Proposed Collection; Comment Request, 60418 [2010-24531]
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60418
Federal Register / Vol. 75, No. 189 / Thursday, September 30, 2010 / Notices
physicians accountable for the
information they submit on the
Medicare claim forms. Being modeled
on the Medicare PPS, CHAMPUS also
adopted these requirements. The
physicians attestation and physician
acknowledgment required by Medicare
under 42 CFR 412.46 are also required
for CHAMPUS as a condition for
payment and may be satisfied by the
same statements as required for
Medicare, with substitution or addition
of ‘‘CHAMPUS’’ when the word
‘‘Medicare’’ is used. Physicians sign a
physician acknowledgement,
maintained by the institution, at the
time the physician is granted admitting
privileges. This acknowledgement
indicates the physician understands the
importance of a correct medical record,
and misrepresentation may be subject to
penalties.
Dated: September 10, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2010–24530 Filed 9–29–10; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2010–HA–0132]
Proposed Collection; Comment
Request
Office of the Assistant
Secretary of Defense for Health Affairs,
DoD.
AGENCY:
mstockstill on DSKH9S0YB1PROD with NOTICES6
ACTION:
Notice.
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.
VerDate Mar<15>2010
17:48 Sep 29, 2010
Jkt 220001
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, Contract Operations Branch,
16401 E. Centretech Parkway, Attn:
Kenneth Zimmerman, Aurora, CO
80011, or call TRICARE Management
Activity, Contract Operations Branch, at
(303–676–3502).
Title; Associated Form; and OMB
Number: TRICARE Retiree Dental
Program Enrollment Application Form;
OMB Number 0720–0015.
Needs and Uses: This information
collection is completed by Uniformed
Services members entitled to retired pay
and their eligible family members who
are seeking enrollment in the TRICARE
Retiree Dental Program (TRDP). The
information is necessary to enable the
DoD-contracted third party
administrator of the program to identify
the program’s applicants, determine
their eligibility for TRDP enrollment,
establish the premium payment amount,
and to verify by the applicant’s
signature that the applicant understands
the benefits and rules of the program.
Affected Public: Individuals or
household.
Annual Burden Hours: 17,833.
Number of Respondents: 71,332.
Responses Per Respondent: 1.
Average Burden Per Response: 15
minutes.
Frequency: Annually.
SUPPLEMENTARY INFORMATION:
DATES:
Summary of Information Collection
The TRICARE Retiree Dental Program
(32 CFR 199.22) was implemented in
PO 00000
Frm 00015
Fmt 4703
Sfmt 4703
1998 based on the authority of 10 U.S.C.
1076c. Dental coverage under the
program is available on a voluntary
basis to retirees of the Uniformed
Services entitled to retired pay and their
family members.
The information collection
requirements under this proposed
extension are similar to those under the
current collection. Information on the
applicant, such as name, address,
telephone numbers, date of birth, and
retiree’s social security number, is
necessary for identification purposes, as
is information on the family members to
be enrolled. The form also contains
information on premium payment
enrollment options and a certification
statement for the applicant to sign and
date. The primary change in the
proposed extension of the information
collection is to update the expiration
date of the Enrollment Application.
Dated: September 10, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2010–24531 Filed 9–29–10; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2010–HA–0134]
Proposed Collection; Comment
Request
Uniformed Services University
of the Health Sciences, Graduate School
of Nursing, DoD.
ACTION: Notice.
AGENCY:
In compliance with Section
3506 (c)(2)(A) of the Paperwork
Reduction Act of 1995, the Uniformed
Services University of the Health
Sciences proposes a new public
information collection. 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.
SUMMARY:
E:\FR\FM\30SEN1.SGM
30SEN1
]]>Agencies
[Federal Register Volume 75, Number 189 (Thursday, September 30, 2010)]
[Notices]
[Page 60418]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-24531]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2010-HA-0132]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, DoD.
ACTION: Notice.
-----------------------------------------------------------------------
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, Contract Operations Branch, 16401 E. Centretech Parkway,
Attn: Kenneth Zimmerman, Aurora, CO 80011, or call TRICARE Management
Activity, Contract Operations Branch, at (303-676-3502).
Title; Associated Form; and OMB Number: TRICARE Retiree Dental
Program Enrollment Application Form; OMB Number 0720-0015.
Needs and Uses: This information collection is completed by
Uniformed Services members entitled to retired pay and their eligible
family members who are seeking enrollment in the TRICARE Retiree Dental
Program (TRDP). The information is necessary to enable the DoD-
contracted third party administrator of the program to identify the
program's applicants, determine their eligibility for TRDP enrollment,
establish the premium payment amount, and to verify by the applicant's
signature that the applicant understands the benefits and rules of the
program.
Affected Public: Individuals or household.
Annual Burden Hours: 17,833.
Number of Respondents: 71,332.
Responses Per Respondent: 1.
Average Burden Per Response: 15 minutes.
Frequency: Annually.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
The TRICARE Retiree Dental Program (32 CFR 199.22) was implemented
in 1998 based on the authority of 10 U.S.C. 1076c. Dental coverage
under the program is available on a voluntary basis to retirees of the
Uniformed Services entitled to retired pay and their family members.
The information collection requirements under this proposed
extension are similar to those under the current collection.
Information on the applicant, such as name, address, telephone numbers,
date of birth, and retiree's social security number, is necessary for
identification purposes, as is information on the family members to be
enrolled. The form also contains information on premium payment
enrollment options and a certification statement for the applicant to
sign and date. The primary change in the proposed extension of the
information collection is to update the expiration date of the
Enrollment Application.
Dated: September 10, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2010-24531 Filed 9-29-10; 8:45 am]
BILLING CODE 5001-06-P
