Proposed Collection; Comment Request, 71174-71175 [2012-28864]
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Federal Register / Vol. 77, No. 230 / Thursday, November 29, 2012 / Notices
pmangrum on DSK3VPTVN1PROD with NOTICES
HCLLTM (Transfusion) and
KnowledgeTrakTM (Learning
Management). BMBB/TS is an effort
intended to enhance the DoD’s Blood
Program capabilities for a seamless
integration of blood banking and
transfusion activities, products
inventory management, transport,
availability, and most importantly
traceability from transfusion to
disposition or destruction within the
electronic health record (EHR).
EBMS has built-in safeguards to limit
access and visibility of personal or
sensitive information in accordance
with the Privacy Act of 1974. The
application will account for everyone
that donates blood and receives a blood
transfusion in the MHS—Active Duty,
Reserves, National Guard, government
civilian, contractors and volunteers
assigned or borrowed—this also
includes non-appropriated fund
employees and foreign nationals.
Affected Public: Contractors, civilian
and foreign nationals donating to the
Military Health Systems.
Annual Burden Hours: 766.
Number of Respondents: 4,600.
Responses per Respondent: 1.
Average Burden per Response: 10
minutes.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
In order to attain standardization,
ensure a safe blood product, and comply
with Federal law, all Military blood
facilities are licensed and/or registered
by the Food and Drug Administration
(FDA) and must operate according to
Title 21, Code of Federal Regulations,
Part 211, Current Good Manufacturing
Practices for Finished Pharmaceuticals,
Part 610 series, Biologics, and Part 820
series, Medical Devices.
The EBMS Mediware Corporation
developed COTS are FDA 510K cleared
Medical Devices that provides the
Military Health System (MHS) with a
comprehensive enterprise wide Blood
Donor Management System (BDMS) and
Blood Management Blood Banking and
Transfusion Service (BMBB/TS) with
capabilities to manage blood donors
(both in-house and at mobile collection
sites), manage blood products both fresh
and frozen throughout the collection,
processing, testing, storing, and
shipping procedures; interface with
testing instrumentation for enterprise
(Global) results management; shipping
blood with in-transit visibility and
shipping data transmit and receive;
automate, enterprise-wide ‘‘lookback’’
for donors, patients, and products;
automated, blood order issue, and
transfusion records; manage enterprise
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inventory (Global), including Theater
and VA. It has built-in safeguards to
limit access and visibility of personal or
sensitive information in accordance
with the Privacy Act of 1974. The
application will account for everyone
that donate blood and receive blood
transfusion in the MHS—Active Duty,
Reserves, National Guard, government
civilian, contractors and volunteers
assigned or borrowed—this also
includes non appropriated fund
employees and foreign nationals.
EBMS is an n-tier enterprise solution.
The solution will use COTS products,
installed at a Central Server location.
EBMS has applicability at the
headquarters level allowing Armed
Services Blood Program (ASBP) which
is delineated in several regulations,
including DoDD 6000.12, DoDI 6480.4,
and AR10–64 and Service Blood
Program Office (SBPO) to use this
product to conduct its own day-to-day
blood inventory management. This
comprehensive tool provides the
capability to manage inventory, monitor
adverse trends, review lookback cases,
manage donor deferrals and develop
standard operation procedure. Deciding
to implement EBMS within MHS
provides an enterprise solution for
transfusion and donor processing that
can be applied to enterprise-wide blood
inventory, and traceability throughout
patient and donor life.
The information in EBMS is personal
or sensitive; therefore, it contains builtin safeguards to limit access and
visibility of this information. EBMS uses
role-based security so a user sees only
the information for which permission
has been granted. It uses state-of-themarket 128-bit encryption security for
our transactions. It is DoD Information
Assurance Certification and
Accreditation Process (DIACAP)
certified having been subjected to and
passed thorough security testing and
evaluation by independent parties. It
meets safeguards specified by the
Privacy Act of 1974 in that it maintains
a published Department of Defense
(DoD) Privacy Impact Assessment and
System of Record covering Active Duty
Military, Reserve, National Guard, and
government civilian employees, to
include non-appropriated fund
employees and foreign nationals, DoD
contractors, and volunteers. EBMS is
hosted in a secure facility managed by
the MHS Cyber-Infrastructure Services
(MCIS).
PO 00000
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Dated: November 26, 2012.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2012–28863 Filed 11–28–12; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD–2012–HA–0145]
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 January 28, 2013.
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, 4800 Mark Center Drive,
East Tower, 2nd floor, Suite 02G09,
Alexandria, VA 22350–3100.
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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Federal Register / Vol. 77, No. 230 / Thursday, November 29, 2012 / Notices
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 Program, Policy and Benefits
Branch, ATTN: Mr. Mark Ellis, 5111
Leesburg Pike, Suite 810, Falls Church,
VA 22041–3206, or call 703–681–0039.
Title; Associated Form; and OMB
Number: Continued Health Care Benefit
Program, DD Form 2837; OMB Number
0720–TBD (previously cleared under
OMB Control Number 0704–0364).
Needs and Uses: The continuing
information collection requirement is
necessary for individuals to apply for
enrollment in the Continued Health
Care Benefit Program (CHCBP). The
CHCBP is a program of temporary health
care benefit coverage that is made
available to eligible individuals who
lose health care coverage under the
Military Health System (MHS).
