81_FR_46205 81 FR 46069 - Privacy Act of 1974; System of Records

81 FR 46069 - Privacy Act of 1974; System of Records

DEPARTMENT OF DEFENSE
Office of the Secretary

Federal Register Volume 81, Issue 136 (July 15, 2016)

Page Range46069-46072
FR Document2016-16726

The Defense Health Agency proposes to alter an existing system of records, EDHA 12, entitled ``Third Party Collection System.'' This system is used to provide the Military Services medical billing, collections, and reporting processes for users at multiple locations, and to serve as the single source of financial information for the accounting of uniform business office accounts receivable.

Federal Register, Volume 81 Issue 136 (Friday, July 15, 2016)
[Federal Register Volume 81, Number 136 (Friday, July 15, 2016)]
[Notices]
[Pages 46069-46072]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-16726]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DOD-2016-HA-0077]


Privacy Act of 1974; System of Records

AGENCY: Defense Health Agency, DoD.

ACTION: Notice to alter a system of records.

-----------------------------------------------------------------------

SUMMARY: The Defense Health Agency proposes to alter an existing system 
of records, EDHA 12, entitled ``Third Party Collection System.'' This 
system is used to provide the Military Services medical billing, 
collections, and reporting processes for users at multiple locations, 
and to serve as the single source of financial information for the 
accounting of uniform business office accounts receivable.

DATES: Comments will be accepted on or before August 15, 2016. This 
proposed action will be effective the date following the end of the 
comment period unless comments are received which result in a contrary 
determination.

ADDRESSES: You may submit comments, identified by docket number and 
title, by any of the following methods:
    * Federal Rulemaking Portal: http://www.regulations.gov. Follow the 
instructions for submitting comments.
    * Mail: Department of Defense, Office of the Deputy Chief 
Management

[[Page 46070]]

Officer, Directorate of Oversight and Compliance, 4800 Mark Center 
Drive, Mailbox #24, Alexandria, VA 22350-1700. Instructions: All 
submissions received must include the agency name and docket number 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.

FOR FURTHER INFORMATION CONTACT: Ms. Linda S. Thomas, Chief, Defense 
Health Agency Privacy and Civil Liberties Office, 7700 Arlington 
Boulevard, Suite 5101, Falls Church, VA 22042-5101, or by phone at 
(703) 275-6363.

SUPPLEMENTARY INFORMATION: The Defense Health Agency notices for 
systems of records subject to the Privacy Act of 1974 (5 U.S.C. 552a), 
as amended, have been published in the Federal Register and are 
available from the address in FOR FURTHER INFORMATION CONTACT or at the 
Defense Privacy and Civil Liberties Division Web site at http://dpcld.defense.gov/.
    The proposed system report, as required by 5 U.S.C. 552a(r) of the 
Privacy Act of 1974, as amended, was submitted on June 23, 2016, to the 
House Committee on Oversight and Government Reform, the Senate 
Committee on Governmental Affairs, and the Office of Management and 
Budget (OMB) pursuant to paragraph 4 of Appendix I to OMB Circular No. 
A-130, ``Federal Agency Responsibilities for Maintaining Records About 
Individuals,'' revised November 28, 2000 (December 12, 2000 65 FR 
77677).

    Dated: July 11, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
EDHA 12

System name:
    Third Party Collection System (November 18, 2013, 78 FR 69076)
    Changes
* * * * *

System location:
    Delete entry and replace with ``Primary: General Dynamics 
Information Technology, Corporate Office Properties Trust (COPT) Data 
Center Solutions DC-6, 9651 Hornbaker Road, Manassas, VA 20109-3976.
    Alternate: General Dynamics Information Technology, 11400 Westmoor 
Circle, Westminster, CO 80021-2735.
    For a complete listing of all facility addresses write to the 
system manager.''
    Categories of individuals covered by the system:
    Delete entry and replace with ``Members of the Uniformed Services 
(including Reserve and National Guard personnel) and their dependents 
and retired military members and their dependents who receive or have 
received health services approved by DoD; contractors participating in 
military deployments or related operations who receive or have received 
medical or dental care at a military treatment facility (MTF); DoD 
civilian employees (to include non-appropriated fund employees), and 
other individuals who receive or have received medical or dental care 
at an MTF.''

Categories of records in the system:
    Delete entry and replace with ``Individual Data: Patient name, DoD 
Identification Number (DoD ID Number), Social Security Number (SSN) (or 
foreign identification), citizenship, whether treatment was outpatient 
or inpatient, outpatient visit date and time, date of birth, address, 
email address, home and cell phone telephone numbers, gender, marital 
status, emergency contact information, driver's license number, family 
member prefix, and relationship to policy holder; sponsor or insurance 
policy holder name, SSN or DoD ID Number, and date of birth; other 
covered family member name(s), SSN, and date of birth; and, if 
applicable, Medicare and Medicaid coverage data.
    Insurance Policy Information Data: Policy number or identification, 
card holder identification, group number, group name, enrollment plan/
code, policy effective date, policy category, policy end date, 
insurance company name, address, and telephone number, insurance type, 
policy holder, and whether policy holder is insured through their 
employer; pharmacy insurance company name, address, and phone number, 
and pharmacy policy number, BIN number, and patient identification 
number.
    Employer Information data: Employer name, address, and telephone 
number.
    Billing Information Data: Bill type (MTF, clinic, pharmacy, 
laboratory/radiology, or ambulance), name and location of MTF, whether 
treatment was outpatient or inpatient, outpatient visit date and time, 
inpatient admission and discharge dates and time, patient 
identification number, patient name, provider code/description, office 
visit code description, Medical Expense and Performance Reporting 
System code/description, diagnosis code/description, billing amount, 
user who created the bill, date bill was created, status of bill, and 
source of billing data.
    Accounting Information Data: Control number, transaction code, 
debit amount, credit amount, check number, batch posting number, 
balance, patient identification number, patient name, encounter date, 
comments, entry date, and follow-up date.
    Insurance Company Data: Tables for insurance company, policy, 
provider, fees, codes, rates, and procedure maintenance.''

