80 FR 22719 - Proposed Collection; Comment Request
DEPARTMENT OF DEFENSE
Office of the Secretary Federal Register Volume 80, Issue 78 (April 23, 2015)
Office of the Secretary
Federal Register Volume 80, Issue 78 (April 23, 2015)
| Page Range | 22719-22720 | |
| FR Document | 2015-09434 |
[Federal Register Volume 80, Number 78 (Thursday, April 23, 2015)] [Notices] [Pages 22719-22720] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-09434] ----------------------------------------------------------------------- DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID DoD-2015-HA-0036] 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 June 22, 2015. ADDRESSES: You may submit comments, identified by docket number and title, by any of the following methods:Federal eRulemaking Portal: http://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 http://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 http://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 Defense Health Agency, Office of General Counsel, 61401 E. Centretech Parkway, ATTN: Bridget Ewings, Aurora, CO 80011, or call Defense Health Agency, Office of General Counsel, at (303) 676-3705. SUPPLEMENTARY INFORMATION: Title; Associated Form; and OMB Number: Statement of Personal Injury-- [[Page 22720]] Possible Third Party Liability, Defense Health Agency; DD Form 2527; OMB Number 0720-0003. Needs and Uses: This information collection is completed by TRICARE (formerly CHAMPUS) beneficiaries suffering from personal injuries and receiving medical care at Government expense. The information is necessary in the assertion of the Government's right to recovery under the Federal Medical Care Recovery Act. The data is used in the evaluation and processing of these claims. Affected Public: Individuals or Households; Federal Government. Annual Burden Hours: 47,023. Number of Respondents: 188,090. Responses per Respondent: 1. Average Burden per Response: 15 minutes. Frequency: On occasion. The Federal Medical Recovery Act, 42 U.S.C. 2651-2653 as implemented by Executive Order No. 11060 and 28 CFR part 43 provides for recovery of the reasonable value of medical care provided by the United States to a person who is injured or suffers a disease under circumstances creating tort liability in a third person. DD Form 2527 is required for investigating and asserting claims in favor of the United States arising out of such incidents. When a claim for TRICARE benefits is identified as involving possible third party liability and the information is not submitted with the claim, the TRICARE contractor requests that the injured party (or a designee) complete DD Form 2527. To protect the interests of the Government, the contractor suspends claims processing until the requested third party liability information is received. The contractor conducts a preliminary evaluation based upon the collection of information and refers the case to a designated appropriate legal officer of the Uniformed Services. The responsible Uniformed Services legal officer uses the information as a basis for asserting and settling the Government's claim. When appropriate, the information is forwarded to the Department of Justice as the basis for litigation. Section 1 of the Form is used to collect general information, such as name, address and telephone numbers about the military sponsor and the injured beneficiary and the date, time and location where the injured occurred. Section 2 of the Form is used to collect information about accidental injuries. Most of the investigations for third party liability involve motor vehicle accidents. Information about insurance coverage for the parties involved in the accident is collected. Section 2 of the Form is also used to collect information about accidents not involving motor vehicles. Information such as the type of accident, the place where the injury occurred, the name of the property owner where the injury occurred and cause of the injury is collected. The name and address of the employer is collected when the injury was work related. Section 3 of the Form is used for miscellaneous information such as possible medical treatment at a Government hospital, the name and address of the beneficiary's attorney, and information regarding any possible releases or settlements with another party to the accident. It also contains the certification, date and signature of the beneficiary (or a designee). Dated: April 16, 2015. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 2015-09434 Filed 4-22-15; 8:45 am] BILLING CODE 5001-06-P
![Federal Register / Vol. 80, No. 78 / Thursday, April 23, 2015 / Notices 22719
information shall have practical utility; eligibility, and maintain an official Defense for Health Affairs announces a
(b) the accuracy of the agency’s estimate registry that identifies individuals who proposed public information collection
of the burden of the proposed apply for, and are granted access and seeks public comment on the
information collection; (c) ways to privileges to DTIC owned or controlled provisions thereof. Comments are
