Proposed Collection; Comment Request, 17878-17879 [07-1758]

Download as PDF 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. VerDate Aug<31>2005 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 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 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 Frm 00064 Fmt 4703 Sfmt 4703 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]


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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
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