Proposed Collection; Comment Request, 17878-17879 [07-1758]
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cprice-sewell on PROD1PC66 with NOTICES
17878
Federal Register / Vol. 72, No. 68 / Tuesday, April 10, 2007 / Notices
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 June 11, 2007.
ADDRESSES: You may submit comments,
identified by docket number and title,
by any of the following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: Federal Docket Management
System Office, 1160 Defense Pentagon,
Washington, DC 20301–1160.
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.
FOR FURTHER INFORMATION CONTACT: To
request more information on this
proposed information collection, please
write TRICARE Management Activity,
Office of General Counsel, 16401 E.
Centretech Parkway, Attn: Helen Hilton,
Aurora, CO 80011, or call TRICARE
Management Activity, Office of General
Counsel, at (303) 676–3542.
Title Associated With Form, and OMB
Number: Statement of Personal Injury—
Possible Third Party Liability, TRICARE
Management Activity; DD Form 2527;
OMB Number 0720–0003.
Needs and Uses: This information
collection is completed by CHAMPUS
beneficiaries suffering from personal
injuries and receiving medical care at
Government expense. The information
is necessary in the assertion of the
Government’s right to recovery under
the Federal Medical Care Recovery Act.
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15:22 Apr 09, 2007
Jkt 211001
The data is used in the evaluation and
processing of these claims.
Affected Public: Individuals or
households; Federal government.
Annual Burden Hours: 33,250.
Number of Respondents: 133,000.
Responses per Respondent: 1.
Average Burden per Response: 20
minutes.
Frequency: On occasion, only when a
beneficiary is injured under
circumstances creating possible liability
in a third party.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
The Federal Medical Recovery Act, 42
U.S.C. 2651–2653 as implemented by
Executive Order No. 11060 and 28 CFR
part 43 provides for recovery of the
reasonable value of medical care
provided by the United States to a
person who is injured or suffers a
disease under circumstances creating
tort liability in some third person. DD
Form 2527 is required for investigating
and asserting claims in favor of the
United States arising out of such
incidents.
When a claim for CHAMPUS benefits
is identified as involving possible third
party liability and the information is not
submitted with the claim, the TRICARE/
CHAMPUS contractor requests that the
injured party (or a designee) complete
DD Form 2527. To protect the interests
of the Government, the contractor
suspends claims processing until the
requested third party liability
information is received. The contractor
conducts a preliminary evaluation based
upon the collection of information and
refers the case to a designated
appropriate legal officer of the
Uniformed Services. The responsible
Uniformed Services legal officer uses
the information as a basis for asserting
and settling the Government’s claim.
When appropriate, the information is
forwarded to the Department of Justice
as the basis for litigation.
Section 1 of the Form is used to
collect general information, such as
name, address and telephone numbers
about the military sponsor and the
injured beneficiary and the date, time
and location where the injured
occurred.
Section 2 of the Form is used to
collect information about accidental
injuries. Most of the investigations for
third party liability involve motor
vehicle accidents. Information about
insurance coverage for the parties
involved in the accident is collected.
Section 2 of the Form is also used to
collect information about accidents that
do not involve motor vehicles.
Information such as the type of
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accident, the place where the injury
occurred, the name of the property
owner where the injury occurred and
cause of the injury is collected. The
name and address of the employer is
collected when the injury was work
related.
Section 3 of the Form is used for
miscellaneous information such as
possible medical treatment at a
Government hospital, the name and
address of the beneficiary’s attorney,
and information regarding any possible
releases or settlements with another
party to the accident. It also contains the
certification, date and signature of the
beneficiary (or a designee).
Dated: April 3, 2007.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 07–1757 Filed 4–9–07; 8:45 am]
BILLING CODE 5001–06–M
DEPARTMENT OF DEFENSE
Office of the Secretary
[No. DoD–2007–HA–0029]
Proposed Collection; Comment
Request
Office of the Assistant
Secretary of Defense for Health Affairs,
DoD.
AGENCY:
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.