Authority for the maintenance of the system:
    Delete entry and replace with ``10 U.S.C. 1079b, Procedures for 
charging fees for care provided to civilians; retention and use of fees 
collected; 10 U.S.C. 1095, Health care services incurred on behalf of 
covered beneficiaries: Collection from third-party payers; 42 U.S.C. 
Chapter 32, Third Party Liability For Hospital and Medical Care; 28 CFR 
part 43, Recovery of Costs of Hospital and Medical Care and Treatment 
Furnished by the United States; 32 CFR part 199, Civilian Health and 
Medical Program for the Uniformed Services (CHAMPUS); 32 CFR part 220, 
Collection from Third Party Payers of Reasonable Charges for Healthcare 
Services; DoD Instruction 6015.23, Foreign Military Personnel Care and 
Uniform Business Offices in Military Treatment Facilities (MTFs); and 
E.O. 9397 (SSN), as amended.''

Purpose(s):
    Delete entry and replace with ``To provide the Military Services 
medical billing, collections, and reporting processes for users at 
multiple locations, and to serve as the single source of financial 
information for the accounting of uniform business office accounts 
receivable.
    To assist the Defense Finance Accounting Service (DFAS) in 
collecting delinquent debts.''
    Routine uses of records maintained in the system, including 
categories of users and the purposes of such uses:
    Delete entry and replace with ``In addition to those disclosures 
generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, as 
amended, these records may specifically be disclosed outside the DoD as 
a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
    To interface with all commercial insurance carriers and parties 
against whom recovery has been sought by the DoD Military Health System 
(MHS), as well as all parties involved in support of the collection 
activities for health care approved by the DoD.

[[Page 46071]]

    To the Departments of Treasury, Veterans Affairs, and Homeland 
Security in order to obtain reimbursement to the DoD for medical 
services provided by the MHS to beneficiaries and workforce members of 
such Departments.
    To other persons or organizations, including other health insurers, 
Medicare, and Medicaid, who may be liable for payment for health care 
and medical services provided to an individual by the MHS.
    To data clearinghouses for the purpose of converting the medical 
and pharmacy claims to an industry-wide format then forwarding to 
insurance companies (and other payers) electronically for payment.
    Except as stipulated in NOTE 1 and NOTE 2 below, the DoD Blanket 
Routine Uses set forth at the beginning of the Defense Privacy and 
Civil Liberties Division compilation of systems of records notices may 
apply to this system. The complete list of DoD Blanket Routine Uses can 
be found online at: http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx
    NOTE 1: This system of records contains individually identifiable 
health information. The DoD Health Information Privacy Regulation (DoD 
6025.18-R) or any successor DoD issuances implementing the Health 
Insurance Portability and Accountability Act of 1996 (HIPAA) and 45 CFR 
parts 160 and 164, Health and Human Services, General Administrative 
Requirements and Security & Privacy, respectively, applies to most such 
health information. DoD 6025.18-R or a successor issuance may place 
additional procedural requirements on the uses and disclosures of such 
information beyond those found in the Privacy Act of 1974, as amended, 
or mentioned in this system of records notice.
    NOTE 2: Records of identity, diagnosis, prognosis or treatment 
information of any patient maintained in connection with the 
performance of any program or activity relating to substance abuse 
education, prevention, training, treatment, rehabilitation, or 
research, which is conducted, regulated, or directly or indirectly 
assisted by a department or agency of the United States will be treated 
as confidential and disclosed only for the purposes and under the 
circumstances expressly authorized under 42 U.S.C. 290dd-2.''
    Policies and practices for storing, retrieving, accessing, 
retaining, and disposing of records in the system:

Storage:
    Delete entry and replace with ``Paper records and electronic 
storage media.''

Retrievability:
    Delete entry and replace with ``Patient name, SSN (or foreign 
identification) or DoD ID Number, insurance company name, date range, 
sponsor name, sponsor SSN or DoD ID Number, or patient identification 
number.''

Safeguards:
    Delete entry and replace with ``Physical access to the information 
technology (IT) system location is restricted by visitor escort, access 
rosters, and photo identification. Adequate locks are on doors and 
server components are secured in a locked computer room with limited 
access. Each end user device is protected within a locked storage 
container, room, or building outside of normal business hours. All 
visitors and other persons that require access to facilities that house 
servers and other network devices supporting the IT system that do not 
have authorization for access are escorted by appropriately screened/
cleared personnel at all times.
    Access to the IT system is role-based and a valid user account is 
required. The system is Public Key Infrastructure-enforced with two-
factor authentication and can be accessed by use of Common Access Card 
and personal identification number. Authorized personnel must have 
appropriate Information Assurance training, HIPAA training, and Privacy 
Act training.
    Paper records are protected by the security and policies in place 
at the locations where they are held. All locations are within or under 
contract with the MHS, and require personnel to undergo appropriate 
training.''

