Submission for OMB Review; Comment Request, 22556 [2010-10005]
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22556
Federal Register / Vol. 75, No. 82 / Thursday, April 29, 2010 / Notices
develop and implement a survey
instrument to evaluate retention of
behavioral health providers
(psychiatrists and psychologists).
Lockheed Martin is working with a
subcontractor, Mathematica Policy
Research, whose staff will help with the
survey data collection for this project.
Information collected will include
type of behavioral health provider,
importance of different factors
influencing decision to join the military,
deployment information, ratings of
military mental health treatment, salary
information, satisfaction with being a
military mental health provider, overall
health status, and demographic
information. Former providers also will
be surveyed about reasons for leaving
the military, current work status,
satisfaction with current employment
and salary information, potential
influences that could have extended
military service. Current providers
alsowill be surveyed about reasons that
might influence decision to extend
military service, first and last name,
rank, type of behavioral health provider,
date left service (if former provider),
mailing address, e-mail address, phone
number (home and cell), and
installation/last installation.
Affected Public: Individuals or
households.
Frequency: One time.
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
VerDate Mar<15>2010
16:19 Apr 28, 2010
Jkt 220001
North Kent Street, RPN, Suite 11000,
Arlington, VA 22209–2133.
Dated: April 26, 2010.
Mitchell S. Bryman,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2010–10001 Filed 4–28–10; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket No. DOD–2009–HA–0159]
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 June 1, 2010.
Title and OMB Number: TRICARE
Prime Enrollment Application/PCM
Change Form DD Form 2876, and
TRICARE Prime Disenrollment
Application; DD Form 2877; OMB
Number 0720–0008.
Type of Request: Extension.
Number of Respondents: 72,905.
Responses per Respondent: 1.
Annual Responses: 72,905.
Average Burden per Response: 18.367
minutes (average).
Annual Burden Hours: 22,317 hours.
Needs and Uses: This information is
collected in accordance with the
National Defense Authorization Act for
Fiscal Year 2001 (Pub. L. 106–398),
section 723(b)(E)). These collection
instruments serve as applications for the
Enrollment, Primary Care Manager
(PCM) Change and Disenrollment for the
Department of Defense’s TRICARE
Prime program established in
accordance with title 10 U.S.C. 1099
(which calls for a healthcare enrollment
system). Monthly payment options for
retiree enrollment fees for TRICARE
Prime are established in accordance
with title 10 U.S.C. 1097a(c). The
information collected on the TRICARE
Prime Enrollment Application/PCM
Change Form provides the necessary
data to determine beneficiary eligibility,
to identify the selection of a health care
option, and to change the designated
PCM when the beneficiary is relocating
or merely requests a local PCM change.
The information collected on the
TRICARE Prime Disenrollment Form
provides the necessary data to disenroll
PO 00000
Frm 00007
Fmt 4703
Sfmt 4703
a beneficiary from TRICARE Prime. The
Disenrollment Application is needed to
implement disenrollment from
TRICARE Prime, TRICARE Prime
Remote or the Uniformed Services
Family Health Plan as requested by the
enrollee. Failure to provide information
will result in continued enrollment and
beneficiaries’ responsibility for payment
of an enrollment fee.
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: April 26, 2010.
Mitchell S. Bryman,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2010–10005 Filed 4–28–10; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket No. DOD–2009–HA–0185]
Submission for OMB Review;
Comment Request
ACTION:
Notice.
The Department of Defense has
submitted to OMB for clearance, the
E:\FR\FM\29APN1.SGM
29APN1
]]>Agencies
[Federal Register Volume 75, Number 82 (Thursday, April 29, 2010)]
[Notices]
[Page 22556]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-10005]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket No. DOD-2009-HA-0159]
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 June 1,
2010.
Title and OMB Number: TRICARE Prime Enrollment Application/PCM
Change Form DD Form 2876, and TRICARE Prime Disenrollment Application;
DD Form 2877; OMB Number 0720-0008.
Type of Request: Extension.
Number of Respondents: 72,905.
Responses per Respondent: 1.
Annual Responses: 72,905.
Average Burden per Response: 18.367 minutes (average).
Annual Burden Hours: 22,317 hours.
Needs and Uses: This information is collected in accordance with
the National Defense Authorization Act for Fiscal Year 2001 (Pub. L.
106-398), section 723(b)(E)). These collection instruments serve as
applications for the Enrollment, Primary Care Manager (PCM) Change and
Disenrollment for the Department of Defense's TRICARE Prime program
established in accordance with title 10 U.S.C. 1099 (which calls for a
healthcare enrollment system). Monthly payment options for retiree
enrollment fees for TRICARE Prime are established in accordance with
title 10 U.S.C. 1097a(c). The information collected on the TRICARE
Prime Enrollment Application/PCM Change Form provides the necessary
data to determine beneficiary eligibility, to identify the selection of
a health care option, and to change the designated PCM when the
beneficiary is relocating or merely requests a local PCM change. The
information collected on the TRICARE Prime Disenrollment Form provides
the necessary data to disenroll a beneficiary from TRICARE Prime. The
Disenrollment Application is needed to implement disenrollment from
TRICARE Prime, TRICARE Prime Remote or the Uniformed Services Family
Health Plan as requested by the enrollee. Failure to provide
information will result in continued enrollment and beneficiaries'
responsibility for payment of an enrollment fee.
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: April 26, 2010.
Mitchell S. Bryman,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2010-10005 Filed 4-28-10; 8:45 am]
BILLING CODE 5001-06-P