Consideration will be given to all
comments received June 11, 2007.
DATES:
You may submit comments,
identified by docket number and title,
by any of the following methods:
ADDRESSES:
E:\FR\FM\10APN1.SGM
10APN1
Federal Register / Vol. 72, No. 68 / Tuesday, April 10, 2007 / Notices
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: Federal Docket Management
System Office, 1160 Defense Pentagon,
Washington, DC 20301–1160.
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.
To
request more information on this
proposed information collection, please
write to TRICARE Management Activity,
Contract Operations Branch, 16401 E.
Centretech Parkway, Attn: Kenneth
Zimmerman, Aurora, CO 80011, or call
TRICARE Management Activity,
Contract Operations Branch, at (303)
676–3502.
Title Associated With Form, and OMB
Number: TRICARE Retiree Dental
Program Enrollment Form, OM Number
0720–0015.
Needs and Uses: This information
collection is completed by Uniformed
Services members entitled to retired pay
and their eligible family members who
are seeking enrollment in the TRICARE
Retiree Dental Program (TRDP). The
information is necessary to enable the
DoD-contracted third party
administrator of the program to identify
the program’s applicants, determine
their eligibility for TRDP enrollment,
establish the premium payment amount,
and to verify by the applicant’s
signature that the applicant understands
the benefits and rules of the program.
Affected Public: Individuals or
household.
Annual Burden Hours: 17,833.
Number of Respondents: 71,332.
Responses per Respondent: 1.
Average Burden per Response: 15
minutes.
Frequency: Once, at time of initial
application.
FOR FURTHER INFORMATION CONTACT:
SUPPLEMENTARY INFORMATION:
cprice-sewell on PROD1PC66 with NOTICES
Summary of Information Collection
The TRICARE Retiree Dental Program
(32 CFR 199.22) was implemented in
1998 based on the authority of 10 U.S.C.
1076c. Dental coverage under the
program is available on a voluntary
basis to retirees of the Uniformed
Services entitled to retired pay and their
family members. The initial Notice of
Proposed rule and proposed information
VerDate Aug<31>2005
15:22 Apr 09, 2007
Jkt 211001
collection was published in the Federal
Register (62 FR 34032) on June 24, 1997.
No comments were received concerning
the information collection requirements
at that time.
The information collection
requirements under this proposed
extension are similar to those under the
current collection. Information on the
applicant, such as name, address,
telephone numbers, retiree’s social
security numbers, is necessary for
identification purposes, as is
information on the family members to
be enrolled. The form contains
information on premium payment types
of enrollments, and enrollment periods,
and a certification statement for the
applicant to sign and date. The primary
change in the proposed extension of the
information collection is the elimination
of the requirement for information on
the applicant’s chosen premium
payment methodology if the applicant is
not entitled to retired pay (e.g., a
surviving spouse). The third party
administrator of the program has found
it unnecessary to continue the collection
of this information on the enrollment
form.
Dated: April 2, 2007.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 07–1758 Filed 4–9–07; 8:45 am]
BILLING CODE 5001–06–M
DEPARTMENT OF DEFENSE
Office of the Secretary
[No. DoD–2007–OS–0032]
Proposed Collection; Comment
Request
Office of the Under Secretary of
Defense (Personnel and Readiness),
DoD.
ACTION: Notice.
AGENCY:
In compliance with Section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the Office of the
Under Secretary of Defense (Personnel
and Readiness) announces the following
proposed extension of a public
information collection and seeks public
comment on the provisions thereof.
Comments are invited on: (a) Whether
the proposed 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 burden of the
proposed information collection; (c)
ways to enhance the quality, utility, and
clarity of the information to be
PO 00000
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Fmt 4703
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17879
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 by June 11, 2007.
ADDRESSES: You may submit comments,
identified by docket number and title,
by any of the following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: Federal Docket Management
System Office, 1160 Defense Pentagon,
Washington, DC 20301–1160.
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.
