Proposed Collection; Comment Request, 57153-57154 [E9-26492]

Download as PDF 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: http:// 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 http:// www.regulations.gov as they are received without change, including any personal identifiers or contact information. VerDate Nov<24>2008 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: http:// 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 http:// 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: http:// 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 http:// 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 PO 00000 Frm 00014 Fmt 4703 Sfmt 4703 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]


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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: http://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 http://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