enhance the quality, utility, and clarity computers, databases, products, invited on: (a) Whether the proposed
of the information to be collected; and services, and electronic information collection of information is necessary
(d) ways to minimize the burden of the systems. Authority for maintenance of for the proper performance of the
information collection on respondents, the system: E.O. 13526, Classified functions of the agency, including
including through the use of automated National Security Information; DoD whether the information shall have
collection techniques or other forms of Directive (DODD) 5105.73 Defense practical utility; (b) the accuracy of the
information technology. Technical Information Center (DTIC); agency’s estimate of the burden of the
DATES: Consideration will be given to all DoDD 5230.25 Withholding of proposed information collection; (c)
comments received by June 22, 2015. Unclassified Technical Data from Public ways to enhance the quality, utility, and
ADDRESSES: You may submit comments, Disclosure; DoD Instruction (DODI) clarity of the information to be
identified by docket number and title, 3200.12 DoD Scientific and Technical collected; and (d) ways to minimize the
by any of the following methods: Information (STI) Program (STIP); DoDI burden of the information collection on
• Federal eRulemaking Portal: http:// 3200.14 Principles and Operational respondents, including through the use
www.regulations.gov. Follow the Parameters of the DoD Scientific and of automated collection techniques or
instructions for submitting comments. Technical Information Program; DoDI other forms of information technology.
• Mail: Department of Defense, Office 5230.24 Distribution Statements on DATES: Consideration will be given to all
of the Deputy Chief Management Technical Documents; DoD Manual comments received by June 22, 2015.
Officer, Directorate of Oversight and 5200.01—Volume 3, DoD Information ADDRESSES: You may submit comments,
Compliance, Regulatory and Audit Security Program: Protection of identified by docket number and title,
Matters Office, 9010 Defense Pentagon, Classified Information; and DoD by any of the following methods:
Washington, DC 20301–9010. Regulation 5200.2–R, Personnel • Federal eRulemaking Portal: http://
Instructions: All submissions received Security Program. www.regulations.gov. Follow the
must include the agency name, docket Affected Public: Business or other for instructions for submitting comments.
number and title for this Federal profit; Not-for-profit institutions; • Mail: Department of Defense, Office
Register document. The general policy Federal Government. of the Deputy Chief Management
for comments and other submissions Annual Burden Hours: 101. Officer, Directorate of Oversight and
from members of the public is to make Number of Respondents: 605 (Non- Compliance, Regulatory and Audit
these submissions available for public CAC Users who use DURS). Matters Office, 9010 Defense Pentagon,
viewing on the Internet at http:// Responses per Respondent: 1. Washington, DC 20301–9010.
Average Burden per Response: 10
www.regulations.gov as they are Instructions: All submissions received
minutes.
received without change, including any must include the agency name, docket
Frequency: On Occasion.
personal identifiers or contact Department of Defense (DoD) military number and title for this Federal
information. and civilian personnel and other U.S. Register document. The general policy
Any associated form(s) for this Federal Government personnel, their for comments and other submissions
collection may be located within this contractors and grantees, designated from members of the public is to make
same electronic docket and downloaded officials and employees of foreign these submissions available for public
for review/testing. Follow the embassies according to agreements with viewing on the Internet at http://
instructions at http:// DoD who request access privileges to www.regulations.gov as they are
www.regulations.gov for submitting DTIC products, services and electronic received without change, including any
comments. Please submit comments on information systems. personal identifiers or contact
any given form identified by docket information.
number, form number, and title. Dated: April 17, 2015. Any associated form(s) for this
FOR FURTHER INFORMATION CONTACT: To Aaron Siegel, collection may be located within this
request more information on this Alternate OSD Federal Register Liaison same electronic docket and downloaded
proposed information collection or to Officer, Department of Defense. for review/testing. Follow the
obtain a copy of the proposal and [FR Doc. 2015–09439 Filed 4–22–15; 8:45 am] instructions at http://
associated collection instruments, BILLING CODE 5001–06–P www.regulations.gov for submitting
please write to the Defense Technical comments. Please submit comments on
Information Center (DTIC), 8725 John J. any given form identified by docket
Kingman Road, ATTN: Ms. Angela DEPARTMENT OF DEFENSE number, form number, and title.
