Submission for OMB Review; Comment Request, 49265-49266 [07-4209]

Download as PDF 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 49266 Federal Register / Vol. 72, No. 166 / Tuesday, August 28, 2007 / Notices 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. 07–4209 Filed 8–27–07; 8:45 am] BILLING CODE 5001–06–M DEPARTMENT OF DEFENSE Office of the Secretary [No. DOD–2007–HA–0030] Submission for OMB Review; Comment Request pwalker on PROD1PC71 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 September 27, 2007. Title and OMB Number: Diagnosis Related Groups (DRG) Reimbursement (Two Parts); OMB Control Number 0720–0017. Type of Request: Extension. Number of Respondents: 5,600. Responses per Respondent: 1. Annual Responses: 5,600. Average Burden per Response: 90 minutes. VerDate Aug<31>2005 19:52 Aug 27, 2007 Jkt 211001 Annual Burden Hours: 8,400. Needs and Uses: The TRICARE/ CHAMPUS contractors will use the information collected to reimburse hospitals for TRICARE/CHAMPUS share of capital and direct medical education cost. Respondents are institutional providers. Affected Public: Business or other forprofit; not-for-profit institutions. 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. 07–4210 Filed 8–27–07; 8:45 am] BILLING CODE 5001–06–M DEPARTMENT OF DEFENSE Office of the Secretary [No. DoD–2007–OS–0037] 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 PO 00000 Frm 00020 Fmt 4703 Sfmt 4703 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: Request for Information Regarding Deceased Debtor; DD Form 2840; OMB Control Number 0730–0015. Type of Request: Extension. Number of Respondents: 2,000. Responses per Respondent: 1. Annual Responses: 2,000. Average Burden per Response: 5 minutes. Annual Burden Hours: 167. Needs and Uses: This information is used by the Defense Finance and Accounting Service, Directorate of Debt and Claims Management to contact a probate court to determine if a deceased debtor has left an estate. According to DoD 7000.14–R, Volume 5, Chapter 29, action must be taken to recover debts owed DoD by individuals, including those no longer drawing a salary from the United States. If an individual dies prior to liquidating an indebtedness, it may be possible to collect all or part of the indebtedness from the estate. Affected Public: State, local or tribal government. Frequency: On occasion. Respondent’s Obligation: Voluntary. 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. Toppings at WHS/ESD/ Information Management Division, 1777 North Kent Street, RPN, Suite 11000, Arlington, VA 22209–2133. E:\FR\FM\28AUN1.SGM 28AUN1

Agencies

[Federal Register Volume 72, Number 166 (Tuesday, August 28, 2007)]
[Notices]
[Pages 49265-49266]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 07-4209]


-----------------------------------------------------------------------

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 for-profit; individuals or 
households.
    Frequency: On occasion.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Mr. John Kraemer.
    Written comments and recommendations on the proposed

[[Page 49266]]

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. 07-4209 Filed 8-27-07; 8:45 am]
BILLING CODE 5001-06-M

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