82 FR 59592 - Proposed Collection; Comment Request

DEPARTMENT OF DEFENSE
Office of the Secretary

Federal Register Volume 82, Issue 240 (December 15, 2017)

Page Range		59592-59593
FR Document		2017-27113

In compliance with the Paperwork Reduction Act of 1995, the Office of the Assistant Secretary of Defense for Health Affairs announces a proposed public information collection and seeks public comment on the provisions thereof. Comments are invited on: Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; the accuracy of the agency's estimate of the burden of the proposed information collection; ways to enhance the quality, utility, and clarity of the information to be collected; and ways to minimize the burden of the information collection on respondents, including through the use of automated collection techniques or other forms of information technology.

Federal Register, Volume 82 Issue 240 (Friday, December 15, 2017)

[Federal Register Volume 82, Number 240 (Friday, December 15, 2017)]
[Notices]
[Pages 59592-59593]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-27113]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DOD-2017-HA-0065]


Proposed Collection; Comment Request

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

ACTION: 60-Day information collection notice.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the 
Office of the Assistant Secretary of Defense for Health Affairs 
announces a proposed public information collection and seeks public 
comment on the provisions thereof. Comments are invited on: Whether the 
proposed collection of information is necessary for the proper 
performance of the functions of the agency, including whether the 
information shall have practical utility; the accuracy of the agency's 
estimate of the burden of the proposed information collection; ways to 
enhance the quality, utility, and clarity of the information to be 
collected; and ways to minimize the burden of the information 
collection on respondents, including through the use of automated 
collection techniques or other forms of information technology.

DATES: Consideration will be given to all comments received by February 
13, 2018.

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 for Oversight and Compliance, 
Regulatory and Advisory Committee Division, 4800 Mark Center Drive, 
Mailbox #24, Suite 08D09B, Alexandria, VA 22350-1700.
    Instructions: All submissions received must include the agency 
name, docket number and title for this Federal Register document. The 
general policy for comments and other submissions from members of the 
public is to make these submissions available for public viewing on the 
internet at http://www.regulations.gov as they are

[[Page 59593]]

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 contact Defense Health 
Agency, TRICARE Health Plan (J-10), ATTN: Mark Ellis, 7700 Arlington 
Boulevard, Falls Church, VA 22042, or call the TRICARE Health Plan, 
703-681-0039.

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: TRICARE Select Enrollment, 
Disenrollment, and Change Form, DD Form 3043, OMB Control Number 0720-
XXXX.
    Needs and Uses: The information collection requirement is necessary 
to obtain each non-active duty TRICARE beneficiary's personal 
information needed to: (1) Complete his/her enrollment into the TRICARE 
Select health plan option, (2) dis-enroll a beneficiary, or (3) change 
a beneficiary's enrollment information (e.g., address, add a dependent, 
report other health insurance). This information is required to ensure 
the beneficiary's TRICARE benefits and claims are administered based on 
their TRICARE plan of choice. Without this new enrollment form, each 
non-active duty TRICARE beneficiary is automatically defaulted into 
direct care, limiting their health care options to military hospitals 
and clinics. These beneficiaries would have no TRICARE coverage when 
using the TRICARE network of providers for services not available at 
their local military hospital or clinic.
    Affected Public: Individuals or Households.
    Annual Burden Hours: 24,825.
    Number of Respondents: 99,300.
    Responses per Respondent: 1.
    Annual Responses: 99,300.
    Average Burden per Response: 15 minutes.
    Frequency: On occasion.
    Respondents could be any non-active duty TRICARE beneficiary who is 
not eligible for Medicare. These beneficiaries have the option of 
enrolling into either the TRICARE Prime or TRICARE Select plan option 
starting January 1, 2018. Those choosing to enroll in TRICARE Select 
can do so by submitting the DD Form 3043, using the BWE portal, or 
calling their Regional Contractor. If they choose to use the DD Form 
3043, they must complete the appropriate page(s) of the form and mail 
the form to their Regional Contractor. No other form is required to 
enroll, dis-enroll, or change an enrollment. Respondents can download 
the form from the DoD Forms Management Program website, or click on the 
link to the form on the TRICARE.mil website or their Regional 
Contractor's website, or obtain a copy from their local military 
hospital or clinic. The mailing address and toll-free customer service 
number for their Regional Contractor are included on the DD Form 3043. 
If using either website option, the respondent can type in the 
information on the form prior to printing it or handwrite the 
information after printing the blank form.

    Dated: December 12, 2017.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2017-27113 Filed 12-14-17; 8:45 am]
 BILLING CODE 5001-06-P