Davis, Ft. Belvoir, VA 22060–6218, or FOR FURTHER INFORMATION CONTACT: To
Office of the Secretary request more information on this
call the DTIC Communications &
Customer Access Division at 1–800– [Docket ID DoD–2015–HA–0036] proposed information collection or to
225–3842 (Option #3). obtain a copy of the proposal and
SUPPLEMENTARY INFORMATION:
Proposed Collection; Comment associated collection instruments,
Title; Associated Form; and OMB Request please write to the Defense Health
Agency, Office of General Counsel,
mstockstill on DSK4VPTVN1PROD with NOTICES
Number: Defense User Registration AGENCY: Office of the Assistant
System (DURS) Records; DD Form 2345 Secretary of Defense for Health Affairs, 61401 E. Centretech Parkway, ATTN:
Militarily Critical Technical Data DoD. Bridget Ewings, Aurora, CO 80011, or
Agreement; OMB Control Number ACTION: Notice.
call Defense Health Agency, Office of
0704–XXXX. General Counsel, at (303) 676–3705.
Needs and Uses: The information SUMMARY: In compliance with the SUPPLEMENTARY INFORMATION:
collection requirement is necessary to Paperwork Reduction Act of 1995, the Title; Associated Form; and OMB
collect registration requests, validate Office of the Assistant Secretary of Number: Statement of Personal Injury—
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![22720 Federal Register / Vol. 80, No. 78 / Thursday, April 23, 2015 / Notices
Possible Third Party Liability, Defense involved in the accident is collected. Construction, Renovation, Repair or
Health Agency; DD Form 2527; OMB Section 2 of the Form is also used to Expansion of Public Schools Located on
Number 0720–0003. collect information about accidents not Military Installations.
Needs and Uses: This information involving motor vehicles. Information c. Announcement Type: Modification
collection is completed by TRICARE such as the type of accident, the place of Previously Announced Federal
(formerly CHAMPUS) beneficiaries where the injury occurred, the name of Funding Opportunity published in the
suffering from personal injuries and the property owner where the injury September 9, 2011 Federal Register (76
receiving medical care at Government occurred and cause of the injury is FR 55883).
expense. The information is necessary collected. The name and address of the d. Catalog of Federal Domestic
in the assertion of the Government’s employer is collected when the injury Assistance (CFDA) Number & Title:
right to recovery under the Federal was work related. 12.600, Community Investment.
Medical Care Recovery Act. The data is Section 3 of the Form is used for e. Key Dates: Submissions will be
used in the evaluation and processing of miscellaneous information such as accepted by invitation only as described
these claims. possible medical treatment at a in the Federal Register Notice dated
Affected Public: Individuals or Government hospital, the name and September 9, 2011 (76 FR 55883), and
Households; Federal Government. address of the beneficiary’s attorney, this notice.
Annual Burden Hours: 47,023. and information regarding any possible
Number of Respondents: 188,090. I. Period of Funding Opportunity
releases or settlements with another
Responses per Respondent: 1. party to the accident. It also contains the Funding remains available until
Average Burden per Response: 15 certification, date and signature of the expended, as described in the Federal
minutes. beneficiary (or a designee). Register Notice dated September 9, 2011
Frequency: On occasion. (76 FR 55883), and this notice.
The Federal Medical Recovery Act, 42 Dated: April 16, 2015.
U.S.C. 2651–2653 as implemented by Aaron Siegel, II. Funding Opportunity
Executive Order No. 11060 and 28 CFR Alternate OSD Federal Register Liaison
a. Program Description
part 43 provides for recovery of the Officer, Department of Defense.
reasonable value of medical care [FR Doc. 2015–09434 Filed 4–22–15; 8:45 am] Please refer to the Federal Funding
provided by the United States to a BILLING CODE 5001–06–P Opportunity Title: Department of
person who is injured or suffers a Defense Program for Construction,
disease under circumstances creating Renovation, Repair or Expansion of
tort liability in a third person. DD Form DEPARTMENT OF DEFENSE Public Schools Located on Military
2527 is required for investigating and Installations.
asserting claims in favor of the United Office of the Secretary Announcement Type: Federal
States arising out of such incidents. Funding Opportunity.
