Submission for OMB Review; Comment Request, 75508 [06-9719]

Download as PDF 75508 Federal Register / Vol. 71, No. 241 / Friday, December 15, 2006 / Notices Written requests for copies of the information collection proposal should be sent to Ms. Toppings at WHS/ESD/ Information Management Division, 1777 North Kent Street, RPN, Suite 11000, Arlington, VA 22209–2133. DEPARTMENT OF DEFENSE Office of the Secretary [No. DoD–2006–HA–0195] Submission for OMB Review; Comment Request mstockstill on PROD1PC61 with NOTICES 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 January 16, 2007. Title, Form and OMB Number: Women, Infants, and Children Overseas—Eligibility Determination; OMB Number 0720–0030. Type of Request: Extension. Number of Respondents: 375. Responses Per Respondent: 2. Annual Responses: 750. Average Burden Per Response: 15 minutes. Annual Burden Hours: 188. Needs and Uses: The information collection requirement is necessary for individuals to apply for certification and periodic recertification to receive WIC Overseas benefits. Affected Public: Individuals or households. Frequency: On occasion and semiannually. Respondent’s Obligation: Required to Obtain or Retain Benefits. OMB Desk Officer: Mr. John Kraemer. Written comments and recommendations on the proposed information collection should be sent to Mr. Kraemer at the Office of Management and Budget, DoD Health Desk Officer, Room 10102, New Executive Office Building, Washington, DC 20503. You may also submit comments, identified by docket number and title, by the following method: • Federal e-Rulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. Instructions: All submissions received must include the agency name, docket number and title for this Federal Register document. The general policy for comments and other submissions from members of the public is to make these submissions available for public viewing on the Internet at https:// www.regulations.gov as they are received without change, including any personal identifiers or contact information. DoD Clearance Officer: Ms. Patricia Toppings. VerDate Aug<31>2005 15:47 Dec 14, 2006 Jkt 211001 Dated: December 8, 2006. Patricia L. Toppings, Alternate OSD Federal Register, Liaison Officer, Department of Defense. [FR Doc. 06–9718 Filed 12–14–06; 8:45 am] BILLING CODE 5001–06–M DEPARTMENT OF DEFENSE Office of the Secretary [No. DoD–2006–HA–0180] Submission for 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 January 16, 2007. Title, Form, and OMB Number: TRICARE Prime Enrollment/ Disenrollment Applications; DD Forms 2876 and 2877; OMB Number 0720– 0008. Type of Request: Extension. Number of Respondents: 72,905. Responses Per Respondent: 1. Annual Responses: 72,905. Average Burden Per Response: 20 minutes (DD Form 2876) and 5 minutes (DD Form 2877). Annual Burden Hours: 22,316. Needs and Uses: This information is collected in accordance with the National Defense Authorization for Fiscal Year 2001 (Pub. L. 106–398), section 723(b)(E). These collection instruments serve as applications for enrollment in the Primary Care Manager (PCM) Change and disenrollment from the Department of Defense’s TRICARE Prime programs established in accordance with Title 10 U.S.C. 1099 (which calls for a healthcare enrollment system). Monthly payment options for retiree enrollment fees for TRICARE Prime are established in accordance with Title 10 U.S.C. 1097a(c). The information collected on the TRICARE Prime Enrollment Application/PCM Change form provides the necessary data to determine beneficiary eligibility, to identify the selection of a health care option, and to change the designated PCM when the beneficiary is relocating PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 or merely requests a local PCM change. The information collected on the TRICARE Prime disenrollment form provides the necessary data to disenroll a beneficiary from TRICARE Prime. The disenrollment application is needed to implement disenrollment from TRICARE Prime, TRICARE Prime Remote or the Uniformed Services Family Health Plan as requested by the enrollee. Failure to provide information will result in continued enrollment and beneficiaries’ responsibility for payment of an enrollment fee. Affected Public: Individuals or households. Frequency: On Occasion. Respondent’s Obligation: Required to Obtain or Retain Benefits. OMB Desk Officer: Mr. John Kraemer. Written comments and recommendations on the proposed information collection should be sent to Mr. Kraemer at the Office of Management and Budget, DoD Health Desk Officer, Room 10102, New Executive Office Building, Washington, DC 20503. You may also submit comments, identified by docket number and title, by the following method: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments.pInstructions: All submissions received must include the agency name, docket number and title for this Federal Register document. The general policy for comments and other submissions from members of the public is to make these submissions available for public viewing on the Internet at https://www.regulations.gov as they are received without change, including any personal identifiers or contact information. DoD Clearance Officer: Ms. Patricia Toppings. Written requests for copies of the information collection proposal should be sent to Ms. Toppings at WHS/ESD/ Information Management Division, 1777 North Kent Street, RPN, Suite 11000, Arlington, VA 22209–2133. Dated: December 8, 2006. Patricia L. Toppings, Alternate OSD Federal Register, Liaison Officer, Department of Defense. [FR Doc. 06–9719 Filed 12–14–06; 8:45 am] BILLING CODE 5001–06–M E:\FR\FM\15DEN1.SGM 15DEN1

