Proposed Collection; Comment Request, 26009-26010 [2015-10509]
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Federal Register / Vol. 80, No. 87 / Wednesday, May 6, 2015 / Notices
In compliance the Paperwork
Reduction Act of 1995, the Office of the
Assistant Secretary of Defense for
Health Affairs announces 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 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 July 6, 2015.
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: Department of Defense, Office
of the Deputy Chief Management
Officer, Directorate of Oversight and
Compliance, Regulatory and Audit
Matters Office, 9010 Defense Pentagon,
Washington, DC 20301–9010.
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.
Any associated form(s) for this
collection may be located within this
same electronic docket and downloaded
for review/testing. Follow the
instructions at https://
www.regulations.gov for submitting
comments. Please submit comments on
any given form identified by docket
number, form number, and title.
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 TRICARE Dental
Care Office, Health Plan Execution and
Operation, Defense Health Agency
(DHA), Rm. 3M451, ATTN: COL Colleen
C. Shull, Falls Church, VA 22042 or call
(703) 681–9517, DSN 761.
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
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18:43 May 05, 2015
Jkt 235001
SUPPLEMENTARY INFORMATION:
DEPARTMENT OF DEFENSE
Title; Associated Form; and OMB
Number: Active Duty Dental Program
(ADDP) Claim Form; OMB Control
Number 0720–0053.
Needs and Uses: The information
collection is necessary to obtain and
record the dental readiness of Service
Members using the Active Duty Dental
Program (ADDP) and at the same time
submit the claim for the dental
procedures provided so that claims can
be processed and reimbursement made
to the provider. Many Service Members
are not located near a military dental
treatment facility and receive their
dental care in the private sector.
Affected Public: Business or other for
profit institutions; Not-for-profit
institutions.
Annual Burden Hours: 25,000.
Number of Respondents: 75,000.
Responses per Respondent: 4.
Average Burden per Response: 5
minutes.
Frequency: On occasion.
Respondents are dental providers who
submit claims in order to be reimbursed
for delivered dental care. The ADDP
Claim form allows civilian dental
providers to submit the claim for dental
procedures provided to active duty
service members and to update their
dental readiness classification at the
same time. The completed form is
forwarded to the ADDP contractor,
United Concordia Companies, Inc. for
reimbursement and the electronic
update of the dental readiness. If the
form is not available, civilian providers
will not have a mechanism to submit
dental claims with the information
required for reimbursement to provide
an updated dental readiness
classification for the member. Dental
readiness classification allows the
Services to ensure that all Service
Members are ready for worldwide
deployment. Dental readiness is an
integral part of medical readiness, and
medical readiness is fundamental to the
readiness of our forces.
Dated: April 30, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2015–10513 Filed 5–5–15; 8:45 am]
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26009
Office of the Secretary
[Docket ID: DoD–2015–HA–0038]
Proposed Collection; Comment
Request
Office of the Assistant
Secretary of Defense for Health Affairs,
DoD.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act of 1995, the
Office of the Assistant Secretary of
Defense for Health Affairs announces 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
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 July 6, 2015.
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: Department of Defense, Office
of the Deputy Chief Management
Officer, Directorate of Oversight and
Compliance, Regulatory and Audit
Matters Office, 9010 Defense Pentagon,
Washington, DC 20301–9010.
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.
Any associated form(s) for this
collection may be located within this
same electronic docket and downloaded
for review/testing. Follow the
instructions at https://
www.regulations.gov for submitting
comments. Please submit comments on
SUMMARY:
E:\FR\FM\06MYN1.SGM
06MYN1
26010
Federal Register / Vol. 80, No. 87 / Wednesday, May 6, 2015 / Notices
any given form identified by docket
number, form number, and title.
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 Health
Agency, TRICARE, Medical Benefits &
Reimbursement Office, 16401 E.
Centretech Parkway, Aurora, CO 80011,
ATTN: Amber Butterfield, or call
TRICARE, Medical Benefits and
Reimbursement Office at (303) 676–
3565.
tkelley on DSK3SPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB
Number: Health Insurance Claim Form,
CMS–1500 OMB Control Number 0720–
0001.
