Proposed Collection; Comment Request, 57153-57154 [E9-26492]
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Federal Register / Vol. 74, No. 212 / Wednesday, November 4, 2009 / Notices
including a range of financial and
educational incentives.
Dated: October 28, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–26491 Filed 11–3–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD–2009–OS–0165]
Proposed Collection; Comment
Request
mstockstill on DSKH9S0YB1PROD with NOTICES
AGENCY: Office of the Under Secretary of
Defense (Personnel and Readiness),
DoD.
ACTION: Notice.
SUMMARY: 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: 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; the accuracy of the
agency’s estimate of burden of the
proposed information collection; ways
to enhance the quality, utility, and
clarity of the information to be
collected; and 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 January 4, 2010.
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.
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16:29 Nov 03, 2009
Jkt 220001
FOR FURTHER INFORMATION CONTACT: 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/
Accession Policy), ATTN: Major Arturo
Roque. 4000 Defense Pentagon,
Washington, DC 20301–4000, or call at
(703) 695–5527.
Title, Associated Form, and OMB
Control Number: Title from OMB Form
83–I, block 7; Police Record Check; DD
Form 369, OMB Number 0704–0007.
Needs and Uses: This information
collection requirement is necessary to
obtain information about arrests and
criminal records on applicants to the
Armed Forces of the United States. The
DD Form 369, Police Records Check, is
used to identify any disqualifying
history regarding arrests or convictions.
Affected Public: State, local, or tribal
government.
Annual Burden Hours: 78,750.
Number of Respondents: 175,000.
Responses per Respondent: 1.
Average Burden per Response: 27
minutes.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
This information is collected to
provide the Armed Services with
background information on an
applicant. History of criminal activity,
arrests, or confinement is disqualifying
for military service. The respondents
will be local and State law enforcement
agencies. The DD Form 369, Police
Record Check, is the method of
information collection; responses are to
reference any records on the applicant.
The information will be used to
determine suitability of the applicant for
the military service.
Dated: October 30, 2009.
Mitchell S. Bryman,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. E9–26521 Filed 11–3–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2009–OS–0158]
Proposed Collection; Comment
Request
AGENCY: Defense Finance and
Accounting Service, DoD.
ACTION: Notice.
PO 00000
Frm 00013
Fmt 4703
Sfmt 4703
57153
SUMMARY: In compliance with Section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the Defense
Finance and Accounting Service
announces a 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 the burden of the proposed
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 by January 4, 2010.
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 proposal and
associated collection instruments,
please write to the Defense Finance and
Accounting Service—Cleveland, DFAS–
CL/JFRA, ATTN: Theresa Matthes, 1240
E. 9th Street, Cleveland, OH 44199, or
call Theresa Matthes, 216–204–2383.
Title, Associated Form, and OMB
Number: Physician Certificate for Child
Annuitant, DD Form 2828, OMB License
0730–0011.
Needs and Uses: This form is required
and must be on file to support an
incapacitation occurring prior to age 18.
The form provides the authority for the
Directorate of Annuity Pay, Defense
Finance and Accounting Service—
Cleveland (DFAS–CL/JFRA) to establish
and pay a Retired Serviceman’s Family
E:\FR\FM\04NON1.SGM
04NON1
57154
Federal Register / Vol. 74, No. 212 / Wednesday, November 4, 2009 / Notices
Protection Plan (RSFPP) or Survivor
Benefit Plan (SBP) annuity to the
incapacitated individual.
Affected Public: Incapacitated child
annuitants, and/or their legal guardians,
custodians and legal representatives.
Annual Burden Hours: 240 hours.
Number of Respondents: 120.
Responses per Respondent: 1.
Average Burden Per Response: 2
hours.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
The form will be used by the
Directorate of Annuity Pay, Defense
Finance and Accounting Service—
Cleveland (DFAS–CL/JFRA), in order to
establish and start the annuity for a
potential child annuitant. When the
form is completed, it will serve as a
medical report to substantiate a child’s
incapacity. The law requires that an
unmarried child who is incapacitated
must provide a current certified medical
report. When the incapacity is not
permanent a medical certification must
be received by DFAS–CL/JFRA) every
two years in order for the child to
continue receiving annuity payments.
Dated: October 21, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–26492 Filed 11–3–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD–2009–HA–0161]
Proposed Collection; Comment
Request
mstockstill on DSKH9S0YB1PROD with NOTICES
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 extension
of a proposed 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 the burden of the
information collection; (c) ways to
VerDate Nov<24>2008
16:29 Nov 03, 2009
Jkt 220001
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 by January 4, 2010.
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,
Room 3C843, 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,
Medical Benefits and Reimbursement
Systems, 16401 East Centretch Parkway,
ATTN: David Bennett, Aurora, CO
80011–9043, or call TRICARE
Management Activity, Medical Benefits
and Reimbursement Systems, at (303)
676–3494.
