Proposed Collection; Comment Request, 18569 [2020-06928]
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Federal Register / Vol. 85, No. 64 / Thursday, April 2, 2020 / Notices
Secretary of Defense/Joint Staff,
Freedom of Information Act Requester
Service Center, Office of Freedom of
Information, 1155 Defense Pentagon,
Washington, DC 20301–1155. Signed,
written requests should include the
name and number of this System of
Records Notice along with the
individual’s name and address of the
individual at the time the record was
created. In addition, the requester must
provide either a notarized statement or
an unsworn declaration made in
accordance with 28 U.S.C. 1746, in the
following format:
If executed outside the United States:
‘‘I declare (or certify, verify, or state)
under penalty of perjury under the laws
of the United States of America that the
foregoing is true and correct. Executed
on (date). (Signature).’’
If executed within the United States,
its territories, possessions, or
commonwealths: ‘‘I declare (or certify,
verify, or state) under penalty of perjury
that the foregoing is true and correct.
Executed on (date). (Signature).’’
CONTESTING RECORD PROCEDURES:
The DoD rules for accessing records,
contesting contents, and appealing
initial agency determinations are
contained in 32 CFR part 310, or may
be obtained from the system manager.
jbell on DSKJLSW7X2PROD with NOTICES
NOTIFICATION PROCEDURES:
Individuals seeking to determine
whether information about themselves
is contained in this System of Records
should address inquiries to Chief,
Records, Privacy and Declassification
Division, Executive Services Directorate,
4800 Mark Center Drive, Alexandria, VA
20350–3200. Signed, written requests
should include the individual’s name
and address of the individual at the time
the record would have been created,
along with the name and number of this
System of Records Notice. In addition,
the requester must provide either a
notarized statement or an unsworn
declaration made in accordance with 28
U.S.C. 1746, in the following format:
If executed outside the United States:
‘‘I declare (or certify, verify, or state)
under penalty of perjury under the laws
of the United States of America that the
foregoing is true and correct. Executed
on (date). (Signature).’’
If executed within the United States,
its territories, possessions, or
commonwealths: ‘‘I declare (or certify,
verify, or state) under penalty of perjury
that the foregoing is true and correct.
Executed on (date). (Signature).’’
EXEMPTIONS PROMULGATED FOR THE SYSTEM:
None.
VerDate Sep<11>2014
18:34 Apr 01, 2020
Jkt 250001
HISTORY:
October 30, 2014, 79 FR 64584;
October 28, 2011, 76 FR 66916; October
14, 2010, 75 FR 63160; March 28, 2007,
72 FR 14533; November 29, 2002, 67 FR
71147; February 22, 1993, 58 FR 10227.
[FR Doc. 2020–06914 Filed 4–1–20; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD–2020–HA–0038]
Proposed Collection; Comment
Request
Office of the Assistant
Secretary of Defense for Health Affairs,
DoD.
ACTION: Information collection 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: 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; the accuracy of the
agency’s estimate of the burden of the
proposed information collection; ways
to enhance the quality, utility, and
clarity of the information to be
collected; and 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 June 1, 2020.
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 Chief Management Officer,
Directorate for Oversight and
Compliance, 4800 Mark Center Drive,
Mailbox #24, Suite 08D09, 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
SUMMARY:
PO 00000
Frm 00021
Fmt 4703
Sfmt 9990
18569
received without change, including any
personal identifiers or contact
information.
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,
TRICARE Health Plan (J–10), Attn: Mr.
Mark Ellis, 7700 Arlington Boulevard,
Falls Church, VA 22042 or call (703)
681–0039.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB
Number: Continued Health Care Benefit
Program, DD Form 2837; OMB Control
Number 0720–XXXX (formerly 0704–
0364).
Needs and Uses: The information
collection requirement is necessary for
individuals to apply for enrollment in
the continued Health Care Benefit
Program (CHCBP). The CHCBP is a
program of temporary health care
benefit coverage that is made available
to eligible individuals who lose health
care coverage under the Military Health
System (MHS).
Affected Public: Individuals or
Households.
Annual Burden Hours: 369.
Number of Respondents: 1,475.
Responses per Respondent: 1.
Annual Responses: 1,475.
Average Burden per Response: 15
minutes.
Frequency: On occasion.
Respondents are individuals who are
or were beneficiaries of the Military
Health System (MHS) and who desire to
enroll in the CHCBP following their loss
of entitlement to health care coverage in
the MHS. These beneficiaries include
the active duty service member or
former service member (who, for
purposes of this notice shall be referred
to as ‘‘service member’’), an unmarried
former spouse of a service member, an
unmarried child of a service member
who ceases to meet requirements for
being considered a dependent, and a
child placed for adoption or legal
custody with the service member. In
order to be eligible for health care
coverage under CHCBP, an individual
must first enroll in CHCBP. DD Form is
used as the information collection
instrument for that enrollment. The
CHCBP is a legislatively mandated
program and it is anticipated that the
program will continue indefinitely.
Dated: March 30, 2020.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2020–06928 Filed 4–1–20; 8:45 am]
BILLING CODE 5001–06–P
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]]>Agencies
[Federal Register Volume 85, Number 64 (Thursday, April 2, 2020)]
[Notices]
[Page 18569]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-06928]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD-2020-HA-0038]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, DoD.
ACTION: Information collection 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: 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; the accuracy of the agency's
estimate of the burden of the proposed information collection; ways to
enhance the quality, utility, and clarity of the information to be
collected; and 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 June 1,
2020.
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 Chief Management
Officer, Directorate for Oversight and Compliance, 4800 Mark Center
Drive, Mailbox #24, Suite 08D09, 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.
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, TRICARE Health Plan (J-10), Attn: Mr. Mark Ellis, 7700
Arlington Boulevard, Falls Church, VA 22042 or call (703) 681-0039.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Continued Health Care
Benefit Program, DD Form 2837; OMB Control Number 0720-XXXX (formerly
0704-0364).
Needs and Uses: The information collection requirement is necessary
for individuals to apply for enrollment in the continued Health Care
Benefit Program (CHCBP). The CHCBP is a program of temporary health
care benefit coverage that is made available to eligible individuals
who lose health care coverage under the Military Health System (MHS).
Affected Public: Individuals or Households.
Annual Burden Hours: 369.
Number of Respondents: 1,475.
Responses per Respondent: 1.
Annual Responses: 1,475.
Average Burden per Response: 15 minutes.
Frequency: On occasion.
Respondents are individuals who are or were beneficiaries of the
Military Health System (MHS) and who desire to enroll in the CHCBP
following their loss of entitlement to health care coverage in the MHS.
These beneficiaries include the active duty service member or former
service member (who, for purposes of this notice shall be referred to
as ``service member''), an unmarried former spouse of a service member,
an unmarried child of a service member who ceases to meet requirements
for being considered a dependent, and a child placed for adoption or
legal custody with the service member. In order to be eligible for
health care coverage under CHCBP, an individual must first enroll in
CHCBP. DD Form is used as the information collection instrument for
that enrollment. The CHCBP is a legislatively mandated program and it
is anticipated that the program will continue indefinitely.
Dated: March 30, 2020.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2020-06928 Filed 4-1-20; 8:45 am]
BILLING CODE 5001-06-P
