Proposed Collection; Comment Request, 60416-60417 [2010-24529]
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mstockstill on DSKH9S0YB1PROD with NOTICES6
60416
Federal Register / Vol. 75, No. 189 / Thursday, September 30, 2010 / Notices
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 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 November 29,
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 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) (Defense Human Resource
Activity), ATTN: Sam Yousef, 4000
Defense Pentagon, Washington, DC
20301–4000 or call at (703) 696–0478.
Title, Associated Form, and OMB
Control Number: Application for
Identification Card/DEERS Enrollment,
DD Form 1172–2, OMB Control Number
0704–0415.
Needs and Uses: This information
collection requirement is necessary to
validate eligibility for all individuals
applying for Department of Defense
benefits and privileges. These benefits
and privileges include but are not
limited to, medical coverage, DoD
Identification Cards, access to DoD
installations, buildings or facilities, and
access to DoD computer systems and
networks. This information collection is
required to obtain the necessary data
VerDate Mar<15>2010
17:48 Sep 29, 2010
Jkt 220001
elements to determine eligible
individual’s benefits and privileges, to
provide a proper identification card
reflecting those benefits and privileges,
and to maintain a centralized database
of the eligible population.
Affected Public: Individuals or
households.
Annual Burden Hours: 400,000.
Number of Respondents: 4,800,000.
Responses Per Respondent: 1.
Average Burden Per Response: 5
minutes.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
This information collected is used to
determine an eligible individual’s
benefits and privileges, to provide a
proper identification card reflecting
those benefits and privileges, and to
maintain a centralized database of the
eligible population.
Dated: September 10, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2010–24528 Filed 9–29–10; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD–2010–HA–0131]
Proposed Collection; Comment
Request
Office of the Assistant
Secretary of Defense for Health Affairs,
DoD.
ACTION: Notice.
AGENCY:
In compliance 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 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.
SUMMARY:
PO 00000
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Fmt 4703
Sfmt 4703
Consideration will be given to all
comments received by November 29,
2010.
DATES:
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.
ADDRESSES:
To
request more information on this
proposed information collection or to
obtain a copy of the proposal and
associated collection instruments,
please write to TRICARE Management
Activity, Office of General Counsel,
61401 E. Centretech Parkway, Attn:
Michael Bibbo, Aurora, CO 80011, or
call TRICARE Management Activity,
Office of General Counsel, at (303) 676–
3705.
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.
Needs and Uses: This information
collection is completed by TRICARE
(formerly 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.
Annual Burden Hours: 56,100.
Number of Respondents: 224,399.
Responses per Respondent: 1.
Average Burden per Response: 15
minutes.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
FOR FURTHER INFORMATION CONTACT:
Summary of Information Collection
The Federal Medical Recovery Act, 42
U.S.C. 2651–2653 as implemented by
Executive Order No. 11060 and 28 CFR
part 43 provides for recovery of the
E:\FR\FM\30SEN1.SGM
30SEN1
mstockstill on DSKH9S0YB1PROD with NOTICES6
Federal Register / Vol. 75, No. 189 / Thursday, September 30, 2010 / Notices
reasonable value of medical care
provided by the United States to a
person who is injured or suffers a
disease under circumstances creating
tort liability in a third person. DD Form
2527 is required for investigating and
asserting claims in favor of the United
States arising out of such incidents.
When a claim for TRICARE benefits is
identified as involving possible third
party liability and the information is not
submitted with the claim, the TRICARE
contractor requests that the injured
party (or a designee) complete DD Form
2527. To protect the interests of the
Government, the contractor suspends
claims processing until the requested
third party liability information is
received. The contractor conducts a
preliminary evaluation based upon the
collection of information and refers the
case to a designated appropriate legal
officer of the Uniformed Services. The
responsible Uniformed Services legal
officer uses the information as a basis
for asserting and settling the
Government’s claim. When appropriate,
the information is forwarded to the
Department of Justice as the basis for
litigation.
Section 1 of the Form is used to
collect general information, such as
name, address and telephone numbers
about the military sponsor and the
injured beneficiary and the date, time
and location where the injured
occurred.
Section 2 of the Form is used to
collect information about accidental
injuries. Most of the investigations for
third party liability involve motor
vehicle accidents. Information about
insurance coverage for the parties
involved in the accident is collected.
Section 2 of the Form is also used to
collect information about accidents not
involving motor vehicles. Information
such as the type of accident, the place
where the injury occurred, the name of
the property owner where the injury
occurred and cause of the injury is
collected. The name and address of the
employer is collected when the injury
was work related.
Section 3 of the Form is used for
miscellaneous information such as
possible medical treatment at a
Government hospital, the name and
address of the beneficiary’s attorney,
and information regarding any possible
releases or settlements with another
party to the accident. It also contains the
certification, date and signature of the
beneficiary (or a designee).
VerDate Mar<15>2010
17:48 Sep 29, 2010
Jkt 220001
Dated: September 17, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2010–24529 Filed 9–29–10; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2010–HA–0133]
Proposed Collection; Comment
Request
Office of the Assistant
Secretary of Defense for Health Affairs,
DoD.
