80 FR 61390 - Proposed Collection; Comment Request
DEPARTMENT OF DEFENSE
Office of the Secretary Federal Register Volume 80, Issue 197 (October 13, 2015)
Office of the Secretary
Federal Register Volume 80, Issue 197 (October 13, 2015)
| Page Range | 61390-61391 | |
| FR Document | 2015-25911 |
[Federal Register Volume 80, Number 197 (Tuesday, October 13, 2015)] [Notices] [Pages 61390-61391] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-25911] ----------------------------------------------------------------------- DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID: DoD-2014-HA-0088] 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 December 14, 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. [[Page 61391]] 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 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: TRICARE Dental Program (TDP) Dentist's Claim Form CONUS and TRICARE Dental Program (TDP) Dentist's Claim Form OCONUS; OMB Control Number 0720-0035. Needs and Uses: The TRICARE Dental Program (TDP) Claim Form(s). CONUS/OCONUS are required to gather information to make payment for legitimate dental claims and to assist in contractor surveillance and program integrity investigations and to audit financial transactions where the Department of Defense has a financial stake. The information from the claim form is also used to provide important cost-share explanations to the beneficiary. Affected Public: Business or other for profit. Annual Burden Hours: 1,006,415. Number of Respondents: 64,930. Responses per Respondent: 62. Annual Responses: 4,025,660. Average Burden per Response: 15 Minutes. Frequency: On occasion. The Defense Health Agency (DHA) under the authority of the Office of the Assistant Secretary of Defense (Health Affairs)/Office of the Deputy Assistant Secretary of Defense has responsibility for management of the TRICARE Dental Program (TDP) as established in Title 10, United States Code, Section 1076a. The information collected to make payment for covered dental procedures provided by a licensed dentist to an eligible beneficiary can be sent to the TDP contractor electronically, fax or mail. Approximately 35% of all TDP network dental claims are filed electronically. Dental offices and patients can download the TDP claim form from the contractor's Web site. For non-network dentists, to include those in overseas locations, the use of the TDP Claim Form is highly encouraged. However, dental claims will be paid if all the required information is provided on a similar claim form. Dated: October 6, 2015. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 2015-25911 Filed 10-9-15; 8:45 am] BILLING CODE 5001-06-P
![61390 Federal Register / Vol. 80, No. 197 / Tuesday, October 13, 2015 / Notices
practical utility; (b) the accuracy of the implement section 401 of Public Law 2168 is compatible with that of a
agency’s estimate of the burden of the 95–202 (codified at 38 U.S.C. 106 Note), corresponding approved group, and the
proposed information collection; (c) which directs the Secretary of Defense: applicant can provide supporting
ways to enhance the quality, utility, and (1) To determine if civilian employment evidence, he or she will receive
clarity of the information to be or contractual service rendered to the veteran’s status in accordance with the
collected; and (d) ways to minimize the Armed Forces of the United States by provisions of DoD Directive 1000.20.
burden of the information collection on certain groups shall be considered Information from the DD Form 2168 will
respondents, including through the use Active Duty services, and (2) to award be extracted and used to complete the
of automated collection techniques or members of approved groups an DD Form 214, ‘‘Certificate for Release or
other forms of information technology. appropriate certificate where the nature Discharge from Active Duty.’’
DATES: Consideration will be given to all and duration of service so merits. This Dated: October 6, 2015.
comments received by December 14, information is collected on DD Form
Aaron Siegel,
2015. 2168, ‘‘Application for Discharge of
Member of Group Certified to have Alternate OSD Federal Register, Liaison
ADDRESSES: You may submit comments, Officer, Department of Defense.
Performed Active Duty with the Armed
identified by docket number and title, Forces of the United States,’’ which [FR Doc. 2015–25898 Filed 10–9–15; 8:45 am]
by any of the following methods: provides the necessary data to assist BILLING CODE 5001–06–P
• Federal eRulemaking Portal: http://
each of the Military Departments in
www.regulations.gov. Follow the
determining if an applicant was a
instructions for submitting comments. DEPARTMENT OF DEFENSE
• Mail: Department of Defense, Office member of a group which has performed
of the Deputy Chief Management active military service. Those Office of the Secretary
Officer, Directorate of Oversight and individuals who have been recognized
as members of an approved group shall [Docket ID: DoD–2014–HA–0088]
Compliance, Regulatory and Audit
Matters Office, 9010 Defense Pentagon, be eligible for benefits administered by
the Veteran’s Administration. Proposed Collection; Comment
Washington, DC 20301–9010. Request
Instructions: All submissions received Affected Public: Individuals or
must include the agency name, docket households. AGENCY: Office of the Assistant
Annual Burden Hours: 1,350 hours. Secretary of Defense for Health Affairs,
number and title for this Federal Number of Respondents: 2,700.
Register document. The general policy DoD.
