Submission for OMB Review; Comment Request, 61397-61398 [2015-25877]
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Federal Register / Vol. 80, No. 197 / Tuesday, October 13, 2015 / Notices
providers within today’s health care
delivery structure, and gave
beneficiaries access to another segment
of the health care delivery industry.
Corporate services providers must be
approved for Medicare payment, or
when Medicare approval status is not
required, be accredited by a qualified
accreditation organization to gain
provider authorization status under
TRICARE. Corporate services providers
must also enter into a participation
agreement which will be sent out as part
of the initial authorization process. The
participation agreement will ensure that
TRICARE-determined allowable
payments, combined with the costshare/
copayment, deductible, and other health
insurance amounts, will be accepted by
the provider as payment in full. The
application for TRICARE-Provider
Status: Corporate Services Provider, will
collect the necessary information to
ensure that the conditions are met for
authorization as a TRICARE corporate
services provider: i.e., the provider (1) is
a corporation or a foundation, but not a
professional corporation or professional
association; (2) provides services and
related supplies of a type rendered by
TRICARE individual professional
providers or diagnostic technical
services; (3) is approved for Medicare
payment or, when Medicare approval
status is not requested, is accredited by
a qualified accreditation organization;
and (4) has entered into a participation
agreement approved by the Director,
DHA or a designee.
The collected information will be
used by TRICARE contractors to process
claims and verify authorized provider
status. Verification involves collecting
and reviewing copies of the provider’s
licenses, certificates, accreditation
documents, etc. If the criteria are met,
the provider is granted TRICARE
authorization status. The documentation
and information are collected when: (1)
A provider requests permission to
become a TRICARE-authorized
provider; (2) a claim is filed for care
received from a provider who is not
listed on the contractor’s computer
listing of authorized providers; or (3)
when a former TRICARE-authorized
provider requests reinstatement. The
contractors develop the forms used to
gather information based on the
TRICARE conditions for participation
listed above. Without the collection of
this information, contractors cannot
determine if the provider meets
TRICARE-authorization requirements
for corporate services providers. If the
contractor is unable to verify that a
provider meets these authorization
requirements, the contractor may not
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reimburse either the provider or the
beneficiary for the provider’s health care
services. To reduce the reporting burden
to a minimum, TRICARE has carefully
selected the information requested from
respondents. Only that information
which has been deemed absolutely
essential is being requested. If
necessary, contractors may verify
credentials with Medicare, JCAHO and
other national organizations by
telephone. TRICARE is also
participating with Medicare in the
development of a National Provider
System which will eliminate
duplication of provider certification and
data collection among Federal
government agencies. TRICARE
contractors are required to maintain a
computer listing before requesting
documentation from providers. Since
the providers affected by this
information generally have not
previously been eligible to be
authorized providers, TRICARE
contractors will have no information on
file. The providers will have to submit
the information requested on the data
collection form (Application for
TRICARE-Providers Status: Corporate
Services Provider) in order to obtain
provider authorization status under
TRICARE. The information will usually
be collected from each respondent only
once. It is estimated that there will be
approximately 300 applicants per year.
TRICARE will request the provider
authorization documentation and
information when the provider asks to
become TRICARE-authorized or when a
claim is filed for a new provider’s
services. If after a provider has been
authorized by a contractor, no claims
are filed during two-year period of time,
the provider’s information will be
placed in the inactive file. To reactivate
a file, the provider must verify that the
information is still correct, or supply
new or changed information. The total
annual reporting burden is estimated to
be approximately 100 hours
(approximately 300 respondents with 20
minutes to complete the form).
Dated: October 6, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2015–25909 Filed 10–9–15; 8:45 am]
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61397
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2015–HA–0039]
Submission for OMB Review;
Comment Request
ACTION:
Notice.
The Department of Defense
has submitted to OMB for clearance, the
following proposal for collection of
information under the provisions of the
Paperwork Reduction Act.
DATES: Consideration will be given to all
comments received by November 12,
2015.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Fred
Licari, 571–372–0493.
SUPPLEMENTARY INFORMATION:
Title, Associated Form And OMB
Number: Diagnosis Related Groups
(DRG) Reimbursement; OMB Control
Number 0720–0017.
Type of Request: Reinstatement, with
change, of a previously approved
collection for which approval has
expired.
Number of Respondents: 5,600.
Responses per Respondent: 1.
Annual Responses: 5,600.
Average Burden per Response: 1.5
hours.
Annual Burden Hours: 8,400.
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: Business or other forprofit; individuals or households.
Frequency: On occasion.
Respondent’s Obligation: Voluntary.
OMB Desk Officer: Ms. Meredith
DeDona.
Comments and recommendations on
the proposed information collection
should be emailed to Ms. Meredith
DeDona, DoD Desk Officer, at Oira_
submission@omb.eop.gov. Please
identify the proposed information
collection by DoD Desk Officer and the
Docket ID number and title of the
information collection.