Retention and disposal:
    Delete entry and replace with ``Close out at end of the calendar 
year in which received. Destroy 10 year(s) after cut off.''

System manager(s) and address:
    Delete entry and replace with ``Program Manager, DHA Solutions 
Delivery Division, Clinical Support, Fort Sam Houston, San Antonio, TX 
78234-2639.''

Notification procedure:
    Delete entry and replace with ``Individuals seeking to determine 
whether information about themselves is contained in this system of 
records should address written inquiries to the Chief, Freedom of 
Information Act (FOIA) Service Center, Defense Health Agency Privacy 
and Civil Liberties Office, 7700 Arlington Boulevard, Suite 5101, Falls 
Church, VA 22042-5101.
    Requests should contain the name and number of this system of 
records notice, the individual's full name, current address, home or 
cell phone telephone number, SSN or DoD ID Number, and signature.
    In addition, the requester must provide 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).'
    If requesting information about a minor or legally incompetent 
person, the request must be made by the custodial parent, legal 
guardian, or person with legal authority to make decisions on behalf of 
the individual. Written proof of that status may be required before the 
existence of any information will be confirmed.''

Record access procedures:
    Delete entry and replace with ``Individuals seeking access to 
records about themselves contained in this system of records should 
address written inquiries to the Chief, FOIA Service Center, Defense 
Health Agency Privacy and Civil Liberties Office, 7700 Arlington 
Boulevard, Suite 5101, Falls Church, VA 22042-5101.
    Requests should contain the name and number of this system of 
records notice, the individual's full name, current address, home or 
cell phone telephone number, SSN or DoD ID Number, and signature.
    In addition, the requester must provide 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).'

[[Page 46072]]

    If requesting information about a minor or legally incompetent 
person, the request must be made by the custodial parent, legal 
guardian or person with legal authority to make decisions on behalf of 
the individual. Written proof of that status may be required before any 
records will be provided.''

Contesting record procedures:
    Delete entry and replace with ``The Office of the Secretary of 
Defense (OSD) rules for accessing records, for contesting contents and 
appealing initial agency determinations are published in OSD 
Administrative Instruction 81, 32 CFR part 311, or may be obtained from 
the system manager.''

Record source categories:
    Delete entry and replace with ``The Composite Health Care System 
(CHCS) and the individual.''
* * * * *
[FR Doc. 2016-16726 Filed 7-14-16; 8:45 am]
 BILLING CODE 5001-06-P



                                                                                 Federal Register / Vol. 81, No. 136 / Friday, July 15, 2016 / Notices                                                 46069