Agencies

[Federal Register Volume 71, Number 241 (Friday, December 15, 2006)]
[Notices]
[Page 75508]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-9719]


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

DEPARTMENT OF DEFENSE

Office of the Secretary

[No. DoD-2006-HA-0180]


Submission for 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 January 
16, 2007.
    Title, Form, and OMB Number: TRICARE Prime Enrollment/Disenrollment 
Applications; DD Forms 2876 and 2877; OMB Number 0720-0008.
    Type of Request: Extension.
    Number of Respondents: 72,905.
    Responses Per Respondent: 1.
    Annual Responses: 72,905.
    Average Burden Per Response: 20 minutes (DD Form 2876) and 5 
minutes (DD Form 2877).
    Annual Burden Hours: 22,316.
    Needs and Uses: This information is collected in accordance with 
the National Defense Authorization for Fiscal Year 2001 (Pub. L. 106-
398), section 723(b)(E). These collection instruments serve as 
applications for enrollment in the Primary Care Manager (PCM) Change 
and disenrollment from the Department of Defense's TRICARE Prime 
programs established in accordance with Title 10 U.S.C. 1099 (which 
calls for a healthcare enrollment system). Monthly payment options for 
retiree enrollment fees for TRICARE Prime are established in accordance 
with Title 10 U.S.C. 1097a(c). The information collected on the TRICARE 
Prime Enrollment Application/PCM Change form provides the necessary 
data to determine beneficiary eligibility, to identify the selection of 
a health care option, and to change the designated PCM when the 
beneficiary is relocating or merely requests a local PCM change. The 
information collected on the TRICARE Prime disenrollment form provides 
the necessary data to disenroll a beneficiary from TRICARE Prime. The 
disenrollment application is needed to implement disenrollment from 
TRICARE Prime, TRICARE Prime Remote or the Uniformed Services Family 
Health Plan as requested by the enrollee. Failure to provide 
information will result in continued enrollment and beneficiaries' 
responsibility for payment of an enrollment fee.
    Affected Public: Individuals or households.
    Frequency: On Occasion.
    Respondent's Obligation: Required to Obtain or Retain Benefits.
    OMB Desk Officer: Mr. John Kraemer.
    Written comments and recommendations on the proposed information 
collection should be sent to Mr. Kraemer at the Office of Management 
and Budget, DoD Health Desk Officer, Room 10102, New Executive Office 
Building, Washington, DC 20503.
    You may also submit comments, identified by docket number and 
title, by the following method:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments.pInstructions: All 
submissions received must include the agency name, docket number and 
title for this Federal Register document. The general policy for 
comments and other submissions from members of the public is to make 
these submissions available for public viewing on the Internet at 
https://www.regulations.gov as they are received without change, 
including any personal identifiers or contact information.
    DoD Clearance Officer: Ms. Patricia Toppings.
    Written requests for copies of the information collection proposal 
should be sent to Ms. Toppings at WHS/ESD/Information Management 
Division, 1777 North Kent Street, RPN, Suite 11000, Arlington, VA 
22209-2133.

    Dated: December 8, 2006.
Patricia L. Toppings,
Alternate OSD Federal Register, Liaison Officer, Department of Defense.
[FR Doc. 06-9719 Filed 12-14-06; 8:45 am]
BILLING CODE 5001-06-M
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.