This need presented with the implementation of VA Provider Agreement and Alaska Scheduling implementation, both of which now necessitate communication directly between community provider and VA staff. This form was not included in the original information collection as there was not a need for it at that time. Because of this additional form, there has been a burden increase.

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