When a claim for TRICARE benefits is Office of Economic Adjustment; Catalog of Federal Domestic
identified as involving possible third Announcement of Federal Funding Assistance (CFDA) Number: 12.600.
party liability and the information is not Opportunity (FFO) Date: September 9, 2011
submitted with the claim, the TRICARE AGENCY: Office of Economic Adjustment The Secretary of Defense is authorized
contractor requests that the injured (OEA), Department of Defense (DoD). by Section 8017 of Public Law 113–291,
party (or a designee) complete DD Form ACTION: Federal funding opportunity
the Consolidated and Further
2527. To protect the interests of the announcement. Continuing Appropriations Act of 2015,
Government, the contractor suspends acting through OEA, to provide up to
claims processing until the requested SUMMARY: The Secretary of Defense was $175 million ‘‘to make grants, conclude
third party liability information is previously authorized to establish a cooperative agreements, or supplement
received. The contractor conducts a limited program to construct, renovate, other Federal funds to construct,
preliminary evaluation based upon the repair, or expand elementary and renovate, repair, or expand elementary
collection of information and refers the secondary public schools on military and secondary public schools on
case to a designated appropriate legal installations in order to address capacity military installations in order to address
officer of the Uniformed Services. The or facility condition deficiencies at such capacity or facility condition
responsible Uniformed Services legal schools. In fiscal year 2015 Congress deficiencies at such schools: Provided
officer uses the information as a basis made available an additional $175 further, that in making such funds
for asserting and settling the million for the program and included available, OEA shall give priority
Government’s claim. When appropriate, additional program requirements consideration to those military
the information is forwarded to the regarding cost sharing or matching installations with schools having the
Department of Justice as the basis for applicable to the additional $175 most serious capacity or facility
litigation. million and any remaining unobligated condition deficiencies as determined by
Section 1 of the Form is used to balances for this program. This notice the Secretary of Defense: Provided
collect general information, such as explains the additional program further, that a matching share, as
name, address and telephone numbers requirements regarding cost sharing or outlined by the Department of Defense
about the military sponsor and the matching and provides updated in the guidelines published in the
injured beneficiary and the date, time proposal and submission information September 9, 2011, Federal Register (76
mstockstill on DSK4VPTVN1PROD with NOTICES
and location where the injured and Federal award agency contact FR 55883), is required to be provided by
occurred. information for this program. the local education authority (LEA) or
Section 2 of the Form is used to SUPPLEMENTARY INFORMATION: the State in which the school is located.
collect information about accidental a. Federal Awarding Agency: Office of Provided further, these provisions apply
injuries. Most of the investigations for Economic Adjustment (OEA), to funds provided under this section,
third party liability involve motor Department of Defense (DoD). and to funds previously provided by
vehicle accidents. Information about b. Funding Opportunity Title: Congress to construct, renovate, repair,
insurance coverage for the parties Department of Defense Program for or expand elementary and secondary
VerDate Sep<11>2014 18:53 Apr 22, 2015 Jkt 235001 PO 00000 Frm 00020 Fmt 4703 Sfmt 4703 E:\FR\FM\23APN1.SGM 23APN1](https://thefederalregister.org/doc/80_FR_22797/page/2.svg)
Document Created: 2015-12-16 08:41:49
Document Modified: 2015-12-16 08:41:49
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Consideration will be given to all comments received by June 22, 2015. | |
| 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 Defense Health Agency, Office of General Counsel, 61401 E. Centretech Parkway, ATTN: Bridget Ewings, Aurora, CO 80011, or call Defense Health Agency, Office of General Counsel, at (303) 676-3705. | |
| FR Citation | 80 FR 22719 |
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