Proposed Collection; Comment Request, 32736 [2016-12217]
Download as PDF
<![CDATA[
32736
Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Notices
provided to or considered by the BoV
until its next open meeting. The DFO
will review all timely submissions with
the BoV Chairman and ensure they are
provided to members of the BoV before
the meeting that is the subject of this
notice. If after review of timely
submitted written comments and the
BoV Chairman and DFO deem
appropriate, they may choose to invite
the submitter of the written comments
to orally present the issue during an
open portion of the BoV meeting that is
the subject of this notice. Members of
the BoV may also petition the Chairman
to allow specific personnel to make oral
presentations before the BoV. In
accordance with 41 CFR Section 102–
3.140(d), any oral presentations before
the BoV shall be in accordance with
agency guidelines provided pursuant to
a written invitation and this paragraph.
Direct questioning of BoV members or
meeting participants by the public is not
permitted except with the approval of
the DFO and Chairman. For the benefit
of the public, rosters that list the names
of BoV members and any releasable
materials presented during the open
portions of this BoV meeting shall be
made available upon request.
FOR FURTHER INFORMATION CONTACT: For
additional information or to attend this
BoV meeting, contact Lt Col Veronica
Senia, Chief, Officer Accessions and
Training, AF/A1PT, 1040 Air Force
Pentagon, Washington, DC 20330, (703)
692–5577, Veronica.V.Senia.mil@
mail.mil.
Henry Williams,
Acting Air Force Federal Register Liaison
Officer.
[FR Doc. 2016–12165 Filed 5–23–16; 8:45 am]
BILLING CODE 5001–10–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD–2015–HA–0008]
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
sradovich on DSK3TPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:24 May 23, 2016
Jkt 238001
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 25, 2016.
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 for Oversight and
Compliance, 4800 Mark Center Drive,
Mailbox #24, Alexandria, VA 22350–
1700.
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 Defense Health Agency,
Performance Evaluation & Transition
Management Branch, ATTN: Ann
Fazzini, 16401 E. Centretech Parkway,
Aurora, CO 80011–9066, telephone 303–
676–3613.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB
Number: Health Insurance Claim Form,
UB–04 CMS.1450, OMB Control
Number 0720–0013.
Needs and Uses: The information
collection requirement is necessary for a
medical institution to claim benefits
under the Defense Health Program,
PO 00000
Frm 00019
Fmt 4703
Sfmt 4703
TRICARE which includes the Civilian
Health and Medical Program for the
Uniformed Services (CHAMPUS). The
information collected will be used by
TRICARE/CHAMPUS to determine
beneficiary eligibility, other health
insurance liability, certification that the
beneficiary received the care, and that
the provider is authorized to receive
TRICARE/CHAMPUS payments. The
form will be used by TRICARE/
CHAMPUS and its contractors to
determine the amount of benefits to be
paid by TRICARE/CHAMPUS to
institutional providers.
Affected Public: Business or other for
profit; Not-for-profit institutions.
Annual Burden Hours: 135,000.
Number of Respondents: 540,000.
Responses per Respondent: 1.
Annual Responses: 540,000.
Average Burden per Response: 15
minutes.
Frequency: On occasion.
This collection instrument is for use
by medical institutions filing for
reimbursement with the Defense Health
Program, TRICARE, which includes the
Civilian Health and Medical Program of
the Uniformed Services (TRICARE/
CHAMPUS). TRICARE/CHAMPUS is a
health benefits entitlement program for
the dependents of active duty members
of the Uniformed Services, and
deceased sponsors, retirees and their
dependents, of the Department of
Homeland Security (Coast Guard)
sponsors and certain North Atlantic
Treaty Organization, National Oceanic
and Atmospheric Administration, and
Public Health Service eligible
beneficiaries. Use of the UB–04/CMS–
1450 continues TRICARE/CHAMPUS
commitments to use the national
standard claim form for reimbursement
of medical services/supplies provided
by institutional providers.
Dated: May 19, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2016–12217 Filed 5–23–16; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD–2016–OS–0062]
Proposed Collection; Comment
Request
Office of the Assistant
Secretary of Defense for Acquisition
Technology and Logistics (Program
Support), DoD.
ACTION: Notice.
AGENCY:
E:\FR\FM\24MYN1.SGM
24MYN1
]]>Agencies
[Federal Register Volume 81, Number 100 (Tuesday, May 24, 2016)]
[Notices]
[Page 32736]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-12217]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD-2015-HA-0008]
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 25,
2016.
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 for Oversight and Compliance, 4800 Mark
Center Drive, Mailbox #24, Alexandria, VA 22350-1700.
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 Defense Health
Agency, Performance Evaluation & Transition Management Branch, ATTN:
Ann Fazzini, 16401 E. Centretech Parkway, Aurora, CO 80011-9066,
telephone 303-676-3613.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Health Insurance Claim
Form, UB-04 CMS.1450, OMB Control Number 0720-0013.
Needs and Uses: The information collection requirement is necessary
for a medical institution to claim benefits under the Defense Health
Program, TRICARE which includes the Civilian Health and Medical Program
for the Uniformed Services (CHAMPUS). The information collected will be
used by TRICARE/CHAMPUS to determine beneficiary eligibility, other
health insurance liability, certification that the beneficiary received
the care, and that the provider is authorized to receive TRICARE/
CHAMPUS payments. The form will be used by TRICARE/CHAMPUS and its
contractors to determine the amount of benefits to be paid by TRICARE/
CHAMPUS to institutional providers.
Affected Public: Business or other for profit; Not-for-profit
institutions.
Annual Burden Hours: 135,000.
Number of Respondents: 540,000.
Responses per Respondent: 1.
Annual Responses: 540,000.
Average Burden per Response: 15 minutes.
Frequency: On occasion.
This collection instrument is for use by medical institutions
filing for reimbursement with the Defense Health Program, TRICARE,
which includes the Civilian Health and Medical Program of the Uniformed
Services (TRICARE/CHAMPUS). TRICARE/CHAMPUS is a health benefits
entitlement program for the dependents of active duty members of the
Uniformed Services, and deceased sponsors, retirees and their
dependents, of the Department of Homeland Security (Coast Guard)
sponsors and certain North Atlantic Treaty Organization, National
Oceanic and Atmospheric Administration, and Public Health Service
eligible beneficiaries. Use of the UB-04/CMS-1450 continues TRICARE/
CHAMPUS commitments to use the national standard claim form for
reimbursement of medical services/supplies provided by institutional
providers.
Dated: May 19, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2016-12217 Filed 5-23-16; 8:45 am]
BILLING CODE 5001-06-P