                                                  (3) State whether the nominated                           Public comments on the Draft EIS are               Earlier this year, MDA designated the
                                                representative organization is a carrier,                requested pursuant to the NEPA. All                   Center for Security Forces Detachment
                                                shipper or both.                                         written comments received during the                  Kittery Survival, Evasion, Resistance
                                                  (4) Provide the name of an individual                  comment period will become part of the                and Escape Facility (SERE East) in
                                                to be the principle person representing                  public record. Providing private address              Redington Township, Maine, as an
                                                the organization and information                         information with your comment is                      Alternative Considered, but Not Carried
                                                pertaining to their personal                             voluntary and such personal                           Forward. The Draft EIS also analyzed a
                                                qualifications, to include a current                     information will be kept confidential                 No Action Alternative or no CIS
                                                biography or resume.                                     unless release is required by law. All                deployment. The DoD has not made a
                                                  Previous nominations received in                       comments received by the public,                      decision to deploy or construct a CIS
                                                response to notices published in the                     including at public meetings, will be                 and does not have a preferred
                                                Federal Register in prior years will not                 addressed in the Final EIS. A NOA will                alternative.
                                                be retained for consideration.                           be published notifying the public of the                 For each of the candidate site
                                                Renomination of representative                           final EIS.                                            locations, the following resource areas
                                                organizations is required.                               FOR FURTHER INFORMATION CONTACT: Mr.                  were assessed: Air quality, air space,
                                                  e. Deadline for Nominations. All                       Christopher Johnson, MDA Public                       biological, cultural, environmental
                                                nominations must be received at the                      Affairs, at 571–231–8212, or by email:                justice, geology and soils, hazardous
                                                address shown above no later than                        mda.info@mda.mil. For more                            materials and hazardous waste
                                                September 1, 2016.                                       information, including a downloadable                 management, health and safety, land
                                                                                                         copy of the Draft EIS, visit the MDA                  use, noise, socioeconomics,
                                                Brenda S. Bowen,                                                                                               transportation, utilities, water,
                                                                                                         Web site at http://www.mda.mil.
                                                Army Federal Register Liaison Officer.                                                                         wetlands, and visual and aesthetics.
                                                                                                         SUPPLEMENTARY INFORMATION:
                                                [FR Doc. 2016–16699 Filed 7–14–16; 8:45 am]
                                                                                                            Proposed Action and Alternative: The                 Dated: July 11, 2016.
                                                BILLING CODE 3720–58–P
                                                                                                         Department of Defense (DoD) does not                  Aaron Siegel,
                                                                                                         have a proposed action and has not                    Alternate OSD Federal Register Liaison
                                                DEPARTMENT OF DEFENSE                                    made a decision to deploy or construct                Officer, Department of Defense.
                                                                                                         an additional interceptor site. Current               [FR Doc. 2016–16686 Filed 7–14–16; 8:45 am]
                                                Office of the Secretary                                  sites in Alaska and California provide                BILLING CODE 5001–06–P
                                                                                                         the necessary protection of the
                                                Extension of Public Comment Period                       homeland from a ballistic missile attack
                                                for Draft Environmental Impact                           by countries such as North Korea and                  DEPARTMENT OF DEFENSE
                                                Statement for the Continental United                     Iran. If the DoD were to make a decision
                                                States Interceptor Site                                  in the future to construct a new site, the            Office of the Secretary
                                                                                                         prior completion of the required site                 [Docket ID: DOD–2016–HA–0077]
                                                AGENCY: Missile Defense Agency,                          studies and EIS could shorten the
                                                Department of Defense.                                   timeline necessary to build such a site.              Privacy Act of 1974; System of
                                                ACTION: Notice of public comment                            If deployed, a CIS would be an                     Records
                                                period extension.                                        extension of the existing Ground-based
                                                                                                         Midcourse Defense (GMD) element of                    AGENCY:    Defense Health Agency, DoD.
                                                SUMMARY:   The purpose of this notice is                 the Ballistic Missile Defense System. To              ACTION:    Notice to alter a system of
                                                to announce an extension to the 45-day                   the extent practicable, the CIS would be              records.
                                                public comment period of the Notice of                   built as a contiguous Missile Defense
                                                Availability for the Draft Environmental                                                                       SUMMARY:   The Defense Health Agency
                                                                                                         Complex, similar to that found at Fort                proposes to alter an existing system of
                                                Impact Statement (EIS) for the potential                 Greely, Alaska, and would consist of a
                                                deployment of a Continental United                                                                             records, EDHA 12, entitled ‘‘Third Party
                                                                                                         deployment of up to a total of 60                     Collection System.’’ This system is used
                                                States (CONUS) Interceptor Site (CIS)                    Ground-Based Interceptors (GBIs) in up
                                                published by the Missile Defense                                                                               to provide the Military Services medical
                                                                                                         to three GBI fields. The GBIs would not               billing, collections, and reporting
                                                Agency (MDA) on May 31, 2016 (81 FR                      be fired from their deployment site
                                                34315–34316). The public comment                                                                               processes for users at multiple locations,
                                                                                                         except in the Nation’s defense and no                 and to serve as the single source of
                                                period is extended 30 days and ends on                   test firing would be conducted at a CIS.
                                                August 17, 2016.                                                                                               financial information for the accounting
                                                                                                         The overall system architecture and                   of uniform business office accounts
                                                DATES: The extended 75-day public                        baseline requirements for a notional CIS
                                                comment period for the Draft EIS began                                                                         receivable.
                                                                                                         include, but are not limited to, the GBI
                                                on June 3, 2016, with the publication of                 fields, Command Launch Equipment,                     DATES: Comments will be accepted on or
                                                the Notice of Availability in the Federal                In-Flight Interceptor Communication                   before August 15, 2016. This proposed
                                                Register by the U.S. Environmental                       System Data Terminals, GMD                            action will be effective the date
                                                Protection Agency (81 FR 35761–                          Communication Network, supporting                     following the end of the comment
                                                35762), and with this extension, will                    facilities, such as lodging and dining,               period unless comments are received
                                                end on August 17, 2016.                                  recreation, warehouse and bulk storage,               which result in a contrary
                                                ADDRESSES: Comments on the Draft EIS                     vehicle storage and maintenance, fire                 determination.
                                                should be received by August 17, 2016
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                         station, hazardous materials/waste                    ADDRESSES: You may submit comments,
                                                by one of the following methods:                         storage, and roads and parking where                  identified by docket number and title,
                                                  • Mail: U.S. Postal Service to: Black                  necessary.                                            by any of the following methods:
                                                & Veatch Special Projects Corp. Attn:                       Candidate site locations under                        * Federal Rulemaking Portal: http://
                                                MDA CIS EIS, 6800 W. 115th Street,                       consideration include: Fort Custer                    www.regulations.gov. Follow the
                                                Suite 2200, Overland Park, KS 66211–                     Training Center in Michigan; Camp                     instructions for submitting comments.
                                                2420.                                                    Ravenna Joint Military Training Center                   * Mail: Department of Defense, Office
                                                  • Email: MDA.CIS.EIS@BV.com.                           in Ohio; and Fort Drum in New York.                   of the Deputy Chief Management


                                           VerDate Sep<11>2014   19:03 Jul 14, 2016   Jkt 238001   PO 00000   Frm 00026   Fmt 4703   Sfmt 4703   E:\FR\FM\15JYN1.SGM   15JYN1