Responses per Respondent: 1.
for comments and other submissions Annual Responses: 2,700. ACTION: Notice.
from members of the public is to make Average Burden per Response: 5
these submissions available for public SUMMARY: In compliance with the
hours.
viewing on the Internet at http:// Paperwork Reduction Act of 1995, the
Frequency: On occasion.
www.regulations.gov as they are Section 401 of Public Law 95–202 Office of the Assistant Secretary of
received without change, including any (codified at 38 U.S.C. 106 Note) Defense for Health Affairs announces a
personal identifiers or contact authorized the Secretary of Defense: (1) proposed public information collection
information. To determine if civilian employment or and seeks public comment on the
Any associated form(s) for this contractual service rendered to the provisions thereof. Comments are
collection may be located within this Armed Forces of the United States by invited on: (a) Whether the proposed
same electronic docket and downloaded certain groups shall be considered collection of information is necessary
for review/testing. Follow the active duty service, and (2) to issue for the proper performance of the
instructions at http:// members of approved groups an functions of the agency, including
www.regulations.gov for submitting appropriate certificate of service where whether the information shall have
comments. Please submit comments on the nature and duration of service so practical utility; (b) the accuracy of the
any given form identified by docket warrants. Such persons shall be eligible agency’s estimate of the burden of the
number, form number, and title. for benefits administered by the proposed information collection; (c)
FOR FURTHER INFORMATION CONTACT: To Department of Veterans Affairs. The ways to enhance the quality, utility, and
request more information on this information collected on DD Form 2168, clarity of the information to be
proposed information collection or to ‘‘Application for Discharge of Member collected; and (d) ways to minimize the
obtain a copy of the proposal and or Survivor of Member Group Certified burden of the information collection on
associated collection instruments, To Have Performed Duty with the respondents, including through the use
please write to the Office of the Under Armed Forces of the United States,’’ is of automated collection techniques or
Secretary of Defense (Personnel and necessary to assist the Secretaries of the other forms of information technology.
Readiness) (Military Community and Military Departments in: (1) DATES: Consideration will be given to all
Family Policy), ATTN: Mr. James M. Determining if an applicant was a comments received by December 14,
Ellis, 4000 Defense Pentagon, member of an approved group that 2015.
Washington, DC 20301–4000 or call at performed civilian employment or ADDRESSES: You may submit comments,
(703) 602–5009. contractual service for the U.S. Armed identified by docket number and title,
SUPPLEMENTARY INFORMATION: Forces and (2) to assist in issuing an by any of the following methods:
Title; Associated Form; And OMB appropriate certificate of service to the • Federal eRulemaking Portal: http://
mstockstill on DSK4VPTVN1PROD with NOTICES
Number: Application for Discharge of applicant. Information provided by the www.regulations.gov. Follow the
Member or Survivor of Member of applicant will include: The name of the instructions for submitting comments.
Group Certified to Have Performed group served with; dates and place of • Mail: Department of Defense, Office
Active Duty with the Armed Forces of service; highest grade/rank/rating held of the Deputy Chief Management
the United States, DD Form 2168, OMB during service; highest pay grade; Officer, Directorate of Oversight and
Control Number 0704–0100. military installation where ordered to Compliance, Regulatory and Audit
Needs And Uses: The information report; specialty/job title(s). If the Matters Office, 9010 Defense Pentagon,
collection requirement is necessary to information requested on a DD Form Washington, DC 20301–9010.
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![Federal Register / Vol. 80, No. 197 / Tuesday, October 13, 2015 / Notices 61391
Instructions: All submissions received payment for covered dental procedures • Mail: Department of Defense, Office
must include the agency name, docket provided by a licensed dentist to an of the Deputy Chief Management
number and title for this Federal eligible beneficiary can be sent to the Officer, Directorate of Oversight and
Register document. The general policy TDP contractor electronically, fax or Compliance, Regulatory and Audit
for comments and other submissions mail. Approximately 35% of all TDP Matters Office, 9010 Defense Pentagon,
from members of the public is to make network dental claims are filed Washington, DC 20301–9010.
these submissions available for public electronically. Dental offices and Instructions: All submissions received
viewing on the Internet at http:// patients can download the TDP claim must include the agency name, docket
www.regulations.gov as they are form from the contractor’s Web site. number and title for this Federal
received without change, including any For non-network dentists, to include Register document. The general policy
personal identifiers or contact those in overseas locations, the use of for comments and other submissions
information. Any associated form(s) for the TDP Claim Form is highly from members of the public is to make
this collection may be located within encouraged. However, dental claims these submissions available for public
this same electronic docket and will be paid if all the required viewing on the Internet at http://
downloaded for review/testing. Follow information is provided on a similar www.regulations.gov as they are
the instructions at http:// claim form. received without change, including any
www.regulations.gov for submitting Dated: October 6, 2015. personal identifiers or contact
comments. Please submit comments on Aaron Siegel, information.
