Submission for OMB Review; Comment Request, 45477 [2019-18627]
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Federal Register / Vol. 84, No. 168 / Thursday, August 29, 2019 / Notices
Affected Public: Individuals and
households.
Annual Burden Hours: 1,000.
Number of Respondents: 6,000.
Responses per Respondent: 1.
Annual Responses: 6,000.
Average Burden per Response: 10
Minutes.
Frequency: On Occasion.
Dated: August 26, 2019.
Shelly E. Finke,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2019–18694 Filed 8–28–19; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD–2019–HA–0074]
Submission for OMB Review;
Comment Request
Office of the Assistant
Secretary of Defense for Health Affairs,
DoD.
ACTION: 30-Day information collection
notice.
AGENCY:
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 September 30,
2019.
SUMMARY:
Comments and
recommendations on the proposed
information collection should be
emailed to Mr. Josh Brammer, DoD Desk
Officer, at oira_submission@
omb.eop.gov. Please identify the
proposed information collection by DoD
Desk Officer, Docket ID number, and
title of the information collection.
FOR FURTHER INFORMATION CONTACT:
Angela James, 571–372–7574, or
whs.mc-alex.esd.mbx.dd-dodinformation-collections@mail.mil.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB
Number: Third Party Collection Program
(Insurance Information); DD Form 2569;
OMB Control Number 0720–0055.
Type of Request: Extension.
Number of Respondents: 3,940,000.
Responses per Respondent: 1.5.
Annual Responses: 5,910,000.
Average Burden per Response: 4
minutes.
Annual Burden Hours: 394,000.
Needs and Uses: The information
collection requirement is necessary to
obtain health insurance policy
information used for coordination of
khammond on DSKBBV9HB2PROD with NOTICES
ADDRESSES:
VerDate Sep<11>2014
17:00 Aug 28, 2019
Jkt 247001
health care benefits and billing third
party payers and other federal agencies
for health care provided to their
beneficiaries and also to civilian nonUniformed Service beneficiaries for
health care provided to them. DoD is
authorized to collect from third-party
payers the cost of inpatient and
outpatient services rendered to DoD
beneficiaries who have other health
insurance. Military treatment facilities
(MTFs) are required to make this form
available to third-party payers upon
request. A third-party payer may not
request any other assignment of benefits
form from the subscriber. Also, for
civilian non-Uniformed Services
beneficiary and interagency patients, DD
Form 2569 is necessary and serves as an
assignment of benefits approval to
submit claims to payers on behalf of the
patient and authorization to release
medical information.
Affected Public: Individuals or
households.
Frequency: On occasion.
Respondent’s Obligation: Voluntary.
OMB Desk Officer: Mr. Josh Brammer.
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
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: Ms. Angela
James.
Requests for copies of the information
collection proposal should be sent to
Ms. James at whs.mc-alex.esd.mbx.dddod-information-collections@mail.mil.
Dated: August 23, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2019–18627 Filed 8–28–19; 8:45 am]
Frm 00015
Fmt 4703
DEPARTMENT OF DEFENSE
Office of the Secretary
Revised Non-Foreign Overseas per
Diem Rates
Defense Human Resources
Activity, Policy and Regulations Branch,
Defense Travel Management Office,
DoD.
AGENCY:
Notice of revised per diem rates
in non-foreign areas outside the
contiguous U.S.
ACTION:
The Defense Travel
Management Office publishes this
Civilian Personnel Per Diem Bulletin
Number 311. Bulletin Number 311 lists
current per diem rates prescribed for
reimbursement of subsistence expenses
while on official Government travel to
Alaska, Hawaii, the Commonwealth of
Puerto Rico, and the possessions of the
United States. The Fiscal Year (FY) 2019
per diem rate review for Guam,
Northern Mariana Islands, and Wake
Island resulted in lodging and meal rate
changes in certain locations.
SUMMARY:
The updated rates take effect
September 1, 2019.
DATES:
FOR FURTHER INFORMATION CONTACT:
Sfmt 4703
Mr.
Scott Laws, 571–372–1282.
This
notice notifies the public of revisions in
per diem rates prescribed by the Defense
Travel Management Office for travel to
non-foreign areas outside the contiguous
United States. The FY 2019 per diem
rate review for Guam, Northern Mariana
Islands, and Wake Island resulted in
lodging, meal and incidental rate
changes in certain locations. Bulletin
Number 311 is published in the Federal
Register to ensure that Government
travelers outside the Department of
Defense are notified of revisions to the
current reimbursement rates.
If you believe the lodging, meal or
incidental allowance rate for a locality
listed in the following table is
insufficient, you may request a rate
review for that location. For more
information about how to request a
review, please see DTMO’s Per Diem
Rate Review Frequently Asked
Questions (FAQ) page at https://
www.defensetravel.dod.mil/site/
faqraterev.cfm.
SUPPLEMENTARY INFORMATION:
Dated: August 26, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
BILLING CODE 5001–06–P
PO 00000
45477
E:\FR\FM\29AUN1.SGM
29AUN1
]]>Agencies
[Federal Register Volume 84, Number 168 (Thursday, August 29, 2019)]
[Notices]
[Page 45477]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-18627]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD-2019-HA-0074]
Submission for OMB Review; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, DoD.
ACTION: 30-Day information collection 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
September 30, 2019.
ADDRESSES: Comments and recommendations on the proposed information
collection should be emailed to Mr. Josh Brammer, DoD Desk Officer, at
[email protected]. Please identify the proposed information
collection by DoD Desk Officer, Docket ID number, and title of the
information collection.
FOR FURTHER INFORMATION CONTACT: Angela James, 571-372-7574, or [email protected].
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Third Party Collection
Program (Insurance Information); DD Form 2569; OMB Control Number 0720-
0055.
Type of Request: Extension.
Number of Respondents: 3,940,000.
Responses per Respondent: 1.5.
Annual Responses: 5,910,000.
Average Burden per Response: 4 minutes.
Annual Burden Hours: 394,000.
Needs and Uses: The information collection requirement is necessary
to obtain health insurance policy information used for coordination of
health care benefits and billing third party payers and other federal
agencies for health care provided to their beneficiaries and also to
civilian non-Uniformed Service beneficiaries for health care provided
to them. DoD is authorized to collect from third-party payers the cost
of inpatient and outpatient services rendered to DoD beneficiaries who
have other health insurance. Military treatment facilities (MTFs) are
required to make this form available to third-party payers upon
request. A third-party payer may not request any other assignment of
benefits form from the subscriber. Also, for civilian non-Uniformed
Services beneficiary and interagency patients, DD Form 2569 is
necessary and serves as an assignment of benefits approval to submit
claims to payers on behalf of the patient and authorization to release
medical information.
Affected Public: Individuals or households.
Frequency: On occasion.
Respondent's Obligation: Voluntary.
OMB Desk Officer: Mr. Josh Brammer.
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 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: Ms. Angela James.
Requests for copies of the information collection proposal should
be sent to Ms. James at [email protected].
Dated: August 23, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2019-18627 Filed 8-28-19; 8:45 am]
BILLING CODE 5001-06-P