                                                46070                            Federal Register / Vol. 81, No. 136 / Friday, July 15, 2016 / Notices

                                                Officer, Directorate of Oversight and                       For a complete listing of all facility             billing amount, user who created the
                                                Compliance, 4800 Mark Center Drive,                      addresses write to the system manager.’’              bill, date bill was created, status of bill,
                                                Mailbox #24, Alexandria, VA 22350–                          Categories of individuals covered by               and source of billing data.
                                                1700. Instructions: All submissions                      the system:                                             Accounting Information Data: Control
                                                received must include the agency name                       Delete entry and replace with                      number, transaction code, debit amount,
                                                and docket number for this Federal                       ‘‘Members of the Uniformed Services                   credit amount, check number, batch
                                                Register document. The general policy                    (including Reserve and National Guard                 posting number, balance, patient
                                                for comments and other submissions                       personnel) and their dependents and                   identification number, patient name,
                                                from members of the public is to make                    retired military members and their                    encounter date, comments, entry date,
                                                these submissions available for public                   dependents who receive or have                        and follow-up date.
                                                viewing on the Internet at http://                       received health services approved by                    Insurance Company Data: Tables for
                                                www.regulations.gov as they are                          DoD; contractors participating in                     insurance company, policy, provider,
                                                received without change, including any                   military deployments or related                       fees, codes, rates, and procedure
                                                personal identifiers or contact                          operations who receive or have received               maintenance.’’
                                                information.                                             medical or dental care at a military
                                                                                                         treatment facility (MTF); DoD civilian                AUTHORITY FOR THE MAINTENANCE OF THE
                                                FOR FURTHER INFORMATION CONTACT: Ms.                                                                           SYSTEM:
                                                Linda S. Thomas, Chief, Defense Health                   employees (to include non-appropriated
                                                                                                         fund employees), and other individuals                  Delete entry and replace with ‘‘10
                                                Agency Privacy and Civil Liberties                                                                             U.S.C. 1079b, Procedures for charging
                                                Office, 7700 Arlington Boulevard, Suite                  who receive or have received medical or
                                                                                                         dental care at an MTF.’’                              fees for care provided to civilians;
                                                5101, Falls Church, VA 22042–5101, or                                                                          retention and use of fees collected; 10
                                                by phone at (703) 275–6363.                              CATEGORIES OF RECORDS IN THE SYSTEM:                  U.S.C. 1095, Health care services
                                                SUPPLEMENTARY INFORMATION: The                              Delete entry and replace with                      incurred on behalf of covered
                                                Defense Health Agency notices for                        ‘‘Individual Data: Patient name, DoD                  beneficiaries: Collection from third-
                                                systems of records subject to the Privacy                Identification Number (DoD ID                         party payers; 42 U.S.C. Chapter 32,
                                                Act of 1974 (5 U.S.C. 552a), as amended,                 Number), Social Security Number (SSN)                 Third Party Liability For Hospital and
                                                have been published in the Federal                       (or foreign identification), citizenship,             Medical Care; 28 CFR part 43, Recovery
                                                Register and are available from the                      whether treatment was outpatient or                   of Costs of Hospital and Medical Care
                                                address in FOR FURTHER INFORMATION                       inpatient, outpatient visit date and time,            and Treatment Furnished by the United
                                                CONTACT or at the Defense Privacy and                    date of birth, address, email address,                States; 32 CFR part 199, Civilian Health
                                                Civil Liberties Division Web site at                     home and cell phone telephone                         and Medical Program for the Uniformed
                                                http://dpcld.defense.gov/.                               numbers, gender, marital status,                      Services (CHAMPUS); 32 CFR part 220,
                                                  The proposed system report, as                         emergency contact information, driver’s               Collection from Third Party Payers of
                                                required by 5 U.S.C. 552a(r) of the                      license number, family member prefix,                 Reasonable Charges for Healthcare
                                                Privacy Act of 1974, as amended, was                     and relationship to policy holder;                    Services; DoD Instruction 6015.23,
                                                submitted on June 23, 2016, to the                       sponsor or insurance policy holder                    Foreign Military Personnel Care and
                                                House Committee on Oversight and                         name, SSN or DoD ID Number, and date                  Uniform Business Offices in Military
                                                Government Reform, the Senate                            of birth; other covered family member
                                                Committee on Governmental Affairs,                                                                             Treatment Facilities (MTFs); and E.O.
                                                                                                         name(s), SSN, and date of birth; and, if              9397 (SSN), as amended.’’
                                                and the Office of Management and                         applicable, Medicare and Medicaid
                                                Budget (OMB) pursuant to paragraph 4                     coverage data.                                        PURPOSE(S):
                                                of Appendix I to OMB Circular No. A–                        Insurance Policy Information Data:                    Delete entry and replace with ‘‘To
                                                130, ‘‘Federal Agency Responsibilities                   Policy number or identification, card                 provide the Military Services medical
                                                for Maintaining Records About                            holder identification, group number,                  billing, collections, and reporting
                                                Individuals,’’ revised November 28,                      group name, enrollment plan/code,                     processes for users at multiple locations,
                                                2000 (December 12, 2000 65 FR 77677).                    policy effective date, policy category,               and to serve as the single source of
                                                  Dated: July 11, 2016.                                  policy end date, insurance company                    financial information for the accounting
                                                Aaron Siegel,                                            name, address, and telephone number,                  of uniform business office accounts
                                                Alternate OSD Federal Register Liaison                   insurance type, policy holder, and                    receivable.
                                                Officer, Department of Defense.                          whether policy holder is insured                         To assist the Defense Finance
                                                                                                         through their employer; pharmacy                      Accounting Service (DFAS) in collecting
                                                EDHA 12                                                                                                        delinquent debts.’’
                                                                                                         insurance company name, address, and
                                                SYSTEM NAME:                                             phone number, and pharmacy policy                        Routine uses of records maintained in
                                                  Third Party Collection System                          number, BIN number, and patient                       the system, including categories of users
                                                (November 18, 2013, 78 FR 69076)                         identification number.                                and the purposes of such uses:
                                                  Changes                                                   Employer Information data: Employer                   Delete entry and replace with ‘‘In
                                                *    *    *     *     *                                  name, address, and telephone number.                  addition to those disclosures generally
                                                                                                            Billing Information Data: Bill type                permitted under 5 U.S.C. 552a(b) of the
                                                SYSTEM LOCATION:                                         (MTF, clinic, pharmacy, laboratory/                   Privacy Act, as amended, these records
                                                   Delete entry and replace with                         radiology, or ambulance), name and                    may specifically be disclosed outside
                                                ‘‘Primary: General Dynamics                              location of MTF, whether treatment was                the DoD as a routine use pursuant to 5
                                                                                                         outpatient or inpatient, outpatient visit
sradovich on DSK3GMQ082PROD with NOTICES




