80_FR_26095 80 FR 26008 - Proposed Collection; Comment Request

80 FR 26008 - Proposed Collection; Comment Request

DEPARTMENT OF DEFENSE
Office of the Secretary

Federal Register Volume 80, Issue 87 (May 6, 2015)

Page Range26008-26009
FR Document2015-10513

In compliance 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.

Federal Register, Volume 80 Issue 87 (Wednesday, May 6, 2015) 
[Federal Register Volume 80, Number 87 (Wednesday, May 6, 2015)]
[Notices]
[Pages 26008-26009]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-10513]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2015-HA-0040]


Proposed Collection; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health 
Affairs, DoD.

ACTION: Notice.

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[[Page 26009]]

SUMMARY: In compliance 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 6, 
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 TRICARE Dental 
Care Office, Health Plan Execution and Operation, Defense 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: Active Duty Dental Program 
(ADDP) Claim Form; OMB Control Number 0720-0053.
    Needs and Uses: The information collection is necessary to obtain 
and record the dental readiness of Service Members using the Active 
Duty Dental Program (ADDP) and at the same time submit the claim for 
the dental procedures provided so that claims can be processed and 
reimbursement made to the provider. Many Service Members are not 
located near a military dental treatment facility and receive their 
dental care in the private sector.
    Affected Public: Business or other for profit institutions; Not-
for-profit institutions.
    Annual Burden Hours: 25,000.
    Number of Respondents: 75,000.
    Responses per Respondent: 4.
    Average Burden per Response: 5 minutes.
    Frequency: On occasion.
    Respondents are dental providers who submit claims in order to be 
reimbursed for delivered dental care. The ADDP Claim form allows 
civilian dental providers to submit the claim for dental procedures 
provided to active duty service members and to update their dental 
readiness classification at the same time. The completed form is 
forwarded to the ADDP contractor, United Concordia Companies, Inc. for 
reimbursement and the electronic update of the dental readiness. If the 
form is not available, civilian providers will not have a mechanism to 
submit dental claims with the information required for reimbursement to 
provide an updated dental readiness classification for the member. 
Dental readiness classification allows the Services to ensure that all 
Service Members are ready for worldwide deployment. Dental readiness is 
an integral part of medical readiness, and medical readiness is 
fundamental to the readiness of our forces.

    Dated: April 30, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-10513 Filed 5-5-15; 8:45 am]
BILLING CODE 5001-06-P

