Proposed Collection; Comment Request, 6634 [05-2381]

Download as PDF 6634 Federal Register / Vol. 70, No. 25 / Tuesday, February 8, 2005 / Notices Government in the Sunshine Act and the Corporation’s regulations, that Board business required this discussion without the delay that would be necessary to make a public announcement at least one week before the meeting, in accordance with 45 CFR 2505.6. In accordance with 45 CFR 2505.5(e), the Corporation’s General Counsel has certified that, in his opinion, the meeting to be closed could properly be closed to public observation on the grounds that disclosing the information to be discussed to the public prematurely would significantly frustrate implementation of a proposed agency action, pursuant to 45 CFR 2505.4(h)(i). The Board accepted that determination in voting to close the meeting. As provided in 45 CFR 2505.5(c), the members of the Board voting in favor of closing the meeting were: Stephen Goldsmith; Dorothy Johnson; Donna Williams; Cynthia Burleson; Henry Lozano; Leona White Hat; and William Schambra. The Corporation expects the following Corporation for National and Community staff to attend the closed meeting: David Eisner, Chief Executive Officer; Andrew Klein, Acting Chief Financial Officer; Amy Mack, Chief of Staff; Frank Trinity, General Counsel; Rosie Mauk, Director of AmeriCorps; Kathy Ott, Director of Government Relations; Robert Grimm, Director of Research and Policy Development; Nicola Goren, Associate General Counsel; Susannah Washburn, Senior Advisor to the CEO; Carol Bates, Acting Inspector General; and Vincent Mulloy, Counsel to the Inspector General. In addition, the Corporation expects the following members of the Board of Directors to attend: Stephen Goldsmith (Chair); Dorothy Johnson; Donna Williams; Cynthia Burleson; Carol Kinsley; Henry Lozano; William Schambra; Mimi Mager; Mark Gearan; Jacob Lew; Leona White Hat, as well as Alan Solomont, immediate past Chair of the Board’s rulemaking committee, and Juanita Doty, immediate past chair of the Board’s communications committee. FOR FUTHER INFORMATION CONTACT: For further information, contact Frank Trinity, General Counsel, at (202) 606– 5000 ext. 256. Dated: February 3, 2005. Frank R. Trinity, General Counsel. [FR Doc. 05–2496 Filed 2–4–05; 11:43 am] BILLING CODE 6050–$$–P VerDate jul<14>2003 18:12 Feb 07, 2005 Jkt 205001 DEPARTMENT OF DEFENSE Office of the Secretary Proposed Collection; Comment Request Office of the Assistant Secretary of Defense for Health Affairs. ACTION: Notice. AGENCY: In accordance with section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Office of the Assistant Secretary of Defense for Health Affairs announces the proposed extension of a public information collection and seeks public comment on the provisions thereof. Comments are invited on: (a) Whether the proposed extension of collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the information collection; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the information collection on respondents, including through the use of automated collection techniques or other forms of information technology. DATES: Consideration will be given to all comments received April 11, 2005. ADDRESSES: Written comments and recommendations on the information collection should be sent to TRICARE Management Activity—Aurora, Office of Program Requirement, 16401 E. Centretech Parkway, ATTN: Graham Kolb, Aurora, CO 80011–9043. FOR FURTHER INFORMATION CONTACT: To request more information on this proposed information collection, please write to the above address or call TRICARE Management Activity, Office of Program Requirements at (303) 676– 3580. Title Associated With Form, and OMB Number: Health Insurance Claim Form, UB 92, OMB Number 0720–0013. Needs and Uses: The information collection requirement is necessary for a medical institution to claim benefits under the Defense health Program, TRICARE, which includes the Civilian Health and Medical Program for the Uniform Services (CHAMPUS). The information collected will be used by TRICARE/CHAMPUS to determine beneficiary eligibility, other health insurance liability, certification that the beneficiary received the care, and that the provider is authorized to receive TRICARE/CHAMPUS payments. The form will be used by TRICARE/ CHAMPUS and it’s contractors to PO 00000 Frm 00023 Fmt 4703 Sfmt 4703 determine the amount of benefits to be paid to TRICARE/CHAMPUS institutional providers. Affected Public: Business or other forprofit; not-for-profit institutions. Annual Burden Hours: 525,000. Number of Respondents: 2,100,000 annually. Responses Per Respondent: 1. Average Burden Per Response: 15 minutes. Frequency: On occasion. SUPPLEMENTARY INFORMATION: Summary of Information Collection This collection instrument is for use by medical institutions filing for reimbursement with the Defense Health Program, TRICARE, which includes the Civilian Health and Medical Program of the Uniformed Services (TRICARE/ CHAMPUS). TRICARE/CHAMPUS is a health benefits entitlement program for the dependent of active duty members of the Uniformed Service, and deceased sponsors, retirees and their dependents, dependents of department of transportation (Coast Guard) sponsors, and certain North Atlantic treaty Organization, National Oceanic and Atmospheric Administration, and Public Health Service eligible beneficiaries. Use of the UB–92 (also known as the HCFA 1450) continues TRICARE/CHAMPUS commitments to use the national standard claim form for reimbursement of medical services/ supplies provided by institutional providers. Dated: January 31, 2005. Patricia L. Topplings, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 05–2381 Filed 2–7–05; 8:45 am] BILLING CODE 5001–06–M DEPARTMENT OF DEFENSE Office of the Secretary Proposed Collection; Comment Request DoD, Office of the Assistant Secretary of Defense for Health Affairs. ACTION: Notice. AGENCY: In accordance with section 3506(c)(2)(A) of the Paperwork Reduction act of 1995, the Office of the Assistant Secretary of Defense for Health Affairs announces a proposed public information collection and seeks public comment on the provisions thereof. Comments are invited on: (a) Whether the new collection of information is necessary for the proper performance of the functions of the E:\FR\FM\08FEN1.SGM 08FEN1