any given form identified by docket Any associated form(s) for this
Alternate OSD Federal Register Liaison
number, form number, and title. Officer, Department of Defense.
collection may be located within this
FOR FURTHER INFORMATION CONTACT: To same electronic docket and downloaded
[FR Doc. 2015–25911 Filed 10–9–15; 8:45 am]
request more information on this for review/testing. Follow the
BILLING CODE 5001–06–P
proposed information collection or to instructions at http://
obtain a copy of the proposal and www.regulations.gov for submitting
associated collection instruments, comments. Please submit comments on
DEPARTMENT OF DEFENSE
please write to the TRICARE Dental any given form identified by docket
Care Office, Health Agency (DHA), Rm Office of the Secretary number, form number, and title.
3M451, ATTN: COL Colleen C. Shull, FOR FURTHER INFORMATION CONTACT: To
[Docket ID DoD–2014–OS–0081]
Falls Church, VA 22042 or call (703) request more information on this
681–9517, DSN 761. Proposed Collection; Comment proposed information collection or to
SUPPLEMENTARY INFORMATION: Request obtain a copy of the proposal and
Title; Associated Form; and OMB associated collection instruments,
Number: TRICARE Dental Program AGENCY: Office of the Under Secretary of please write to the Department of
(TDP) Dentist’s Claim Form CONUS and Defense (Personnel and Readiness), Defense Education Activity, Attn: Dr.
TRICARE Dental Program (TDP) DoD. Sandra D. Embler, 4040 North Fairfax
Dentist’s Claim Form OCONUS; OMB ACTION: Notice. Drive, Arlington, VA 22203–1635, or
Control Number 0720–0035. call at (703) 588–3175.
SUMMARY: In compliance with the
Needs and Uses: The TRICARE Dental SUPPLEMENTARY INFORMATION:
Paperwork Reduction Act of 1995, the
Program (TDP) Claim Form(s). CONUS/ Title; Associated Form; And OMB
Office of the Under Secretary of Defense
OCONUS are required to gather Number: Department of Defense
(Personnel and Readiness) announces a
information to make payment for Education Activity (DoDEA) Evaluation
proposed public information collection
legitimate dental claims and to assist in and Program Surveys—Generic; OMB
and seeks public comment on the
contractor surveillance and program Control Number 0704–0437.
provisions thereof. Comments are Needs and Uses: The Department of
integrity investigations and to audit invited on: (a) whether the proposed
financial transactions where the Defense Education Activity (DoDEA)
collection of information is necessary has a need to conduct a variety of one-
Department of Defense has a financial for the proper performance of the
stake. The information from the claim time surveys, interviews, and focus
functions of the agency, including groups on an as-needed basis. The
form is also used to provide important whether the information shall have
cost-share explanations to the population for these data collections
practical utility; (b) the accuracy of the will be limited to students and parents
beneficiary. agency’s estimate of the burden of the
Affected Public: Business or other for of students attending DoDEA schools.
proposed information collection; (c) These information collections are
profit.
ways to enhance the quality, utility, and necessary to measure DoDEA’s progress
Annual Burden Hours: 1,006,415.
clarity of the information to be on the goals set forth in the Community
Number of Respondents: 64,930.
collected; and (d) ways to minimize the Strategic Plan, and to assess parent and
Responses per Respondent: 62.
burden of the information collection on student input on school policies and
Annual Responses: 4,025,660.
respondents, including through the use procedures. These data collections will
Average Burden per Response: 15
of automated collection techniques or include, but are not limited to, school
Minutes.
other forms of information technology. operations and procedures (such as
Frequency: On occasion.
The Defense Health Agency (DHA) DATES: Consideration will be given to all school uniforms, transportation, school
comments received by December 14,
mstockstill on DSK4VPTVN1PROD with NOTICES
under the authority of the Office of the calendar), school facilities, curricular
Assistant Secretary of Defense (Health 2015. and instructional needs and
Affairs)/Office of the Deputy Assistant ADDRESSES: You may submit comments, effectiveness, programmatic needs and
Secretary of Defense has responsibility identified by docket number and title, effectiveness, and extra-curricular and
for management of the TRICARE Dental by any of the following methods: co-curricular activities. The information
Program (TDP) as established in Title • Federal eRulemaking Portal: http:// sought by these data collections will
10, United States Code, Section 1076a. www.regulations.gov. Follow the allow DoDEA to quickly have access to
The information collected to make instructions for submitting comments. the information necessary to determine
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Document Created: 2018-02-27 08:48:15
Document Modified: 2018-02-27 08:48:15
| 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 December 14, 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 TRICARE Dental Care Office, Health Agency (DHA), Rm 3M451, ATTN: COL Colleen C. Shull, Falls Church, VA 22042 or call (703) 681-9517, DSN 761. | |
| FR Citation | 80 FR 61390 |
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