Submission for OMB Review; Comment Request, 49265 [07-4208]
Download as PDF
<![CDATA[
Federal Register / Vol. 72, No. 166 / Tuesday, August 28, 2007 / Notices
pwalker on PROD1PC71 with NOTICES
Needs and Uses: 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 TRICARE
Retiree Dental Program 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.
The information is provided by
Uniformed Services members entitled to
retired pay and their eligible family
members who are seeking enrollment in
the TRICARE Retiree Dental Program.
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, 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. Toppings at WHS/ESD/
Information Management Division, 1777
North Kent Street, RPN, Suite 11000,
Arlington, VA 22209–2133.
Dated: August 22, 2007.
Patricia L. Toppings,
Alternate OSD Federal Register, Liaison
Officer, Department of Defense.
[FR Doc. 07–4207 Filed 8–27–07; 8:45 am]
BILLING CODE 5001–06–M
VerDate Aug<31>2005
19:52 Aug 27, 2007
Jkt 211001
DEPARTMENT OF DEFENSE
Office of the Secretary
[No. DoD–2007–HA–0022]
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 September 27,
2007.
Title, Associated Form and OMB
Number: Statement of Personal Injury—
Possible Third Party Liability, TRICARE
Management Activity; DD Form 2527;
OMB Control Number 0720–0003.
Type of Request: Extension.
Number of Respondents: 133,000.
Responses per Respondent: 1.
Annual Responses: 133,000.
Average Burden per Response: 20
minutes.
Annual Burden Hours: 33,250.
Needs and Uses: The information is
provided 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. The data is
used in the evaluation and processing of
these claims.
Affected Public: Individuals or
households; Federal Government.
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, 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
PO 00000
Frm 00019
Fmt 4703
Sfmt 4703
49265
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: August 22, 2007.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 07–4208 Filed 8–27–07; 8:45 am]
BILLING CODE 5001–06–M
DEPARTMENT OF DEFENSE
Office of the Secretary
[No. DOD–2007–HA–0023]
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 September 27,
2007.
Title, Associated Form and OMB
Number: Professional Qualifications
Medical/Peer Reviewers; CHAMPUS
Form 780; OMB Control Number 0720–
0005.
Type of Request: Extension.
Number of Respondents: 60.
Responses per Respondent: 1.
Annual Responses: 60.
Average Burden per Response: 15
minutes.
Annual Burden Hours: 15.
Needs and Uses: The information
collection requirement is necessary to
obtain and record the professional
qualifications of medical and peer
reviewers utilized within TRICARE. The
form is included as an exhibit in an
appeal or hearing case file as evidence
of the reviewer’s professional
qualifications to review the medical
documentation contained in the case
file.
Affected Public: Business or other forprofit; individuals or households.
Frequency: On occasion.
Respondent’s Obligation: Voluntary.
OMB Desk Officer: Mr. John Kraemer.
Written comments and
recommendations on the proposed
E:\FR\FM\28AUN1.SGM
28AUN1
]]>Agencies
[Federal Register Volume 72, Number 166 (Tuesday, August 28, 2007)]
[Notices]
[Page 49265]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 07-4208]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[No. DoD-2007-HA-0022]
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
September 27, 2007.
Title, Associated Form and OMB Number: Statement of Personal
Injury--Possible Third Party Liability, TRICARE Management Activity; DD
Form 2527; OMB Control Number 0720-0003.
Type of Request: Extension.
Number of Respondents: 133,000.
Responses per Respondent: 1.
Annual Responses: 133,000.
Average Burden per Response: 20 minutes.
Annual Burden Hours: 33,250.
Needs and Uses: The information is provided 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. The data is used in the evaluation and
processing of these claims.
Affected Public: Individuals or households; Federal Government.
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, 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. Toppings at WHS/ESD/Information Management
Division, 1777 North Kent Street, RPN, Suite 11000, Arlington, VA
22209-2133.
Dated: August 22, 2007.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 07-4208 Filed 8-27-07; 8:45 am]
BILLING CODE 5001-06-M
