Department of Defense
AGENCY:
DoD, Office of the Assistant Secretary of Defense for Health Affairs/TMA.
ACTION:
Notice.
SUMMARY:
In accordance with section 3506 (c)(2)(A) of the Paperwork ( printed page 11559) Reduction Act of 1995, the Office of the Assistant Secretary of Defense for Health Affairs/TMA announces proposed new public information collection and seeks public comment on the provisions thereof. Comments are invited on: (a) Whether the proposed new 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 by May 2, 2000.
ADDRESSES:
Written comments and recommendations on the information collection should be sent to the Office of the Assistant Secretary of Defense (Health Affairs) TRICARE Management Activity, Skyline Five, suite 810, 5111 Leesburg Pike, Falls Church, Virginia 22041-3206. Attention: Captain Charles Hostettler.
FOR FURTHER INFORMATION CONTACT:
To request more information on this proposed information collection, please write to the above address or call CAPT Charles Hostettler, Office of the Assistant Secretary of Defense (Health Affairs), TRICARE Management Activity, (703) 681-1740.
Title; Associated Form; and OMB Number: TRICARE Pharmacy Redesign Pilot Program Enrollment Application Form X407.
Needs and Uses: The collection instrument serves as an application form for enrollment in the TRICARE Pharmacy Redesign Pilot Program. The information collected will be used to provide the Managed Care Support Contractors, contracted to supply administrative support, with the data to determine beneficiary eligibility, other health insurance liability, and premium payment.
Affected Public: Individuals or household.
Annual Burden Hours: 333.
Number of Respondents: 2,000.
Responses Per Respondent: 1.
Average Burden Per Response: 10 minutes.
Frequency: On occasion.