                                                Information Technology, Corporate                                                                              U.S.C. 552a(b)(3) as follows:
                                                Office Properties Trust (COPT) Data                      date and time, inpatient admission and                   To interface with all commercial
                                                Center Solutions DC–6, 9651 Hornbaker                    discharge dates and time, patient                     insurance carriers and parties against
                                                Road, Manassas, VA 20109–3976.                           identification number, patient name,                  whom recovery has been sought by the
                                                   Alternate: General Dynamics                           provider code/description, office visit               DoD Military Health System (MHS), as
                                                Information Technology, 11400                            code description, Medical Expense and                 well as all parties involved in support
                                                Westmoor Circle, Westminster, CO                         Performance Reporting System code/                    of the collection activities for health
                                                80021–2735.                                              description, diagnosis code/description,              care approved by the DoD.


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                                                                                 Federal Register / Vol. 81, No. 136 / Friday, July 15, 2016 / Notices                                           46071

                                                   To the Departments of Treasury,                       STORAGE:                                              Office, 7700 Arlington Boulevard, Suite
                                                Veterans Affairs, and Homeland                             Delete entry and replace with ‘‘Paper               5101, Falls Church, VA 22042–5101.
                                                Security in order to obtain                              records and electronic storage media.’’                  Requests should contain the name
                                                reimbursement to the DoD for medical                                                                           and number of this system of records
                                                                                                         RETRIEVABILITY:
                                                services provided by the MHS to                                                                                notice, the individual’s full name,
                                                beneficiaries and workforce members of                     Delete entry and replace with ‘‘Patient             current address, home or cell phone
                                                such Departments.                                        name, SSN (or foreign identification) or              telephone number, SSN or DoD ID
                                                                                                         DoD ID Number, insurance company                      Number, and signature.
                                                   To other persons or organizations,
                                                                                                         name, date range, sponsor name,                          In addition, the requester must
                                                including other health insurers,
                                                                                                         sponsor SSN or DoD ID Number, or                      provide a notarized statement or an
                                                Medicare, and Medicaid, who may be
                                                                                                         patient identification number.’’                      unsworn declaration made in
                                                liable for payment for health care and
                                                medical services provided to an                          SAFEGUARDS:                                           accordance with 28 U.S.C. 1746, in the
                                                individual by the MHS.                                      Delete entry and replace with                      following format:
                                                   To data clearinghouses for the                        ‘‘Physical access to the information                     If executed outside the United States:
                                                purpose of converting the medical and                    technology (IT) system location is                    ‘I declare (or certify, verify, or state)
                                                pharmacy claims to an industry-wide                      restricted by visitor escort, access                  under penalty of perjury under the laws
                                                format then forwarding to insurance                      rosters, and photo identification.                    of the United States of America that the
                                                companies (and other payers)                             Adequate locks are on doors and server                foregoing is true and correct. Executed
                                                electronically for payment.                              components are secured in a locked                    on (date). (Signature).’
                                                   Except as stipulated in NOTE 1 and                    computer room with limited access.                       If executed within the United States,
                                                NOTE 2 below, the DoD Blanket Routine                    Each end user device is protected                     its territories, possessions, or
                                                Uses set forth at the beginning of the                   within a locked storage container, room,              commonwealths: ‘I declare (or certify,
                                                Defense Privacy and Civil Liberties                      or building outside of normal business                verify, or state) under penalty of perjury
                                                Division compilation of systems of                       hours. All visitors and other persons                 that the foregoing is true and correct.
                                                records notices may apply to this                        that require access to facilities that                Executed on (date). (Signature).’
                                                system. The complete list of DoD                         house servers and other network devices                  If requesting information about a
                                                Blanket Routine Uses can be found                        supporting the IT system that do not                  minor or legally incompetent person,
                                                online at: http://dpcld.defense.gov/                     have authorization for access are                     the request must be made by the
                                                Privacy/SORNsIndex/                                      escorted by appropriately screened/                   custodial parent, legal guardian, or
                                                BlanketRoutineUses.aspx                                  cleared personnel at all times.                       person with legal authority to make
                                                                                                            Access to the IT system is role-based              decisions on behalf of the individual.
                                                   NOTE 1: This system of records                                                                              Written proof of that status may be
                                                                                                         and a valid user account is required.
                                                contains individually identifiable health                                                                      required before the existence of any