Needs and Uses: The information
collection requirement is used by
TRICARE to determine reimbursement
for health care services or supplies
rendered by individual professional
providers to TRICARE beneficiaries. The
requested information is used to
determine beneficiary eligibility,
appropriateness and cost of care, other
health insurance liability and whether
services received are covered benefits.
Affected Public: Business or other for
profit; Not-for-profit institutions,
Federal government, state, local or tribal
government.
Annual Burden Hours: 22,108,225.
Number of Respondents: 88,432,900.
Responses per Respondent: 1.
Average Burden per Response: 15
minutes.
Frequency: On occasion.
Respondents are individual
professional providers or healthcare
related providers, who file for
reimbursement of civilian health care
services or supplies provided to
TRICARE beneficiaries under the
Civilian Health and Medical Program of
the Uniformed Services. TRICARE is a
health benefits entitlement program for
active duty, the dependents of active
duty Uniformed Services member and
deceased sponsors, retirees and their
dependents, dependents of Department
of Homeland Security (Coast Guard)
sponsors, and certain North Atlantic
Treaty Organizations, National Oceanic
and Atmospheric Administration, and
Public Health Service eligible
beneficiaries. Use of this form continues
TRICARE’s commitment to use the
national standard claim form for
reimbursement of services/supplies
provided by individual professional
providers or healthcare related
providers, and is accepted by all major
commercial and government payers.
VerDate Sep<11>2014
18:43 May 05, 2015
Jkt 235001
Dated: April 30, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2015–10509 Filed 5–5–15; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Department of the Navy
Meeting of the U.S. Naval Academy
Board of Visitors
Department of the Navy, DoD.
Notice of partially closed
meeting.
AGENCY:
ACTION:
DEPARTMENT OF DEFENSE
Department of the Army, Corps of
Engineers
Termination of Environmental Impact
Statement for the Gray’s Beach
Restoration Project, Waikiki, Island of
Oahu, Hawaii
AGENCY:
U.S. Army Corps of Engineers,
DoD.
ACTION:
Notice of intent; withdrawal.
The U.S. Army Corps of
Engineers (Corps), Honolulu District, is
issuing this notice to advise Federal,
state, and local governmental agencies
and the public that the Corps is
withdrawing its Notice of Intent (NOI)
to prepare a Draft Environmental Impact
Statement (EIS) for the Gray’s Beach
Restoration Project located in Waikiki
on the Island of Oahu, Hawaii (Corps
File No. POH–2007–00192).
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Susan Meyer, Senior Project Manager,
Regulatory Office. Mailing address: U.S.
Army Corps of Engineers, Honolulu
District, CEPOH–RO (Attn: Ms. Susan
Meyer), Building 230, Ft. Shafter,
Hawaii 96858–5440. Email address:
susan.a.meyer@usace.army.mil.
The Corps
published an NOI in the Federal
Register on November 17, 2008 (73 FR
67847) to prepare a Draft EIS pursuant
to the National Environmental Policy
Act for the proposed Gray’s Beach
Restoration Project. A public scoping
meeting was held on December 17, 2008
to solicit public input on the scope of
analysis; significant issues to be
evaluated in the Draft EIS; cooperating
agencies; direct, indirect and
cumulative impacts resulting from the
proposed action; and proposed
alternatives. Since that time, the project
proponent has withdrawn its
Department of the Army permit
application and is no longer actively
pursuing the proposed project.
Therefore, the Corps is withdrawing the
NOI to prepare a Draft EIS.
SUPPLEMENTARY INFORMATION:
Christopher W. Crary,
Lieutenant Colonel, U.S. Army, District
Engineer.
[FR Doc. 2015–10618 Filed 5–5–15; 8:45 am]
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The U.S. Naval Academy
Board of Visitors will meet to make such
inquiry, as the Board shall deem
necessary, into the state of morale and
discipline, the curriculum, instruction,
physical equipment, fiscal affairs, and
academic methods of the Naval
Academy. The executive session of this
meeting from 11:00 a.m. to 12:00 p.m.
on June 15, 2015, will include
discussions of new and pending
administrative/minor disciplinary
infractions and non-judicial punishment
proceedings involving Midshipmen
attending the Naval Academy to include
but not limited to individual honor/
conduct violations within the Brigade;
the disclosure of which would
constitute a clearly unwarranted
invasion of personal privacy. For this
reason, the executive session of this
meeting will be closed to the public.