59592 Federal Register / Vol. 82, No. 240 / Friday, December 15, 2017 / Notices

FOR FURTHER INFORMATION CONTACT: To yield statistically reliable results or used Dated: December 11, 2017.
request additional information, please as though the results are generalizable to Mary Hyde,
contact Amy Borgstrom, Associate the population of study. Director, Research and Evaluation.
Director of Policy, at 202–606–6930 or Feedback collected under this generic [FR Doc. 2017–27027 Filed 12–14–17; 8:45 am]
email to aborgstrom@cns.gov. clearance provides useful information, BILLING CODE 6050–28–P
Individuals who use a but it does not yield data that can be
telecommunications device for the deaf generalized to the overall population.
(TTY–TDD) may call 1–800–833–3722 This type of generic clearance for DEPARTMENT OF DEFENSE
between 8:00 a.m. and 8:00 p.m. Eastern qualitative information will not be used
Time, Monday through Friday. for quantitative information collections Office of the Secretary
SUPPLEMENTARY INFORMATION: that are designed to yield reliably [Docket ID: DOD–2017–HA–0065]
Title: Generic Clearance for the actionable results, such as monitoring
Collection of Pilot and Test Data. trends over time or documenting Proposed Collection; Comment
Abstract: This is a new information program performance. Such data uses Request
collection. The information collection require more rigorous designs that
activity will enable pilot testing of address the target population to which AGENCY: Office of the Assistant
survey instruments in an efficient, generalizations will be made, the Secretary of Defense for Health Affairs,
timely manner, in accordance with the sampling frame, the sample design DoD.
Administration’s commitment to (including stratification and clustering), ACTION: 60-Day information collection
improving service delivery. By pilot the precision requirements or power notice.
testing we mean information that calculations that justify the proposed
provides useful insights on how sample size, the expected response rate, SUMMARY: In compliance with the
respondents interact with the methods for assessing potential non- Paperwork Reduction Act of 1995, the
instrument, but are not statistical response bias, the protocols for data Office of the Assistant Secretary of
surveys that yield quantitative results collection, and any testing procedures Defense for Health Affairs announces a
that can be generalized to the that were or will be undertaken prior to proposed public information collection
population of study. This feedback will fielding the study. Depending on the and seeks public comment on the
provide insights into customer or degree of influence the results are likely provisions thereof. Comments are
stakeholder perceptions, experiences to have, such collections may still be invited on: Whether the proposed
and expectations regarding prospective eligible for submission for other generic collection of information is necessary
studies. It will also allow feedback to mechanisms that are designed to yield for the proper performance of the
contribute directly to the improvement quantitative results. functions of the agency, including
of research program management. whether the information shall have
As a general matter, information practical utility; the accuracy of the
The Agency will only submit a collections will not result in any new
collection for approval under this agency’s estimate of the burden of the
system of records containing privacy proposed information collection; ways
generic clearance if it meets the information and will not ask questions
following conditions: to enhance the quality, utility, and
of a sensitive nature, such as sexual clarity of the information to be
• The collections are voluntary; behavior and attitudes, religious beliefs,
• The collections are low-burden for collected; and ways to minimize the
and other matters that are commonly burden of the information collection on
respondents (based on considerations of considered private.
total burden hours, total number of respondents, including through the use
No comments were received in of automated collection techniques or
respondents, or burden-hours per
response to the 60-day notice published other forms of information technology.
respondent) and are low-cost for both
in the Federal Register of March 5, 2014 DATES: Consideration will be given to all
the respondents and the Federal
(79 FR 12495). comments received by February 13,
Government;
• The collections are non- Current Actions: New collection of 2018.
controversial and do not raise issues of information. ADDRESSES: You may submit comments,
concern to other Federal agencies; Type of Review: New Collection. identified by docket number and title,
• Any collection is targeted to the Affected Public: Individuals and by any of the following methods:
solicitation of opinions from Households, Businesses and • Federal eRulemaking Portal: http://
respondents who have experience with Organizations, State, Local or Tribal www.regulations.gov. Follow the
the program or may have experience Government. instructions for submitting comments.
with the program in the near future; • Mail: Department of Defense, Office
Average Expected Annual Number of
• Personally identifiable information of the Deputy Chief Management
Activities: 10.
(PII) is collected only to the extent Officer, Directorate for Oversight and
necessary and is not retained; Respondents: 350. Compliance, Regulatory and Advisory
• Information gathered will be used Annual responses: 350. Committee Division, 4800 Mark Center
only internally for general service Frequency of Response: Once per Drive, Mailbox #24, Suite 08D09B,
improvement and program management request. Alexandria, VA 22350–1700.
purposes and is not intended for release Instructions: All submissions received
Average minutes per response: 30.
outside of the agency; must include the agency name, docket
sradovich on DSK3GMQ082PROD with NOTICES

• Information gathered will not be Burden hours: 10,500. number and title for this Federal
used for the purpose of substantially An agency may not conduct or Register document. The general policy
informing influential policy decisions; sponsor, and a person is not required to for comments and other submissions
and respond to, a collection of information from members of the public is to make
• Information gathered will yield unless it displays a currently valid these submissions available for public
qualitative information; the collections Office of Management and Budget viewing on the internet at http://
will not be designed or expected to Control Number. www.regulations.gov as they are

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Document Created: 2017-12-15 03:37:15
Document Modified: 2017-12-15 03:37:15

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		60-Day information collection notice.
Dates		Consideration will be given to all comments received by February 13, 2018.
Contact		To request more information on this proposed information collection or to obtain a copy of the proposal and associated collection instruments, please contact Defense Health Agency, TRICARE Health Plan (J-10), ATTN: Mark Ellis, 7700 Arlington Boulevard, Falls Church, VA 22042, or call the TRICARE Health Plan, 703-681-0039.
FR Citation		82 FR 59592

82 FR 59592 - Proposed Collection; Comment Request

DEPARTMENT OF DEFENSEOffice of the Secretary

Federal Register Volume 82, Issue 240 (December 15, 2017)

DEPARTMENT OF DEFENSE
Office of the Secretary