Proposed Collection; Comment Request, 61390-61391 [2015-25911]
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61390
Federal Register / Vol. 80, No. 197 / Tuesday, October 13, 2015 / Notices
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.
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 Office of the Under
Secretary of Defense (Personnel and
Readiness) (Military Community and
Family Policy), ATTN: Mr. James M.
Ellis, 4000 Defense Pentagon,
Washington, DC 20301–4000 or call at
(703) 602–5009.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; And OMB
Number: Application for Discharge of
Member or Survivor of Member of
Group Certified to Have Performed
Active Duty with the Armed Forces of
the United States, DD Form 2168, OMB
Control Number 0704–0100.
Needs And Uses: The information
collection requirement is necessary to
VerDate Sep<11>2014
21:23 Oct 09, 2015
Jkt 238001
implement section 401 of Public Law
95–202 (codified at 38 U.S.C. 106 Note),
which directs the Secretary of Defense:
(1) To determine if civilian employment
or contractual service rendered to the
Armed Forces of the United States by
certain groups shall be considered
Active Duty services, and (2) to award
members of approved groups an
appropriate certificate where the nature
and duration of service so merits. This
information is collected on DD Form
2168, ‘‘Application for Discharge of
Member of Group Certified to have
Performed Active Duty with the Armed
Forces of the United States,’’ which
provides the necessary data to assist
each of the Military Departments in
determining if an applicant was a
member of a group which has performed
active military service. Those
individuals who have been recognized
as members of an approved group shall
be eligible for benefits administered by
the Veteran’s Administration.
Affected Public: Individuals or
households.
Annual Burden Hours: 1,350 hours.
Number of Respondents: 2,700.
Responses per Respondent: 1.
Annual Responses: 2,700.
Average Burden per Response: 5
hours.
Frequency: On occasion.
Section 401 of Public Law 95–202
(codified at 38 U.S.C. 106 Note)
authorized the Secretary of Defense: (1)
To determine if civilian employment or
contractual service rendered to the
Armed Forces of the United States by
certain groups shall be considered
active duty service, and (2) to issue
members of approved groups an
appropriate certificate of service where
the nature and duration of service so
warrants. Such persons shall be eligible
for benefits administered by the
Department of Veterans Affairs. The
information collected on DD Form 2168,
‘‘Application for Discharge of Member
or Survivor of Member Group Certified
To Have Performed Duty with the
Armed Forces of the United States,’’ is
necessary to assist the Secretaries of the
Military Departments in: (1)
Determining if an applicant was a
member of an approved group that
performed civilian employment or
contractual service for the U.S. Armed
Forces and (2) to assist in issuing an
appropriate certificate of service to the
applicant. Information provided by the
applicant will include: The name of the
group served with; dates and place of
service; highest grade/rank/rating held
during service; highest pay grade;
military installation where ordered to
report; specialty/job title(s). If the
information requested on a DD Form
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
2168 is compatible with that of a
corresponding approved group, and the
applicant can provide supporting
evidence, he or she will receive
veteran’s status in accordance with the
provisions of DoD Directive 1000.20.
Information from the DD Form 2168 will
be extracted and used to complete the
DD Form 214, ‘‘Certificate for Release or
Discharge from Active Duty.’’
Dated: October 6, 2015.
Aaron Siegel,
Alternate OSD Federal Register, Liaison
Officer, Department of Defense.
[FR Doc. 2015–25898 Filed 10–9–15; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD–2014–HA–0088]
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 December 14,
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.
SUMMARY:
E:\FR\FM\13OCN1.SGM
13OCN1
mstockstill on DSK4VPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 197 / Tuesday, October 13, 2015 / Notices
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 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: TRICARE Dental Program
(TDP) Dentist’s Claim Form CONUS and
TRICARE Dental Program (TDP)
Dentist’s Claim Form OCONUS; OMB
Control Number 0720–0035.
Needs and Uses: The TRICARE Dental
Program (TDP) Claim Form(s). CONUS/
OCONUS are required to gather
information to make payment for
legitimate dental claims and to assist in
contractor surveillance and program
integrity investigations and to audit
financial transactions where the
Department of Defense has a financial
stake. The information from the claim
form is also used to provide important
cost-share explanations to the
beneficiary.
Affected Public: Business or other for
profit.
Annual Burden Hours: 1,006,415.