                                                                                                         The system is Public Key Infrastructure-
                                                information. The DoD Health                                                                                    information will be confirmed.’’
                                                                                                         enforced with two-factor authentication
                                                Information Privacy Regulation (DoD
                                                                                                         and can be accessed by use of Common
                                                6025.18–R) or any successor DoD                                                                                RECORD ACCESS PROCEDURES:
                                                                                                         Access Card and personal identification
                                                issuances implementing the Health                                                                                 Delete entry and replace with
                                                                                                         number. Authorized personnel must
                                                Insurance Portability and                                                                                      ‘‘Individuals seeking access to records
                                                                                                         have appropriate Information Assurance
                                                Accountability Act of 1996 (HIPAA) and                                                                         about themselves contained in this
                                                                                                         training, HIPAA training, and Privacy
                                                45 CFR parts 160 and 164, Health and                                                                           system of records should address
                                                                                                         Act training.
                                                Human Services, General                                     Paper records are protected by the                 written inquiries to the Chief, FOIA
                                                Administrative Requirements and                          security and policies in place at the                 Service Center, Defense Health Agency
                                                Security & Privacy, respectively, applies                locations where they are held. All                    Privacy and Civil Liberties Office, 7700
                                                to most such health information. DoD                     locations are within or under contract                Arlington Boulevard, Suite 5101, Falls
                                                6025.18–R or a successor issuance may                    with the MHS, and require personnel to                Church, VA 22042–5101.
                                                place additional procedural                              undergo appropriate training.’’                          Requests should contain the name
                                                requirements on the uses and                                                                                   and number of this system of records
                                                disclosures of such information beyond                   RETENTION AND DISPOSAL:
                                                                                                                                                               notice, the individual’s full name,
                                                those found in the Privacy Act of 1974,                    Delete entry and replace with ‘‘Close               current address, home or cell phone
                                                as amended, or mentioned in this                         out at end of the calendar year in which              telephone number, SSN or DoD ID
                                                system of records notice.                                received. Destroy 10 year(s) after cut                Number, and signature.
                                                   NOTE 2: Records of identity,                          off.’’                                                   In addition, the requester must
                                                diagnosis, prognosis or treatment                        SYSTEM MANAGER(S) AND ADDRESS:                        provide a notarized statement or an
                                                information of any patient maintained                                                                          unsworn declaration made in
                                                                                                            Delete entry and replace with
                                                in connection with the performance of                                                                          accordance with 28 U.S.C. 1746, in the
                                                                                                         ‘‘Program Manager, DHA Solutions
                                                any program or activity relating to                                                                            following format:
                                                                                                         Delivery Division, Clinical Support, Fort
                                                substance abuse education, prevention,                                                                            If executed outside the United States:
                                                                                                         Sam Houston, San Antonio, TX 78234–
                                                training, treatment, rehabilitation, or                                                                        ‘I declare (or certify, verify, or state)
                                                                                                         2639.’’
                                                research, which is conducted, regulated,                                                                       under penalty of perjury under the laws
                                                or directly or indirectly assisted by a                  NOTIFICATION PROCEDURE:                               of the United States of America that the
                                                department or agency of the United                          Delete entry and replace with                      foregoing is true and correct. Executed
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                                                States will be treated as confidential and               ‘‘Individuals seeking to determine                    on (date). (Signature).’
                                                disclosed only for the purposes and                      whether information about themselves                     If executed within the United States,
                                                under the circumstances expressly                        is contained in this system of records                its territories, possessions, or
                                                authorized under 42 U.S.C. 290dd–2.’’                    should address written inquiries to the               commonwealths: ‘I declare (or certify,
                                                   Policies and practices for storing,                   Chief, Freedom of Information Act                     verify, or state) under penalty of perjury
                                                retrieving, accessing, retaining, and                    (FOIA) Service Center, Defense Health                 that the foregoing is true and correct.
                                                disposing of records in the system:                      Agency Privacy and Civil Liberties                    Executed on (date). (Signature).’