Affected Public: Individuals or
households.
Annual Burden Hours: 625.
Number of Respondents: 2,500.
Responses per Respondent: 1.
Average Burden per Response: .25
hours.
Frequency: On occasion.
FOR FURTHER INFORMATION CONTACT:
SUPPLEMENTARY INFORMATION:
pmangrum on DSK3VPTVN1PROD with NOTICES
Summary of Information Collection
Respondents are individuals who are
or were beneficiaries of the Military
Health System (MHS) and who desire to
enroll in the CHCBP following their loss
of eligibility or entitlement to health
care coverage in the MHS. These
beneficiaries include any person
formerly eligible for care from the MHS
according to Chapter 55 or Section
1145a of Title 10, United States Code.
In order to be eligible for health care
coverage under CHCBP, an individual
must first enroll in CHCBP. DD Form
2837 is used as the information
collection vehicle for that enrollment.
The CHCBP is a legislatively mandated
program and it is anticipated that the
program will continue indefinitely. As
such, the DoD is publishing this formal
notice.
Dated: November 26, 2012.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2012–28864 Filed 11–28–12; 8:45 am]
BILLING CODE 5001–06–P
VerDate Mar<15>2010
15:12 Nov 28, 2012
Jkt 229001
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD–2012–HA–0141]
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 January 28, 2013.
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, 4800 Mark Center Drive,
East Tower, Suite 02G09, Alexandria,
VA 22350–3100.
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:
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 (MB&RB),
FOR FURTHER INFORMATION CONTACT:
PO 00000
Frm 00009
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71175
ATTN: Amber L. Butterfield, 16401 E.
Centretech Parkway, Aurora, CO 80011–
9066, or call TRICARE, MB&RB, at (303)
676–3565.
Title; Associated Form; and OMB
Number: TRICARE DoD/CHAMPUS
Medical Claim—Patient’s Request for
Medical Reimbursement; DD Form
2642; OMB Control Number 0720–0006.
Needs and Uses: This form is used
solely by beneficiaries requesting
reimbursement for medical expenses
under the TRICARE Program. The
information collected will be used by
TRICARE/CHAMPUS to determine:
beneficiary eligibility; other health
insurance eligibility; certification of the
beneficiary eligibility and other health
insurance liability; certification that the
beneficiary received the care and
reimbursement for the medical services
received.
Affected Public: Individuals or
households.
Annual Burden Hours: 750,000.
Number of Respondents: 3,000,000.
Responses per Respondent: 1.
Average Burden per Response: 15
minutes.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
This collection instrument is for use
by beneficiaries under the TRICARE
Program. TRICARE/CHAMPUS is a
health benefits entitlement program for
the dependents of active duty
Uniformed Services members and
deceased sponsors, retirees and their
dependents, dependents of the
Department of Homeland Security
(Coast Guard) sponsors, and certain
North Atlantic Treaty Organizations,
National Oceanic and Atmospheric
Administration, and Public Health
Service eligible beneficiaries. DD FORM
2642 is used solely by TRICARE/
CHAMPUS beneficiaries to file for
reimbursement of costs paid to
providers and suppliers for authorized
health care services or supplies.
Dated: November 26, 2012.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2012–28862 Filed 11–28–12; 8:45 am]
BILLING CODE 5001–06–P
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]]>Agencies
[Federal Register Volume 77, Number 230 (Thursday, November 29, 2012)]
[Notices]
[Pages 71174-71175]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-28864]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD-2012-HA-0145]
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 January
28, 2013.
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, 4800 Mark
Center Drive, East Tower, 2nd floor, Suite 02G09, Alexandria, VA 22350-
3100.
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.
[[Page 71175]]
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 Program, Policy and Benefits Branch, ATTN: Mr. Mark Ellis,
5111 Leesburg Pike, Suite 810, Falls Church, VA 22041-3206, or call
703-681-0039.
Title; Associated Form; and OMB Number: Continued Health Care
Benefit Program, DD Form 2837; OMB Number 0720-TBD (previously cleared
under OMB Control Number 0704-0364).
Needs and Uses: The continuing information collection requirement
is necessary for individuals to apply for enrollment in the Continued
Health Care Benefit Program (CHCBP). The CHCBP is a program of
temporary health care benefit coverage that is made available to
eligible individuals who lose health care coverage under the Military
Health System (MHS).
Affected Public: Individuals or households.
Annual Burden Hours: 625.
Number of Respondents: 2,500.
Responses per Respondent: 1.
Average Burden per Response: .25 hours.
Frequency: On occasion.
SUPPLEMENTARY INFORMATION:
Summary of Information Collection
Respondents are individuals who are or were beneficiaries of the
Military Health System (MHS) and who desire to enroll in the CHCBP
following their loss of eligibility or entitlement to health care
coverage in the MHS. These beneficiaries include any person formerly
eligible for care from the MHS according to Chapter 55 or Section 1145a
of Title 10, United States Code.
In order to be eligible for health care coverage under CHCBP, an
individual must first enroll in CHCBP. DD Form 2837 is used as the
information collection vehicle for that enrollment. The CHCBP is a
legislatively mandated program and it is anticipated that the program
will continue indefinitely. As such, the DoD is publishing this formal
notice.
Dated: November 26, 2012.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2012-28864 Filed 11-28-12; 8:45 am]
BILLING CODE 5001-06-P