ACTION: Notice.
AGENCY:
In compliance 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 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 November 29,
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.
SUMMARY:
PO 00000
Frm 00014
Fmt 4703
Sfmt 4703
60417
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 TRICARE
Management Activity, Medical Benefits
and Reimbursement Branch, Ann N.
Fazzini, Aurora, CO 80011 or phone
303–676–3803.
Title; Associated Form; and OMB
Number: Diagnosis Related Groups
(DRG) Reimbursement; OMB Control
Number 0720–0017.
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
costs. Respondents are institutional
providers.
Affected Public: Business or other forprofit.
Annual Burden Hours: 4,993.
Number of Respondents: 4,993.
Responses per Respondent: 1.
Average Burden per Response: 1 hour.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
FOR FURTHER INFORMATION CONTACT:
Summary of Information Collection
The Department of Defense
Authorization Act, 1984, Public Law
98–94 amended Title 10, section
1079(j)(2)(A) of the U.S.C. and provided
the Civilian Health and Medical
Program of the Uniform Services
(CHAMPUS) with the statutory
authority to reimburse institutional
providers based on diagnosis-related
groups (DRGs). The CHAMPUS DRGbased payment system, except for
children’s hospitals (whose capital and
direct medical education costs are
incorporated in the children’s hospital
differential), who want to be reimbursed
for allowed capital and direct medical
education costs must submit a request
for payment to the TRICARE/CHAMPUS
contractor. The request allows TRICARE
to collect the information necessary to
properly reimburse hospitals for its
share of these costs. The information
can be submitted in any form, most
likely in the form of a letter. The
contractor will calculate the TRICARE/
CHAMPUS share of capital and direct
medical educations costs and make a
lump-sum payment to the hospital. The
TRICARE/CHAMPUS DRG-based
payment system is modeled on the
Medicare Prospective Payment System
(PPS) and was implemented on October
1, 1987. Initially, under 42 CFR 412.46
of the Medicare regulations, physicians
were required to sign attestation and
acknowledgment statements. These
requirements were implemented to
ensure a means of holding hospitals and
E:\FR\FM\30SEN1.SGM
30SEN1
]]>Agencies
[Federal Register Volume 75, Number 189 (Thursday, September 30, 2010)]
[Notices]
[Pages 60416-60417]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-24529]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD-2010-HA-0131]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, DoD.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance 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 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 November
29, 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 or to obtain a copy of the proposal and
associated collection instruments, please write to TRICARE Management
Activity, Office of General Counsel, 61401 E. Centretech Parkway, Attn:
Michael Bibbo, Aurora, CO 80011, or call TRICARE Management Activity,
Office of General Counsel, at (303) 676-3705.
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.
Needs and Uses: This information collection is completed by TRICARE
(formerly 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.
Annual Burden Hours: 56,100.
Number of Respondents: 224,399.
Responses per Respondent: 1.
Average Burden per Response: 15 minutes.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
The Federal Medical Recovery Act, 42 U.S.C. 2651-2653 as
implemented by Executive Order No. 11060 and 28 CFR part 43 provides
for recovery of the
[[Page 60417]]
reasonable value of medical care provided by the United States to a
person who is injured or suffers a disease under circumstances creating
tort liability in a third person. DD Form 2527 is required for
investigating and asserting claims in favor of the United States
arising out of such incidents.
When a claim for TRICARE benefits is identified as involving
possible third party liability and the information is not submitted
with the claim, the TRICARE contractor requests that the injured party
(or a designee) complete DD Form 2527. To protect the interests of the
Government, the contractor suspends claims processing until the
requested third party liability information is received. The contractor
conducts a preliminary evaluation based upon the collection of
information and refers the case to a designated appropriate legal
officer of the Uniformed Services. The responsible Uniformed Services
legal officer uses the information as a basis for asserting and
settling the Government's claim. When appropriate, the information is
forwarded to the Department of Justice as the basis for litigation.
Section 1 of the Form is used to collect general information, such
as name, address and telephone numbers about the military sponsor and
the injured beneficiary and the date, time and location where the
injured occurred.
Section 2 of the Form is used to collect information about
accidental injuries. Most of the investigations for third party
liability involve motor vehicle accidents. Information about insurance
coverage for the parties involved in the accident is collected. Section
2 of the Form is also used to collect information about accidents not
involving motor vehicles. Information such as the type of accident, the
place where the injury occurred, the name of the property owner where
the injury occurred and cause of the injury is collected. The name and
address of the employer is collected when the injury was work related.
Section 3 of the Form is used for miscellaneous information such as
possible medical treatment at a Government hospital, the name and
address of the beneficiary's attorney, and information regarding any
possible releases or settlements with another party to the accident. It
also contains the certification, date and signature of the beneficiary
(or a designee).
Dated: September 17, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2010-24529 Filed 9-29-10; 8:45 am]
BILLING CODE 5001-06-P