DATES: The open session of the meeting
will be held on June 15, 2015, from 9:00
a.m. to 11:00 a.m. The executive session
held from 11:00 a.m. to 12:00 p.m. will
be the closed portion of the meeting.
ADDRESSES: The meeting will be held at
the U.S. Naval Academy, Annapolis,
MD. The meeting will be handicap
accessible.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Lieutenant Commander Eric Madonia,
USN, Executive Secretary to the Board
of Visitors, Office of the Superintendent,
U.S. Naval Academy, Annapolis, MD
21402–5000, (410) 293–1503.
SUPPLEMENTARY INFORMATION: This
notice of meeting is provided per the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.). The executive
session of the meeting from 11:00 a.m.
to 12:00 p.m. on June 15, 2015, will
consist of discussions of new and
pending administrative/minor
disciplinary infractions and non-judicial
punishment proceedings involving
Midshipmen attending the Naval
Academy to include but not limited to
individual honor/conduct violations
within the Brigade. The discussion of
such information cannot be adequately
segregated from other topics, which
precludes opening the executive session
of this meeting to the public.
Accordingly, the Department of the
Navy/Assistant for Administration has
E:\FR\FM\06MYN1.SGM
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]]>Agencies
[Federal Register Volume 80, Number 87 (Wednesday, May 6, 2015)]
[Notices]
[Pages 26009-26010]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-10509]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2015-HA-0038]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, DoD.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Office of the Assistant Secretary of Defense for Health Affairs
announces 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 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 July 6,
2015.
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: Department of Defense, Office of the Deputy Chief
Management Officer, Directorate of Oversight and Compliance, Regulatory
and Audit Matters Office, 9010 Defense Pentagon, Washington, DC 20301-
9010.
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.
Any associated form(s) for this collection may be located within
this same electronic docket and downloaded for review/testing. Follow
the instructions at https://www.regulations.gov for submitting comments.
Please submit comments on
[[Page 26010]]
any given form identified by docket number, form number, and title.
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 Health
Agency, TRICARE, Medical Benefits & Reimbursement Office, 16401 E.
Centretech Parkway, Aurora, CO 80011, ATTN: Amber Butterfield, or call
TRICARE, Medical Benefits and Reimbursement Office at (303) 676-3565.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Health Insurance Claim
Form, CMS-1500 OMB Control Number 0720-0001.
Needs and Uses: The information collection requirement is used by
TRICARE to determine reimbursement for health care services or supplies
rendered by individual professional providers to TRICARE beneficiaries.
The requested information is used to determine beneficiary eligibility,
appropriateness and cost of care, other health insurance liability and
whether services received are covered benefits.
Affected Public: Business or other for profit; Not-for-profit
institutions, Federal government, state, local or tribal government.
Annual Burden Hours: 22,108,225.
Number of Respondents: 88,432,900.
Responses per Respondent: 1.
Average Burden per Response: 15 minutes.
Frequency: On occasion.
Respondents are individual professional providers or healthcare
related providers, who file for reimbursement of civilian health care
services or supplies provided to TRICARE beneficiaries under the
Civilian Health and Medical Program of the Uniformed Services. TRICARE
is a health benefits entitlement program for active duty, the
dependents of active duty Uniformed Services member and deceased
sponsors, retirees and their dependents, dependents of Department of
Homeland Security (Coast Guard) sponsors, and certain North Atlantic
Treaty Organizations, National Oceanic and Atmospheric Administration,
and Public Health Service eligible beneficiaries. Use of this form
continues TRICARE's commitment to use the national standard claim form
for reimbursement of services/supplies provided by individual
professional providers or healthcare related providers, and is accepted
by all major commercial and government payers.
Dated: April 30, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-10509 Filed 5-5-15; 8:45 am]
BILLING CODE 5001-06-P
