Submission for OMB Review; Comment Request, 38422-38423 [E9-18401]
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38422
Federal Register / Vol. 74, No. 147 / Monday, August 3, 2009 / Notices
findings and provide the information to
the member’s military organization. The
military organizations are required by
Department of Defense policy to track
the dental status of its members.
Affected Public: Business or other
profit; Not-for-profit institutions.
Annual Burden Hours: 42,500.
Number of Respondents: 850,000.
Responses per Respondent: 1.
Average Burden per Response: 3
minutes.
Frequency: Annually.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
Respondents are medical
professionals who provide dental
services to the general public. Members
of the Armed Forces of the United States
are the recipients of the dental
examination. The Armed Forces Reserve
component members must maintain
their dental health at a predetermined
level so problems do not occur when
they are deployed to a military
operation. Reserve component members
usually receive their dental care from
civilian dentists; therefore it would be
civilian dentists who would complete
the form. Following a routine dental
examination, the dentist would review
the categories listed on the form and
circle the number corresponding to the
condition that best describes the dental
health of the patient. If dental problems
can be identified, they are indicated on
the form. Once the form is complete and
the dentist signs it, the members take
the form back to the organization to
which they belong. The information on
the form is logged into a databse. The
form is kept in the health record until
no longer needed and then it is
destroyed.
Dated: July 17, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–18400 Filed 7–31–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket No. DoD–2009–HA–0013]
sroberts on DSKD5P82C1PROD with NOTICES
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).
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DATES: Consideration will be given to all
comments received by September 2,
2009.
Title and OMB Number: Public
Perceptions of Military Health Care
System; OMB Control Number 0720–
0038.
Type of Request: Extension.
Number of Respondents: 1,000.
Responses per Respondent: 1.
Annual Responses: 1,000.
Average Burden per Response: 8
minutes.
Annual Burden Hours: 133.
Needs and Uses: The goal of this
survey effort is to determine the public’s
perceptions of Military Health Care and
compare and contrast that with their
perceptions of U.S. Health Care.
Affected Public: Individuals or
households.
Frequency: Annually.
Respondent’s Obligation: Voluntary.
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: July 24, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–18402 Filed 7–31–09; 8:45 am]
BILLING CODE 5001–06–P
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DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket No. DoD–2009–HA–0012]
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 2,
2009.
Title and OMB Number: TRICARE
Dental Program (TDP) Dentist’s Claim
Form DD 5578 G 9/05 and TRICARE
Dental Program Dentist’s Claim Form
DD 5678 F 10/05 OCONUS; OMB No.
0720–0035.
Type of Request: Extension.
Number of Respondents: 64,930.
Responses per Respondent: 62.
Annual Responses: 4,025,660.
Average Burden per Response: 15
minutes.
Annual Burden Hours: 1,006,415.
Needs and Uses: The TDP Claim
Form(s) CONUS/OCONUS are required
to gather information to make payment
for legitimate dental claims and to assist
in contractor surveillance and program
integrity investigations and to audit
financial transactions where the
Department of Defense has a financial
stake. The information from the claim
form is also used to provide important
cost-share explanations to the
beneficiary.
Affected Public: Business or other-forprofit.
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
E:\FR\FM\03AUN1.SGM
03AUN1
Federal Register / Vol. 74, No. 147 / Monday, August 3, 2009 / Notices
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: July 24, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–18401 Filed 7–31–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2008–OS–0109]
Submission for OMB Review;
Comment Request
sroberts on DSKD5P82C1PROD 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 2,
2009.
Title, Form, and OMB Number:
Request for Examination; USMEPCOM
Form 680–3A–E; OMB Control Number
0704–TBD.
Type of Request: New.
Number of Respondents: 850,000.
Responses per Respondent: 1.
Annual Responses: 850,000.
Average Burden per Response: 10
minutes.
Annual Burden Hours: 141,950.
Needs and Uses: This information
collection requirement is necessary to
gather the required data for determining
eligibility to join the Armed Forces and
for establishing personal records on
those enlisting. USMEPCOM Form 680–
3A–E serves as a processing checklist
and security verification of applicants
for military service completing
qualification requirements. Information
collected on USMEPCOM Form 680–
3A–E is transferred electronically into
DD Form 1966 and helps decrease
administration time required to
complete the applicant’s record.
Frequency: On occasion.
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Respondent’s Obligation: Required to
obtain or retain benefits.
OMB Desk Officer: Ms. Jasmeet
Seehra.
Written comments and
recommendations on the proposed
information collection should be sent to
Ms. Seehra 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: May 22, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–18398 Filed 7–31–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Department of the Air Force
[Docket ID: USAF–2009–0052]
Proposed Collection; Comment
Request
AGENCY:
Department of the Air Force,
DoD.
ACTION:
Notice.
SUMMARY: In compliance with section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the Office of
Admissions announces the proposed
extension of a public information
collection and seeks public comment on
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
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38423
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed information collection; (c)
ways to enhance the quality, unity, and
clarity of the information to be
collected; (d) ways to minimize the
burden of the information collection on
respondents, including the use of
automated collection techniques or
other forms of information technology.
DATES: Consideration will be given to all
comments received by October 2, 2009.
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 or to
obtain a copy of the proposed and
associated collection instruments,
please write to the United States Air
Force Academy, Office of Admissions,
2304 Cadet Drive, Suite 236, USAFA,
CO 80840, or call the United States Air
Force Academy, Office of Admissions,
(719) 333–7291.
Title, Associated form, and OMB
Number: Air Force Academy Secondary
School Transcript; USAF Form 148;
OMB Number 0701–0066.
Needs and Uses: The information
collection requirement is necessary to
obtain data on candidate’s background
and aptitude in determining eligibility
and selection to the Air Force Academy.
Affected Public: Individuals or
households.
Annual Burden Hours: 4,000.
Number of Respondents: 7,500.
Responses per Respondent: 1.
Average Burden per Response: 32
Minutes.
Frequency: Annually.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
The information collected on this
form is required by 10 U.S.C. 9346. The
respondents are students who are
applying for admission to the United
E:\FR\FM\03AUN1.SGM
03AUN1
]]>Agencies
[Federal Register Volume 74, Number 147 (Monday, August 3, 2009)]
[Notices]
[Pages 38422-38423]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-18401]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket No. DoD-2009-HA-0012]
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 2, 2009.
Title and OMB Number: TRICARE Dental Program (TDP) Dentist's Claim
Form DD 5578 G 9/05 and TRICARE Dental Program Dentist's Claim Form DD
5678 F 10/05 OCONUS; OMB No. 0720-0035.
Type of Request: Extension.
Number of Respondents: 64,930.
Responses per Respondent: 62.
Annual Responses: 4,025,660.
Average Burden per Response: 15 minutes.
Annual Burden Hours: 1,006,415.
Needs and Uses: The TDP Claim Form(s) CONUS/OCONUS are required to
gather information to make payment for legitimate dental claims and to
assist in contractor surveillance and program integrity investigations
and to audit financial transactions where the Department of Defense has
a financial stake. The information from the claim form is also used to
provide important cost-share explanations to the beneficiary.
Affected Public: Business or other-for-profit.
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
[[Page 38423]]
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: July 24, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. E9-18401 Filed 7-31-09; 8:45 am]
BILLING CODE 5001-06-P
