Department of Defense
Office of the Secretary
AGENCY:
Office of the Assistant Secretary of Defense for Health Affairs, DoD.
ACTION:
Notice.
In accordance with Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Office of the Assistant Secretary of Defense for Health Affairs announces the proposed extension of a public information collection and seeks public comment on the provisions thereof. Comments are invited on: (a) Whether the proposed extension of collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency's estimate of the burden of the information collection; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the information collection on respondents, including through the use of automated collection techniques or other forms of information technology.
DATES:
Consideration will be given to all comments received October 10, 2000.
ADDRESSES:
Written comments and recommendations on the information collection should be sent to TRICARE Management Activity, Special Contract Operations Office, 16401 E. Centretech Parkway, Attn: Linda Winter, Aurora, CO 80011.
FOR FURTHER INFORMATION CONTACT:
To request more information on this proposed information collection, please write to the above address or call TRICARE Management Activity, Special Contract Operations Office, at (303) 676-3682.
Title Associated with Form, and OMB Number: TRICARE Retiree Dental Program Enrollment Form, OMB Number 0720-0015.
Needs and Uses: This information collection is completed by Uniformed Services members entitled to retired pay and their eligible family members who are seeking enrollment in the TRICARE Retiree Dental Program (TRDP). The information is necessary to enable the DoD-contracted third party administrator of the program to identify the program's applicants, determine their eligibility for TRDP enrollment, establish the premium payment amount, and to verify by the applicant's ( printed page 48974) signature that the applicant understands the benefits and rules of the program.
Affected Public: Individuals or household.
Annual Burden Hours: 12,500.
Number of Respondents: 50,000.
Responses per Respondent: 1.
Average Burden per Response: 15 minutes.
Frequency: Once, at time of initial application.