Proposed Collection; Comment Request, 6634-6635 [05-2382]
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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
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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
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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
Federal Register / Vol. 70, No. 25 / Tuesday, February 8, 2005 / Notices
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 Office of the
Assistant Secretary of Defense (Health
Affairs) TRICARE Management Activity,
Skyline Five, Suite 810, 5111 Leesburg
Pike, Falls Church, Virginia 22041–
3206, Attn: Ms. Gita Uppal.
FOR FURTHER INFORMATION CONTACT: To
request more information on this
proposed information collection, please
write to the above address or call Ms.
Uppal, Office of the Assistant Secretary
of Defense (Health Affairs), TRICARE
Management Activity at (703) 681–0039.
Title; Associated Form; and OMB
Number: TRICARE Plus Enrollment
Application, DD Form 2853 and
TRICARE Plus Disenrollment Request,
DD Form 2854; OMB Number 0720–
0028.
Needs and Uses: These collected
instruments serve as an application for
enrollment and disenrollment in the
Department of Defense’s TRICARE Plus
Health Plan established in accordance
with Title 10 U.S.C. sections 1099
(which calls for a healthcare enrollment
system) and 1086 (which authorizes
TRICARE eligibility of Medicare Eligible
Persons and has resulted in the
development of a new enrollment
option called TRICARE Plus) and the
Assistant Secretary of Defense for
Health Affairs Policy Memorandum to
Establish the TRICARE Plus Program,
June 22, 2001. The information
collected hereby provides the TRICARE
contractors with necessary data to
determine beneficiary eligibility and to
identify the selection of a health care
option.
Affected Public: Individuals or
household.
Annual Burden Hours: 2,933.
Number of Respondents: 25,065
Responses Per Respondent: 1.
Average Burden Per Response: 7
minutes.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Collection
The Department of Defense
established TRICARE Plus as an
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enrollment option for persons who are
eligible for care in Military Treatment
Facilities (MTF) and not enrolled in
TRICARE Prime. TRICARE Plus
provides an opportunity to enroll with
a primary care provider at a specific
MTF, to the extent capacity exists. This
is a way to facilitate primary care
appointments at an MTF when needed.
TRICARE Plus enrollment will help
MTFs maintain an adequate clinical
case mix for Graduate Medical
Education programs and support
readiness-related medical skills
sustainment activities. In order to carry
out this program, it is necessary that
certain beneficiaries electing to enroll/
disenroll in TRICARE Plus complete an
enrollment application/disenrollment
request. Completion of the enrollment
forms is an essential element of the
TRICARE program. There is no lock-in
and no enrollment fee for TRICARE
Plus.
Dated: January 19, 2005.
Patricia Toppings,
Alternative OSD Federal Register Liaison
Officer, Department of Defense
[FR Doc. 05–2382 Filed 2–7–05; 8:45 am]
BILLING CODE 5001–06–M
DEPARTMENT OF DEFENSE
Office of the Secretary
Submission for OMB Review;
Comment Request
ACTION:
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Fmt 4703
services; and proposals from common
carriers to perform special construction
under contracts for telecommunications
services. Contracting officers and other
DoD personnel use the information to
ensure that information systems are
protected; to participate in the
establishment of tariffs for
telecommunications services; and to
establish reasonable prices for special
construction by common carriers.
Affected Public: Business or other forprofit and not-for-profit institutions.
Frequency: On occasion.
Respondent’s Obligation: Required to
obtain or retain benefits.
OMB Desk Officer: Mr. Lewis
Oleinick.
Written comments and
recommendations on the proposed
information collection should be sent to
Mr. Oleinick at the Office of
Management and Budget, Desk Officer
for DoD, Room 10236, New Executive
Office Building, Washington, DC
DOD Clearance Officer: Ms. Patricia
Toppings.
Written requests for copies of the
information collection proposal should
be sent to Ms. Toppings, WHS/ESCD/
Information Management Division, 1225
South Clark Street, Suite 504, Arlington,
VA 22202–4326.
Dated: January 31, 2005.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 05–2383 Filed 2–7–05; 8:45 am]
BILLING CODE 5001–06–M
Notice.
The Department of Defense has
submitted to OMB for clearance, the
following proposal for collection of
information under the provisions of the
Paperwork Reduction Act (44 U.S.C.
chapter 35).
