Proposed Collection; Comment Request, 26008-26009 [2015-10513]

Download as PDF 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 PO 00000 Frm 00014 Fmt 4703 Sfmt 4703 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]


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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.

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[[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
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