Submission for OMB Review; Comment Request, 75509 [06-9720]
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Federal Register / Vol. 71, No. 241 / Friday, December 15, 2006 / Notices
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket No. DoD–2006–HA–0170]
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: Third
Party Collection Program/Medical
Services Account/Other Health
Insurance; DD Form 2569; OMB Number
0704–0323.
Type of Request: Extension.
Number of Respondents: 2,807,212.
Responses Per Respondent: 1.
Annual Responses: 2,807,212.
Average Burden Per Response: 3
minutes.
Annual Burden Hours: 140,361.
Needs and Uses: The information
contained in the DD Form 2569 will be
used to collect reimbursement from
healthcare insurers for medical care
provided to dependents of Active Duty
members, military retirees and their
dependents, and civilians who present
at a Military Treatment Facility (MTF)
on an emergency basis, and anyone else
who is otherwise eligible for care at the
MTF. Such monetary benefits accruing
to the MTF will be used to enhance
healthcare delivery in the MTF.
Information will also be used by MTF
staff and CHAMPUS Fiscal
Intermediaries to determine eligibility
for care, deductibles, and co-payments
and by Health Affairs for program
planning and management.
Affected Public: Individuals or
households.
Frequency: On occasion and annually.
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.
VerDate Aug<31>2005
17:18 Dec 14, 2006
Jkt 211001
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.
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. 06–9720 Filed 12–14–06; 8:45 am]
BILLING CODE 5001–06–M
DEPARTMENT OF DEFENSE
Department of the Air Force
[No. USAF–2006–0014]
Submission for OMB Review;
Comment Request
ACTION:
Notice.
SUMMARY: 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: NonPrior Service and Prior Service
Accessions; AETC Forms 1319, 1325,
and 1419; OMB Number 0701–0079.
Type of Request: Extension.
Number of Respondents: 110,231.
Responses Per Respondent: 1.
Annual Responses: 110,231.
Average Burden Per Response: 38
minutes average.
Annual Burden Hours: 69,105.
Needs and Uses: This information
collection is necessary for recruiters to
determine applicant qualifications when
conducting an interview. Information
from the interview will determine if
additional documents on law violations,
citizenship verification, and education
are needed. Applicants who have
reached a certain age, marital status, or
classification are required to submit
financial information. Additionally, the
PO 00000
Frm 00035
Fmt 4703
Sfmt 4703
75509
AETC 1419 is used to collect police
reports, law violation disposition
reports, and court documents used to
determine an applicant’s moral
qualification.
Affected Public: Individuals or
Households.
Frequency: On Occasion.
Respondent’s Obligation: Required to
Obtain or Retain Benefits.
OMB Desk Officer: Ms. Hillary Jaffe.
Written comments and
recommendations on the proposed
information collection should be sent to
Ms. Jaffe at the Office of Management
and Budget, Desk Officer for DoD, Room
10236, 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.
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.
Written requests for copies of the
information collection proposal should
be sent to Ms. Topings 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. 06–9717 Filed 12–14–06; 8:45 am]
BILLING CODE 5001–06–M
DEPARTMENT OF DEFENSE
Department of the Army
Mandatory Provision of Full
Replacement Value Coverage by
Department of Defense Personal
Property Transportation Service
Providers (TSPs)/Contractors
Department of the Army, DOD.
Notice.
AGENCY:
ACTION:
SUMMARY: Pursuant to Chapter 157,
§ 2636a of Title 10 United States Code
enacted by Congress on November 26,
2003, as amended by the Department of
E:\FR\FM\15DEN1.SGM
15DEN1
Agencies
[Federal Register Volume 71, Number 241 (Friday, December 15, 2006)]
[Notices]
[Page 75509]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-9720]
[[Page 75509]]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket No. DoD-2006-HA-0170]
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: Third Party Collection Program/Medical
Services Account/Other Health Insurance; DD Form 2569; OMB Number 0704-
0323.
Type of Request: Extension.
Number of Respondents: 2,807,212.
Responses Per Respondent: 1.
Annual Responses: 2,807,212.
Average Burden Per Response: 3 minutes.
Annual Burden Hours: 140,361.
Needs and Uses: The information contained in the DD Form 2569 will
be used to collect reimbursement from healthcare insurers for medical
care provided to dependents of Active Duty members, military retirees
and their dependents, and civilians who present at a Military Treatment
Facility (MTF) on an emergency basis, and anyone else who is otherwise
eligible for care at the MTF. Such monetary benefits accruing to the
MTF will be used to enhance healthcare delivery in the MTF. Information
will also be used by MTF staff and CHAMPUS Fiscal Intermediaries to
determine eligibility for care, deductibles, and co-payments and by
Health Affairs for program planning and management.
Affected Public: Individuals or households.
Frequency: On occasion and annually.
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.
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.
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. 06-9720 Filed 12-14-06; 8:45 am]
BILLING CODE 5001-06-M