DATES: Consideration will be given to all
comments received by March 10, 2005.
Title and OMB Number: Defense
Federal Acquisition Regulation
Supplement (DFARS), Part 239,
Acquisition of Information Technology,
and associated clauses at DFARS
252.39–7000 and 252.239–7006; OMB
Control Number 0704–0341.
Type of Request: Extension.
Number of Respondents: 424.
Responses Per Respondent:
Approximately 4.
Annual Responses: 1,571.
Average Burden Per Response: 1 hour
(average).
Annual Burden Hours: 1,428.
Needs and Uses: This requirement
provides for the collection of
information from contractors regarding
security of information technology;
tariffs pertaining to telecommunications
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DEPARTMENT OF DEFENSE
Office of the Secretary
Submission of OMB Review; Comment
Request
ACTION:
Notice.
The Department of Defense has
submitted to OMB for clearance, the
following proposal for collection of
information under the provisions of the
Paperwork Reduction Act (44 U.S.C.
chapter 35).
DATES: Consideration will be given to all
comments received by March 10, 2005.
Title and OMB Number: Defense
Federal Acquisition Regulation
Supplement (DFARS), part 236,
Construction and Architect-Engineer
Contracts, and associated clauses at
252.236; OMB Control Number 0704–
0255.
Type of Request: Extension.
Number of Respondents: 3,117.
Responses Per Respondent:
Approximately 1.
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]]>Agencies
[Federal Register Volume 70, Number 25 (Tuesday, February 8, 2005)]
[Notices]
[Pages 6634-6635]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-2382]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
Proposed Collection; Comment Request
AGENCY: DoD, 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 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
[[Page 6635]]
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 Office of the Assistant Secretary of
Defense (Health Affairs) TRICARE Management Activity, Skyline Five,
Suite 810, 5111 Leesburg Pike, Falls Church, Virginia 22041-3206, Attn:
Ms. Gita Uppal.
FOR FURTHER INFORMATION CONTACT: To request more information on this
proposed information collection, please write to the above address or
call Ms. Uppal, Office of the Assistant Secretary of Defense (Health
Affairs), TRICARE Management Activity at (703) 681-0039.
Title; Associated Form; and OMB Number: TRICARE Plus Enrollment
Application, DD Form 2853 and TRICARE Plus Disenrollment Request, DD
Form 2854; OMB Number 0720-0028.
Needs and Uses: These collected instruments serve as an application
for enrollment and disenrollment in the Department of Defense's TRICARE
Plus Health Plan established in accordance with Title 10 U.S.C.
sections 1099 (which calls for a healthcare enrollment system) and 1086
(which authorizes TRICARE eligibility of Medicare Eligible Persons and
has resulted in the development of a new enrollment option called
TRICARE Plus) and the Assistant Secretary of Defense for Health Affairs
Policy Memorandum to Establish the TRICARE Plus Program, June 22, 2001.
The information collected hereby provides the TRICARE contractors with
necessary data to determine beneficiary eligibility and to identify the
selection of a health care option.
Affected Public: Individuals or household.
Annual Burden Hours: 2,933.
Number of Respondents: 25,065
Responses Per Respondent: 1.
Average Burden Per Response: 7 minutes.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Collection
The Department of Defense established TRICARE Plus as an enrollment
option for persons who are eligible for care in Military Treatment
Facilities (MTF) and not enrolled in TRICARE Prime. TRICARE Plus
provides an opportunity to enroll with a primary care provider at a
specific MTF, to the extent capacity exists. This is a way to
facilitate primary care appointments at an MTF when needed. TRICARE
Plus enrollment will help MTFs maintain an adequate clinical case mix
for Graduate Medical Education programs and support readiness-related
medical skills sustainment activities. In order to carry out this
program, it is necessary that certain beneficiaries electing to enroll/
disenroll in TRICARE Plus complete an enrollment application/
disenrollment request. Completion of the enrollment forms is an
essential element of the TRICARE program. There is no lock-in and no
enrollment fee for TRICARE Plus.
Dated: January 19, 2005.
Patricia Toppings,
Alternative OSD Federal Register Liaison Officer, Department of Defense
[FR Doc. 05-2382 Filed 2-7-05; 8:45 am]
BILLING CODE 5001-06-M
