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