To
request more information on this
proposed information collection or to
obtain a copy of the proposal and
associated collection instruments,
please write to the Office of the Under
Secretary of Defense (Personnel and
Readiness) (Military Personnel Policy)
(Officer and Enlisted Personnel
Management), ATTN: CDR Lesa Kirsch,
USN, 4000 Defense Pentagon,
Washington, DC 20301–4000 or call at
(703) 697–4959.
Title, Associated Form, and OMB
Control Number: Repatriation
Automated Accounting and Reporting
System, DD Form 2585, OMB Control
Number 0704–0334.
Needs and Uses: This information
collection is necessary for personnel
accountability of all evacuees,
regardless of nationality, who are
processed through designated
Repatriation Centers throughout the
United States. The information obtained
from the DD Form 2585 is entered into
an automated system; a series of reports
is accessible to DoD Components,
Federal and State agencies and Red
Cross, as required.
Affected Public: Individuals or
households; Federal government.
Annual Burden Hours: 1,667.
Number of Respondents: 5,000.
Responses per Respondent: 1.
Average Burden per Response: 20
minutes.
Frequency: One-time.
SUPPLEMENTARY INFORMATION:
FOR FURTHER INFORMATION CONTACT:
E:\FR\FM\10APN1.SGM
10APN1
Agencies
[Federal Register Volume 72, Number 68 (Tuesday, April 10, 2007)]
[Notices]
[Pages 17878-17879]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 07-1758]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[No. DoD-2007-HA-0029]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, DoD.
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 June 11,
2007.
ADDRESSES: You may submit comments, identified by docket number and
title, by any of the following methods:
[[Page 17879]]
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments.
Mail: Federal Docket Management System Office, 1160
Defense Pentagon, Washington, DC 20301-1160.
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.
FOR FURTHER INFORMATION CONTACT: To request more information on this
proposed information collection, please write to TRICARE Management
Activity, Contract Operations Branch, 16401 E. Centretech Parkway,
Attn: Kenneth Zimmerman, Aurora, CO 80011, or call TRICARE Management
Activity, Contract Operations Branch, at (303) 676-3502.
Title Associated With Form, and OMB Number: TRICARE Retiree Dental
Program Enrollment Form, OM Number 0720-0015.
Needs and Uses: This information collection is completed by
Uniformed Services members entitled to retired pay and their eligible
family members who are seeking enrollment in the TRICARE Retiree Dental
Program (TRDP). The information is necessary to enable the DoD-
contracted third party administrator of the program to identify the
program's applicants, determine their eligibility for TRDP enrollment,
establish the premium payment amount, and to verify by the applicant's
signature that the applicant understands the benefits and rules of the
program.
Affected Public: Individuals or household.
Annual Burden Hours: 17,833.
Number of Respondents: 71,332.
Responses per Respondent: 1.
Average Burden per Response: 15 minutes.
Frequency: Once, at time of initial application.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
The TRICARE Retiree Dental Program (32 CFR 199.22) was implemented
in 1998 based on the authority of 10 U.S.C. 1076c. Dental coverage
under the program is available on a voluntary basis to retirees of the
Uniformed Services entitled to retired pay and their family members.
The initial Notice of Proposed rule and proposed information collection
was published in the Federal Register (62 FR 34032) on June 24, 1997.
No comments were received concerning the information collection
requirements at that time.
The information collection requirements under this proposed
extension are similar to those under the current collection.
Information on the applicant, such as name, address, telephone numbers,
retiree's social security numbers, is necessary for identification
purposes, as is information on the family members to be enrolled. The
form contains information on premium payment types of enrollments, and
enrollment periods, and a certification statement for the applicant to
sign and date. The primary change in the proposed extension of the
information collection is the elimination of the requirement for
information on the applicant's chosen premium payment methodology if
the applicant is not entitled to retired pay (e.g., a surviving
spouse). The third party administrator of the program has found it
unnecessary to continue the collection of this information on the
enrollment form.
Dated: April 2, 2007.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 07-1758 Filed 4-9-07; 8:45 am]
BILLING CODE 5001-06-M