26008 Federal Register / Vol. 80, No. 87 / Wednesday, May 6, 2015 / Notices registration, please contact Jennifer Officer, Directorate of Oversight and direct medical education costs are Holtz at (202) 482–2048 or email Compliance, Regulatory and Audit incorporated in the children’s hospital broadbandusa@ntia.doc.gov. Copies of Matters Office, 9010 Defense Pentagon, differential), who want to be reimbursed the presentations provided in the Washington, DC 20301–9010. for allowed capital and direct medical webinar will be available on the NTIA Instructions: All submissions received education costs must submit a request Web site within 30 days following the must include the agency name, docket for payment to the TRICARE/CHAMPUS webinar. number and title for this Federal contractor. The request allows TRICARE The webinar will be accessible to Register document. The general policy to collect the information necessary to people with disabilities. Individuals for comments and other submissions properly reimburse hospitals for its requiring accommodations are asked to from members of the public is to make share of these costs. The information notify Theresa Thomas at (202) 482– these submissions available for public can be submitted in any form, most 7407 or tthomas@ntia.doc.gov at least 5 viewing on the Internet at http:// likely in the form of a letter. The business days before the webinar. www.regulations.gov as they are contractor will calculate the TRICARE/ Dated: May 1, 2015. received without change, including any CHAMPUS share of capital and direct Lisa Mensah, personal identifiers or contact medical educations costs and make a information. Any associated form(s) for lump-sum payment to the hospital. The Under Secretary for Rural Development. this collection may be located within TRICARE/CHAMPUS DRG-based Lawrence E. Strickling, payment system is modeled on the this same electronic docket and Assistant Secretary for Communications and downloaded for review/testing. Follow Medicare Prospective Payment System Information. (PPS) and was implemented on October the instructions at http:// [FR Doc. 2015–10580 Filed 5–5–15; 8:45 am] 1, 1987. Initially, under 42 CFR 412.46 www.regulations.gov for submitting BILLING CODE 3510–60–P comments. Please submit comments on of the Medicare regulations, physicians any given form identified by docket was required to sign attestation and number, form number, and title. acknowledgment statements. These DEPARTMENT OF DEFENSE FOR FURTHER INFORMATION CONTACT: To requirements were implemented to request more information on this ensure a means of holding hospitals and Office of the Secretary physicians accountable for the proposed information collection or to [Docket ID DoD–2015–HA–0039] obtain a copy of the proposal and information they submit on the associated collection instruments, Medicare claim forms. Being modeled Proposed Collection; Comment please write to the Defense Health on the Medicare PPS, CHAMPUS also Request Agency, Medical Benefits and adopted these requirements. The Reimbursement Office, 16401 E. physicians attestation and physician AGENCY: Office of the Assistant acknowledgment required by Medicare Secretary of Defense for Health Affairs, Centretech Pkwy, Attn: Sharon Seelmeyer, Aurora, CO 80011–9066, or under 42 CFR 412.46 are also required DoD. for TRICARE/CHAMPUS as a condition ACTION: Notice. call Defense Health Agency, Medical Benefits and Reimbursement Office at for payment and may be satisfied by the SUMMARY: In compliance with the (303) 676–3690. same statements as required for Paperwork Reduction Act of 1995, the Medicare, with substitution or addition SUPPLEMENTARY INFORMATION: Title; Office of the Assistant Secretary of of ‘‘TRICARE/CHAMPUS’’ when the Associated Form; and OMB Number: word ‘‘Medicare’’ is used. Physicians Defense for Health Affairs announces a Diagnosis Related Groups (DRG) proposed public information collection sign a physician acknowledgement, Reimbursement; OMB Control Number: maintained by the institution, at the and seeks public comment on the 0720–0017. provisions thereof. Comments are time the physician is granted admitting Needs and Uses: The TRICARE/ privileges. This acknowledgement invited on: (a) Whether the proposed CHAMPUS contractors will use the collection of information is necessary indicates the physician understands the information collected to reimburse importance of a correct medical record, for the proper performance of the hospitals for TRICARE/CHAMPUS share functions of the agency, including and misrepresentation may be subject to of capital and direct medical education penalties. whether the information shall have costs. practical utility; (b) the accuracy of the Affected Public: Individuals; business Dated: April 30, 2015. agency’s estimate of the burden of the or other for-profit. Aaron Siegel, proposed information collection; (c) Annual Burden Hours: 8,400. Alternate OSD Federal Register Liaison ways to enhance the quality, utility, and Number of Respondents: 5,600. Officer, Department of Defense. clarity of the information to be Responses per Respondent: 1. [FR Doc. 2015–10510 Filed 5–5–15; 8:45 am] collected; and (d) ways to minimize the Average Burden per Response: 90 BILLING CODE 5001–06–P burden of the information collection on minutes. respondents, including through the use Frequency: On occasion. of automated collection techniques or The Department of Defense DEPARTMENT OF DEFENSE other forms of information technology. Authorization Act, 1984, Public Law DATES: Consideration will be given to all 98–94 amended Title 10, section Office of the Secretary comments received by July 6, 2015. 1079(j)(2)(A) of the U.S.C. and provided [Docket ID: DoD–2015–HA–0040] ADDRESSES: You may submit comments, the Civilian Health and Medical tkelley on DSK3SPTVN1PROD with NOTICES identified by docket number and title, Program of the Uniform Services Proposed Collection; Comment by any of the following methods: (CHAMPUS) with the statutory Request • Federal eRulemaking Portal: http:// authority to reimburse institutional AGENCY: Office of the Assistant www.regulations.gov. Follow the providers based on diagnosis-related Secretary of Defense for Health Affairs, instructions for submitting comments. groups (DRGs). The CHAMPUS DRG- DoD. • Mail: Department of Defense, Office based payment system, except for ACTION: Notice. of the Deputy Chief Management children’s hospitals (whose capital and VerDate Sep<11>2014 18:43 May 05, 2015 Jkt 235001 PO 00000 Frm 00014 Fmt 4703 Sfmt 4703 E:\FR\FM\06MYN1.SGM 06MYN1

