Proposed Collection; Comment Request, 26008-26009 [2015-10513]
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26008
Federal Register / Vol. 80, No. 87 / Wednesday, May 6, 2015 / Notices
registration, please contact Jennifer
Holtz at (202) 482–2048 or email
broadbandusa@ntia.doc.gov. Copies of
the presentations provided in the
webinar will be available on the NTIA
Web site within 30 days following the
webinar.
The webinar will be accessible to
people with disabilities. Individuals
requiring accommodations are asked to
notify Theresa Thomas at (202) 482–
7407 or tthomas@ntia.doc.gov at least 5
business days before the webinar.
Dated: May 1, 2015.
Lisa Mensah,
Under Secretary for Rural Development.
Lawrence E. Strickling,
Assistant Secretary for Communications and
Information.
[FR Doc. 2015–10580 Filed 5–5–15; 8:45 am]
BILLING CODE 3510–60–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD–2015–HA–0039]
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
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:43 May 05, 2015
Jkt 235001
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 Defense Health
Agency, Medical Benefits and
Reimbursement Office, 16401 E.
Centretech Pkwy, Attn: Sharon
Seelmeyer, Aurora, CO 80011–9066, or
call Defense Health Agency, Medical
Benefits and Reimbursement Office at
(303) 676–3690.
SUPPLEMENTARY INFORMATION: 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.
Affected Public: Individuals; business
or other for-profit.
Annual Burden Hours: 8,400.
Number of Respondents: 5,600.
Responses per Respondent: 1.
Average Burden per Response: 90
minutes.
Frequency: On occasion.
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
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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
was required to sign attestation and
acknowledgment statements. These
requirements were implemented to
ensure a means of holding hospitals and
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 TRICARE/CHAMPUS as a condition
for payment and may be satisfied by the
same statements as required for
Medicare, with substitution or addition
of ‘‘TRICARE/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: April 30, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2015–10510 Filed 5–5–15; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2015–HA–0040]
Proposed Collection; Comment
Request
Office of the Assistant
Secretary of Defense for Health Affairs,
DoD.
ACTION: Notice.
AGENCY:
E:\FR\FM\06MYN1.SGM
06MYN1
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:
VerDate Sep<11>2014
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]
BILLING CODE 5001–06–P
PO 00000
Frm 00015
Fmt 4703
Sfmt 4703
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
]]>Agencies
[Federal Register Volume 80, Number 87 (Wednesday, May 6, 2015)]
[Notices]
[Pages 26008-26009]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-10513]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2015-HA-0040]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, DoD.
ACTION: Notice.
-----------------------------------------------------------------------
[[Page 26009]]
SUMMARY: 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.
SUPPLEMENTARY INFORMATION:
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]
BILLING CODE 5001-06-P