Title and OMB Number: Application
for TRICARE–Provider Status:
Corporation Services Provider; OMB
Number 0720–0020.
Needs and Uses: The information
collection will allow eligible providers
to apply for Corporate Services Provider
status under the TRICARE program.
Affected Public: Businesses or other
for-profit; not-for-profit
institutions.
Annual Burden Hours: 200.
Number of Respondents: 200.
Responses for Respondent: 1.
Average Burden per Response: 60
minutes.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
On March 10, 1999, TRICARE
Management Activity (TMA), formerly
known as OCHAMPUS, published a
finale rule in the Federal Register (64
FR 11765), creating a fourth class of
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TRICARE providers consisting of
freestanding corporations and
foundations that render principally
professional ambulatory or in-home care
and technical diagnostic procedures.
The intent of the rule was not to create
additional benefits that ordinarily
would not be covered under TRICARE
if provided by a more traditional health
care delivery system, but rather to allow
those services which would otherwise
be allowed except for an individual
provider’s affiliation with a freestanding
corporate facility. The addition of the
corporate class will recognize the
current range of providers within
today’s health care delivery structure,
and give beneficiaries access to another
segment of the health care delivery
industry. Corporate services providers
must be approved for Medicare
payment, or when Medicare approval
status is not required, be accredited by
a qualified accreditation organization to
gain provider authorization status under
TRICARE. Corporate services providers
must also enter into a participation
agreement which will be sent out as part
of the initial authorization process. The
participation agreement will ensure that
TRICARE determined allowable
payments, combined with the costshare/copayment, deductible, and other
health insurance amounts, will be
accepted by the provider as payment in
full.
The application for TRICARE–
Provider Status: Corporate Services
Provider, will collect the necessary
information to ensure that the
conditions are met for authorization as
a TRICARE corporate services provider:
i.e., the provider (1) is a corporation or
a foundation, but not a professional
corporation or professional association;
(2) provides services and related
supplies of a type rendered by TRICARE
individual professional providers or
diagnostic technical services; (3) is
approved for Medicare payment or
when Medicare approval status is not
required, is accredited by a qualified
accreditation organization; and (4) has
entered into a participation agreement
approved by the Executive Director,
TMA or a designee.
The collected information will be
used by TRICARE contractors to process
claims and verify authorized provider
status. Verification involves collecting
and reviewing copies of the provider’s
licenses, certificates, accreditation
documents, etc. If the criteria are met,
the provider is granted TRICAREauthorization status. The documentation
and information are collected when: (1)
A provider requests permission to
become a TRICARE-authorized
provider; (2) a claim is filed for care
E:\FR\FM\04NON1.SGM
04NON1
]]>Agencies
[Federal Register Volume 74, Number 212 (Wednesday, November 4, 2009)]
[Notices]
[Pages 57153-57154]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-26492]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2009-OS-0158]
Proposed Collection; Comment Request
AGENCY: Defense Finance and Accounting Service, DoD.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the Defense Finance and Accounting Service
announces a 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 the burden of the proposed 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 by January
4, 2010.
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 proposal and
associated collection instruments, please write to the Defense Finance
and Accounting Service--Cleveland, DFAS-CL/JFRA, ATTN: Theresa Matthes,
1240 E. 9th Street, Cleveland, OH 44199, or call Theresa Matthes, 216-
204-2383.
Title, Associated Form, and OMB Number: Physician Certificate for
Child Annuitant, DD Form 2828, OMB License 0730-0011.
Needs and Uses: This form is required and must be on file to
support an incapacitation occurring prior to age 18. The form provides
the authority for the Directorate of Annuity Pay, Defense Finance and
Accounting Service--Cleveland (DFAS-CL/JFRA) to establish and pay a
Retired Serviceman's Family
[[Page 57154]]
Protection Plan (RSFPP) or Survivor Benefit Plan (SBP) annuity to the
incapacitated individual.
Affected Public: Incapacitated child annuitants, and/or their legal
guardians, custodians and legal representatives.
Annual Burden Hours: 240 hours.
Number of Respondents: 120.
Responses per Respondent: 1.
Average Burden Per Response: 2 hours.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
The form will be used by the Directorate of Annuity Pay, Defense
Finance and Accounting Service--Cleveland (DFAS-CL/JFRA), in order to
establish and start the annuity for a potential child annuitant. When
the form is completed, it will serve as a medical report to
substantiate a child's incapacity. The law requires that an unmarried
child who is incapacitated must provide a current certified medical
report. When the incapacity is not permanent a medical certification
must be received by DFAS-CL/JFRA) every two years in order for the
child to continue receiving annuity payments.
Dated: October 21, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. E9-26492 Filed 11-3-09; 8:45 am]
BILLING CODE 5001-06-P