You may also submit comments and
recommendations, identified by Docket
ID number and title, by the following
method:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
Instructions: All submissions received
must include the agency name, Docket
ID number and title for this Federal
Register document. The general policy
for comments and other submissions
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61398
Federal Register / Vol. 80, No. 197 / Tuesday, October 13, 2015 / Notices
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.
DOD Clearance Officer: Mr. Frederick
Licari.
Written requests for copies of the
information collection proposal should
be sent to Mr. Licari at WHS/ESD
Directives Division, 4800 Mark Center
Drive, East Tower, Suite 02G09,
Alexandria, VA 22350–3100.
Dated: October 6, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2015–25877 Filed 10–9–15; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2014–OS–0072]
Proposed Collection; Comment
Request
Office of the Under Secretary of
Defense for Acquisition, Technology,
and Logistics/Defense Technical
Information Center (DTIC).
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act of 1995, the
Office of the Under Secretary of Defense
for Acquisition, Technology, and
Logistics/Defense Technical Information
Center (DTIC) 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 December 8,
2015.
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
You may submit comments,
identified by docket number and title,
by any of the following methods:
ADDRESSES:
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21:23 Oct 09, 2015
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• 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 or send an email to the
DTIC–BC Registration Team, Defense
Technical Information Center, 8725
John J. Kingman Road, Suite 0944, Fort
Belvoir, VA 22060–6218, or email Ms.
Kerry Christensen: kchriste@dtic.mil.
Ms. Christensen may be telephoned at:
(703) 767–8247.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB
Number: Registration for Scientific and
Technical Information Services; DD
Form 1540; OMB Control Number 0704–
0264.
Needs and Uses: The data that the
Defense Technical Information Center
handles is controlled, because of either
distribution limitations or security
classification. For this reason, all
potential users are required to register
for service. DoD Instruction 3200.14,
Principles and Operational Parameters
of the DoD Scientific and Technical
Information Program, mandates the
registration procedure. Federal
Government agencies and their
contractors are required to complete the
DD Form 1540, Registration for
Scientific and Technical Information
Services. The contractor community
completes a separate DD Form 1540 for
each contract or grant, and registration
is valid until the contract expires.
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Affected Public: Business or other for
profit; Federal Government; State, local,
or tribal government.
Annual Burden Hours: 1,667.
Number of Respondents: 10,000.
Responses per Respondent: 1.
Annual Responses: 10,000.
Average Burden per Response: 10
minutes.
Frequency: On occasion.
The DD Form 1540 serves as a
registration tool for Federal Government
agencies and their contractors to access
DTIC services. Potential users
registering for services are required to
obtain certification from a designated
approving official. Collected
information is verified by DTIC’s
Marketing and Registration Division.
Dated: October 5, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2015–25831 Filed 10–9–15; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD–2015–OS–0094]
Proposed Collection; Comment
Request
Office of the Under Secretary of
Defense (Personnel and Readiness),
DoD.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act of 1995, the
Office of the Under Secretary of Defense
(Personnel and Readiness) 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 December 14,
2015.
SUMMARY:
You may submit comments,
identified by docket number and title,
by any of the following methods:
ADDRESSES:
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Agencies
[Federal Register Volume 80, Number 197 (Tuesday, October 13, 2015)]
[Notices]
[Pages 61397-61398]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-25877]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2015-HA-0039]
Submission for OMB Review; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Department of Defense has submitted to OMB for clearance,
the following proposal for collection of information under the
provisions of the Paperwork Reduction Act.
DATES: Consideration will be given to all comments received by November
12, 2015.
FOR FURTHER INFORMATION CONTACT: Fred Licari, 571-372-0493.
SUPPLEMENTARY INFORMATION:
Title, Associated Form And OMB Number: Diagnosis Related Groups
(DRG) Reimbursement; OMB Control Number 0720-0017.
Type of Request: Reinstatement, with change, of a previously
approved collection for which approval has expired.
Number of Respondents: 5,600.
Responses per Respondent: 1.
Annual Responses: 5,600.
Average Burden per Response: 1.5 hours.
Annual Burden Hours: 8,400.
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: Business or other for-profit; individuals or
households.
Frequency: On occasion.
Respondent's Obligation: Voluntary.
OMB Desk Officer: Ms. Meredith DeDona.
Comments and recommendations on the proposed information collection
should be emailed to Ms. Meredith DeDona, DoD Desk Officer, at
Oira_submission@omb.eop.gov. Please identify the proposed information
collection by DoD Desk Officer and the Docket ID number and title of
the information collection.
You may also submit comments and recommendations, identified by
Docket ID number and title, by the following method:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments.
Instructions: All submissions received must include the agency
name, Docket ID number and title for this Federal Register document.
The general policy for comments and other submissions
[[Page 61398]]
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.
DOD Clearance Officer: Mr. Frederick Licari.
Written requests for copies of the information collection proposal
should be sent to Mr. Licari at WHS/ESD Directives Division, 4800 Mark
Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100.
Dated: October 6, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-25877 Filed 10-9-15; 8:45 am]
BILLING CODE 5001-06-P