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                                                46072                            Federal Register / Vol. 81, No. 136 / Friday, July 15, 2016 / Notices

                                                  If requesting information about a                      400 Maryland Avenue SW., LBJ, Room                    these Web addresses be made publicly
                                                minor or legally incompetent person,                     2E–347, Washington, DC 20202–4537.                    available for research and comparison
                                                the request must be made by the                          FOR FURTHER INFORMATION CONTACT: For                  purposes. This database will allow
                                                custodial parent, legal guardian or                      specific questions related to collection              interested parties, such as students,
                                                person with legal authority to make                      activities, please contact Beth                       families, press, institutions, and
                                                decisions on behalf of the individual.                   Grebeldinger, 202–377–4018.                           researchers to easily access and compare
                                                Written proof of that status may be                      SUPPLEMENTARY INFORMATION: The                        banking agreements available at
                                                required before any records will be                      Department of Education (ED), in                      different institutions.
                                                provided.’’                                              accordance with the Paperwork                           Dated: July 12, 2016.
                                                CONTESTING RECORD PROCEDURES:                            Reduction Act of 1995 (PRA) (44 U.S.C.                Kate Mullan,
                                                                                                         3506(c)(2)(A)), provides the general                  Acting Director, Information Collection
                                                  Delete entry and replace with ‘‘The
                                                                                                         public and Federal agencies with an                   Clearance Division, Office of the Chief Privacy
                                                Office of the Secretary of Defense (OSD)
                                                                                                         opportunity to comment on proposed,                   Officer, Office of Management.
                                                rules for accessing records, for
                                                                                                         revised, and continuing collections of                [FR Doc. 2016–16737 Filed 7–14–16; 8:45 am]
                                                contesting contents and appealing
                                                                                                         information. This helps the Department                BILLING CODE 4000–01–P
                                                initial agency determinations are
                                                                                                         assess the impact of its information
                                                published in OSD Administrative
                                                                                                         collection requirements and minimize
                                                Instruction 81, 32 CFR part 311, or may
                                                                                                         the public’s reporting burden. It also                ENVIRONMENTAL PROTECTION
                                                be obtained from the system manager.’’
                                                                                                         helps the public understand the                       AGENCY
                                                RECORD SOURCE CATEGORIES:                                Department’s information collection
                                                                                                         requirements and provide the requested                [FRL–9949–10–ORD]
                                                  Delete entry and replace with ‘‘The
                                                Composite Health Care System (CHCS)                      data in the desired format. ED is                     EPA Board of Scientific Counselors;
                                                and the individual.’’                                    soliciting comments on the proposed                   Charter Renewal
                                                                                                         information collection request (ICR) that
                                                *    *     *    *     *
                                                [FR Doc. 2016–16726 Filed 7–14–16; 8:45 am]
                                                                                                         is described below. The Department of                 AGENCY: Environmental Protection
                                                                                                         Education is especially interested in                 Agency (EPA).
                                                BILLING CODE 5001–06–P
                                                                                                         public comment addressing the                         ACTION: Notice of charter renewal.
                                                                                                         following issues: (1) Is this collection
                                                                                                         necessary to the proper functions of the              SUMMARY:   Notice is hereby given that
                                                DEPARTMENT OF EDUCATION                                  Department; (2) will this information be              the Environmental Protection Agency
                                                [Docket No. ED–2016–ICCD–0079]                           processed and used in a timely manner;                (EPA) has determined that, in
                                                                                                         (3) is the estimate of burden accurate;               accordance with the provisions of the
                                                Agency Information Collection                            (4) how might the Department enhance                  Federal Advisory Committee Act
                                                Activities; Comment Request; Cash                        the quality, utility, and clarity of the              (FACA), 5 U.S.C. App. 2, the EPA Board
                                                Management Contract URL Collection                       information to be collected; and (5) how              of Scientific Counselors Advisory Board
                                                                                                         might the Department minimize the                     (BOSC) is a necessary committee that is
                                                AGENCY: Federal Student Aid (FSA),                                                                             in the public interest. Accordingly, the
                                                                                                         burden of this collection on the
                                                Department of Education (ED).                                                                                  BOSC will be renewed for an additional
                                                                                                         respondents, including through the use
                                                ACTION: Notice.                                          of information technology. Please note                two-year period. The purpose of BOSC
                                                                                                         that written comments received in                     is to provide advice and
                                                SUMMARY:   In accordance with the                                                                              recommendations to the Administrator
                                                                                                         response to this notice will be
                                                Paperwork Reduction Act of 1995 (44                                                                            regarding science and engineering
                                                                                                         considered public records.
                                                U.S.C. chapter 3501 et seq.), ED is                                                                            research, programs and plans,
                                                                                                            Title of Collection: Cash Management
                                                proposing a new information collection.                                                                        laboratories, and research management
                                                                                                         Contract URL Collection.
                                                DATES: Interested persons are invited to                    OMB Control Number: 1845–NEW.                      practices. Inquiries may be directed to
                                                submit comments on or before                                Type of Review: A new information                  Tom Tracy, U.S. EPA, (Mail Code
                                                September 13, 2016.                                      collection.                                           8104R), 1200 Pennsylvania Avenue
                                                ADDRESSES: To access and review all the                     Respondents/Affected Public: State,                NW., Washington, DC 20460, telephone
                                                documents related to the information                     Local, and Tribal Governments; Private                (202) 564–6518, or tracy.tom@epa.gov.
                                                collection listed in this notice, please                 Sector.                                                 Dated: June 27, 2016.
                                                use http://www.regulations.gov by                           Total Estimated Number of Annual                   Thomas Burke,
                                                searching the Docket ID number ED–                       Responses: 914.                                       Deputy Assistant Administrator, Office of
                                                2016–ICCD–0079. Comments submitted                          Total Estimated Number of Annual                   Research and Development.
                                                in response to this notice should be                     Burden Hours: 73.                                     [FR Doc. 2016–16790 Filed 7–14–16; 8:45 am]
                                                submitted electronically through the                        Abstract: The Department of                        BILLING CODE 6560–50–P
                                                Federal eRulemaking Portal at http://                    Education (the Department) is seeking a
                                                www.regulations.gov by selecting the                     new OMB control number for the
                                                Docket ID number or via postal mail,                     collection of URLs hosting institutional              ENVIRONMENTAL PROTECTION
                                                commercial delivery, or hand delivery.                   contracts and contract data relating to               AGENCY
                                                Please note that comments submitted by                   campus banking agreements. This is a
                                                fax or email and those submitted after                   new requirement of the final Program                  [EPA–HQ–OPP–2015–0762; FRL–9947–90]
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                                                the comment period will not be                           Integrity and Improvement regulations
                                                                                                                                                               Registration Review; Conventional,
                                                accepted. Written requests for                           published on October 30, 2015. When
                                                                                                                                                               Biopesticide and Antimicrobial
                                                information or comments submitted by                     the Department added the requirement
                                                                                                                                                               Dockets Opened for Review and
                                                postal mail or delivery should be                        for institutions to post campus banking
                                                                                                                                                               Comment
                                                addressed to the Director of the                         agreement contracts and contract data to
                                                Information Collection Clearance                         their Web sites, consumer advocates                   AGENCY: Environmental Protection
                                                Division, U.S. Department of Education,                  requested that a central repository for               Agency (EPA).


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Document Created: 2016-07-15 02:53:23
Document Modified: 2016-07-15 02:53:23
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 to alter a system of records.
DatesComments will be accepted on or before August 15, 2016. This proposed action will be effective the date following the end of the comment period unless comments are received which result in a contrary determination.
ContactMs. Linda S. Thomas, Chief, Defense Health Agency Privacy and Civil Liberties Office, 7700 Arlington Boulevard, Suite 5101, Falls Church, VA 22042-5101, or by phone at (703) 275-6363.
FR Citation81 FR 46069 

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