Number of Respondents: 64,930.
Responses per Respondent: 62.
Annual Responses: 4,025,660.
Average Burden per Response: 15
Minutes.
Frequency: On occasion.
The Defense Health Agency (DHA)
under the authority of the Office of the
Assistant Secretary of Defense (Health
Affairs)/Office of the Deputy Assistant
Secretary of Defense has responsibility
for management of the TRICARE Dental
Program (TDP) as established in Title
10, United States Code, Section 1076a.
The information collected to make
VerDate Sep<11>2014
21:23 Oct 09, 2015
Jkt 238001
payment for covered dental procedures
provided by a licensed dentist to an
eligible beneficiary can be sent to the
TDP contractor electronically, fax or
mail. Approximately 35% of all TDP
network dental claims are filed
electronically. Dental offices and
patients can download the TDP claim
form from the contractor’s Web site.
For non-network dentists, to include
those in overseas locations, the use of
the TDP Claim Form is highly
encouraged. However, dental claims
will be paid if all the required
information is provided on a similar
claim form.
Dated: October 6, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2015–25911 Filed 10–9–15; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD–2014–OS–0081]
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:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
ADDRESSES:
PO 00000
Frm 00058
Fmt 4703
Sfmt 4703
61391
• 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 Department of
Defense Education Activity, Attn: Dr.
Sandra D. Embler, 4040 North Fairfax
Drive, Arlington, VA 22203–1635, or
call at (703) 588–3175.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; And OMB
Number: Department of Defense
Education Activity (DoDEA) Evaluation
and Program Surveys—Generic; OMB
Control Number 0704–0437.
Needs and Uses: The Department of
Defense Education Activity (DoDEA)
has a need to conduct a variety of onetime surveys, interviews, and focus
groups on an as-needed basis. The
population for these data collections
will be limited to students and parents
of students attending DoDEA schools.
These information collections are
necessary to measure DoDEA’s progress
on the goals set forth in the Community
Strategic Plan, and to assess parent and
student input on school policies and
procedures. These data collections will
include, but are not limited to, school
operations and procedures (such as
school uniforms, transportation, school
calendar), school facilities, curricular
and instructional needs and
effectiveness, programmatic needs and
effectiveness, and extra-curricular and
co-curricular activities. The information
sought by these data collections will
allow DoDEA to quickly have access to
the information necessary to determine
E:\FR\FM\13OCN1.SGM
13OCN1
]]>Agencies
[Federal Register Volume 80, Number 197 (Tuesday, October 13, 2015)]
[Notices]
[Pages 61390-61391]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-25911]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2014-HA-0088]
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 December
14, 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.
[[Page 61391]]
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 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: TRICARE Dental Program
(TDP) Dentist's Claim Form CONUS and TRICARE Dental Program (TDP)
Dentist's Claim Form OCONUS; OMB Control Number 0720-0035.
Needs and Uses: The TRICARE Dental Program (TDP) Claim Form(s).
CONUS/OCONUS are required to gather information to make payment for
legitimate dental claims and to assist in contractor surveillance and
program integrity investigations and to audit financial transactions
where the Department of Defense has a financial stake. The information
from the claim form is also used to provide important cost-share
explanations to the beneficiary.
Affected Public: Business or other for profit.
Annual Burden Hours: 1,006,415.
Number of Respondents: 64,930.
Responses per Respondent: 62.
Annual Responses: 4,025,660.
Average Burden per Response: 15 Minutes.
Frequency: On occasion.
The Defense Health Agency (DHA) under the authority of the Office
of the Assistant Secretary of Defense (Health Affairs)/Office of the
Deputy Assistant Secretary of Defense has responsibility for management
of the TRICARE Dental Program (TDP) as established in Title 10, United
States Code, Section 1076a. The information collected to make payment
for covered dental procedures provided by a licensed dentist to an
eligible beneficiary can be sent to the TDP contractor electronically,
fax or mail. Approximately 35% of all TDP network dental claims are
filed electronically. Dental offices and patients can download the TDP
claim form from the contractor's Web site.
For non-network dentists, to include those in overseas locations,
the use of the TDP Claim Form is highly encouraged. However, dental
claims will be paid if all the required information is provided on a
similar claim form.
Dated: October 6, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-25911 Filed 10-9-15; 8:45 am]
BILLING CODE 5001-06-P