Federal Register / Vol. 80, No. 87 / Wednesday, May 6, 2015 / Notices 26009 SUMMARY: In compliance the Paperwork SUPPLEMENTARY INFORMATION: DEPARTMENT OF DEFENSE Reduction Act of 1995, the Office of the Title; Associated Form; and OMB Assistant Secretary of Defense for Office of the Secretary Number: Active Duty Dental Program Health Affairs announces a proposed (ADDP) Claim Form; OMB Control [Docket ID: DoD–2015–HA–0038] public information collection and seeks Number 0720–0053. public comment on the provisions Proposed Collection; Comment thereof. Comments are invited on: (a) Needs and Uses: The information Request Whether the proposed collection of collection is necessary to obtain and information is necessary for the proper record the dental readiness of Service AGENCY: Office of the Assistant performance of the functions of the Members using the Active Duty Dental Secretary of Defense for Health Affairs, agency, including whether the Program (ADDP) and at the same time DoD. information shall have practical utility; submit the claim for the dental ACTION: Notice. (b) the accuracy of the agency’s estimate procedures provided so that claims can of the burden of the proposed be processed and reimbursement made SUMMARY: In compliance with the information collection; (c) ways to to the provider. Many Service Members Paperwork Reduction Act of 1995, the enhance the quality, utility, and clarity are not located near a military dental Office of the Assistant Secretary of of the information to be collected; and treatment facility and receive their Defense for Health Affairs announces a (d) ways to minimize the burden of the dental care in the private sector. proposed public information collection information collection on respondents, and seeks public comment on the Affected Public: Business or other for provisions thereof. Comments are including through the use of automated collection techniques or other forms of profit institutions; Not-for-profit invited on: (a) Whether the proposed information technology. institutions. collection of information is necessary DATES: Consideration will be given to all Annual Burden Hours: 25,000. for the proper performance of the comments received by July 6, 2015. Number of Respondents: 75,000. functions of the agency, including whether the information shall have ADDRESSES: You may submit comments, Responses per Respondent: 4. practical utility; (b) the accuracy of the identified by docket number and title, Average Burden per Response: 5 agency’s estimate of the burden of the by any of the following methods: • Federal eRulemaking Portal: http:// minutes. proposed information collection; (c) www.regulations.gov. Follow the Frequency: On occasion. ways to enhance the quality, utility, and instructions for submitting comments. clarity of the information to be Respondents are dental providers who collected; and (d) ways to minimize the • Mail: Department of Defense, Office submit claims in order to be reimbursed of the Deputy Chief Management burden of the information collection on for delivered dental care. The ADDP respondents, including through the use Officer, Directorate of Oversight and Claim form allows civilian dental of automated collection techniques or Compliance, Regulatory and Audit Matters Office, 9010 Defense Pentagon, providers to submit the claim for dental other forms of information technology. Washington, DC 20301–9010. procedures provided to active duty DATES: Consideration will be given to all Instructions: All submissions received service members and to update their comments received by July 6, 2015. must include the agency name, docket dental readiness classification at the ADDRESSES: You may submit comments, number and title for this Federal same time. The completed form is identified by docket number and title, Register document. The general policy forwarded to the ADDP contractor, by any of the following methods: for comments and other submissions United Concordia Companies, Inc. for • Federal eRulemaking Portal: http:// from members of the public is to make reimbursement and the electronic www.regulations.gov. Follow the these submissions available for public update of the dental readiness. If the instructions for submitting comments. viewing on the Internet at http:// form is not available, civilian providers • Mail: Department of Defense, Office www.regulations.gov as they are will not have a mechanism to submit of the Deputy Chief Management received without change, including any dental claims with the information Officer, Directorate of Oversight and personal identifiers or contact required for reimbursement to provide Compliance, Regulatory and Audit information. an updated dental readiness Matters Office, 9010 Defense Pentagon, Any associated form(s) for this classification for the member. Dental Washington, DC 20301–9010. collection may be located within this readiness classification allows the Instructions: All submissions received same electronic docket and downloaded Services to ensure that all Service must include the agency name, docket for review/testing. Follow the Members are ready for worldwide number and title for this Federal instructions at http:// deployment. Dental readiness is an Register document. The general policy www.regulations.gov for submitting integral part of medical readiness, and for comments and other submissions comments. Please submit comments on from members of the public is to make medical readiness is fundamental to the any given form identified by docket these submissions available for public readiness of our forces. number, form number, and title. viewing on the Internet at http:// FOR FURTHER INFORMATION CONTACT: To Dated: April 30, 2015. www.regulations.gov as they are request more information on this Aaron Siegel, received without change, including any proposed information collection or to Alternate OSD Federal Register Liaison personal identifiers or contact obtain a copy of the proposal and Officer, Department of Defense. information. tkelley on DSK3SPTVN1PROD with NOTICES associated collection instruments, [FR Doc. 2015–10513 Filed 5–5–15; 8:45 am] Any associated form(s) for this please write to the TRICARE Dental BILLING CODE 5001–06–P collection may be located within this Care Office, Health Plan Execution and same electronic docket and downloaded Operation, Defense Health Agency for review/testing. Follow the (DHA), Rm. 3M451, ATTN: COL Colleen instructions at http:// C. Shull, Falls Church, VA 22042 or call www.regulations.gov for submitting (703) 681–9517, DSN 761. comments. Please submit comments on VerDate Sep<11>2014 18:43 May 05, 2015 Jkt 235001 PO 00000 Frm 00015 Fmt 4703 Sfmt 4703 E:\FR\FM\06MYN1.SGM 06MYN1


Document Created: 2015-12-16 07:40:59
Document Modified: 2015-12-16 07:40:59
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesConsideration will be given to all comments received by July 6, 2015.
ContactTo 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 Plan Execution and Operation, Defense Health Agency (DHA), Rm. 3M451, ATTN: COL Colleen C. Shull, Falls Church, VA 22042 or call (703) 681-9517, DSN 761.
FR Citation80 FR 26008 
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