Agencies

[Federal Register Volume 70, Number 25 (Tuesday, February 8, 2005)]
[Notices]
[Page 6634]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-2381]


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DEPARTMENT OF DEFENSE

Office of the Secretary


Proposed Collection; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

    In accordance with section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995, the Office of the Assistant Secretary of Defense for 
Health Affairs announces the proposed extension of a public information 
collection and seeks public comment on the provisions thereof. Comments 
are invited on: (a) Whether the proposed extension of collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
information collection; (c) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (d) ways to minimize 
the burden of the information collection on respondents, including 
through the use of automated collection techniques or other forms of 
information technology.

DATES: Consideration will be given to all comments received April 11, 
2005.

ADDRESSES: Written comments and recommendations on the information 
collection should be sent to TRICARE Management Activity--Aurora, 
Office of Program Requirement, 16401 E. Centretech Parkway, ATTN: 
Graham Kolb, Aurora, CO 80011-9043.

FOR FURTHER INFORMATION CONTACT: To request more information on this 
proposed information collection, please write to the above address or 
call TRICARE Management Activity, Office of Program Requirements at 
(303) 676-3580.
    Title Associated With Form, and OMB Number: Health Insurance Claim 
Form, UB 92, OMB Number 0720-0013.
    Needs and Uses: The information collection requirement is necessary 
for a medical institution to claim benefits under the Defense health 
Program, TRICARE, which includes the Civilian Health and Medical 
Program for the Uniform Services (CHAMPUS). The information collected 
will be used by TRICARE/CHAMPUS to determine beneficiary eligibility, 
other health insurance liability, certification that the beneficiary 
received the care, and that the provider is authorized to receive 
TRICARE/CHAMPUS payments. The form will be used by TRICARE/CHAMPUS and 
it's contractors to determine the amount of benefits to be paid to 
TRICARE/CHAMPUS institutional providers.
    Affected Public: Business or other for-profit; not-for-profit 
institutions.
    Annual Burden Hours: 525,000.
    Number of Respondents: 2,100,000 annually.
    Responses Per Respondent: 1.
    Average Burden Per Response: 15 minutes.
    Frequency: On occasion.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    This collection instrument is for use by medical institutions 
filing for reimbursement with the Defense Health Program, TRICARE, 
which includes the Civilian Health and Medical Program of the Uniformed 
Services (TRICARE/CHAMPUS). TRICARE/CHAMPUS is a health benefits 
entitlement program for the dependent of active duty members of the 
Uniformed Service, and deceased sponsors, retirees and their 
dependents, dependents of department of transportation (Coast Guard) 
sponsors, and certain North Atlantic treaty Organization, National 
Oceanic and Atmospheric Administration, and Public Health Service 
eligible beneficiaries. Use of the UB-92 (also known as the HCFA 1450) 
continues TRICARE/CHAMPUS commitments to use the national standard 
claim form for reimbursement of medical services/supplies provided by 
institutional providers.

    Dated: January 31, 2005.
Patricia L. Topplings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 05-2381 Filed 2-7-05; 8:45 am]
BILLING CODE 5001-06-M
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