Notice2021-16877
Submission for OMB Review; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 9, 2021
Issuing agencies
Defense Department
Abstract
The Department of Defense has submitted to OMB for clearance the following proposal for collection of information under the provisions of the Paperwork Reduction Act.
Full Text
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<title>Federal Register, Volume 86 Issue 150 (Monday, August 9, 2021)</title>
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[Federal Register Volume 86, Number 150 (Monday, August 9, 2021)]
[Notices]
[Page 43530]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-16877]
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DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DoD-2021-HA-0050]
Submission for OMB Review; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, Department of Defense (DoD).
ACTION: 30-Day information collection notice.
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SUMMARY: The Department of Defense has submitted to OMB for clearance
the following proposal for collection of information under the
provisions of the Paperwork Reduction Act.
DATES: Consideration will be given to all comments received by
September 8, 2021.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: Angela Duncan, 571-372-7574, or
<a href="/cdn-cgi/l/email-protection#0c7b647f22616f216d60697422697f6822616e74226868216863682165626a637e616d78656362216f636060696f786563627f4c616d656022616560"><span class="__cf_email__" data-cfemail="a1d6c9d28fccc28cc0cdc4d98fc4d2c58fccc3d98fc5c58cc5cec58cc8cfc7ced3ccc0d5c8cecf8cc2cecdcdc4c2d5c8cecfd2e1ccc0c8cd8fccc8cd">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: TRICARE Select Enrollment,
Disenrollment, and Change Form; DD Form 3043; OMB Control Number 0720-
0061.
Type of Request: Extension.
Number of Respondents: 99,300.
Responses per Respondent: 1.
Annual Responses: 99,300.
Average Burden Per Response: 15 minutes.
Annual Burden Hours: 24,825.
Needs and Uses: The information collection requirement is necessary
to obtain non-active duty TRICARE beneficiary's personal information
needed to: (1) Complete his/her enrollment into the ``new'' TRICARE
Select health plan option as created by SEC. 701. TRICARE SELECT AND
OTHER TRICARE REFORM of the National Defense Authorization Act (NDAA)
for Fiscal Year (FY) 2017, (2) dis-enroll a beneficiary, or (3) change
the beneficiary's enrollment (e.g., address, add a dependent, report
other health insurance). This information is required to ensure the
beneficiary's benefits and claims are administered based on their plan
of choice. Without the DD Form 3043 enrollment form, each non-active
duty TRICARE beneficiary is automatically defaulted into direct care
only, 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.
Frequency: As required.
Respondent's Obligation: Voluntary.
OMB Desk Officer: Ms. Julie Wise.
You may also submit comments and recommendations, identified by
Docket ID number and title, by the following method:
<bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">http://www.regulations.gov</a>.
Follow the instructions for submitting comments.
Instructions: All submissions received must include the agency
name, Docket ID 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 <a href="http://www.regulations.gov">http://www.regulations.gov</a> as they are received without
change, including any personal identifiers or contact information.
DOD Clearance Officer: Ms. Angela Duncan.
Requests for copies of the information collection proposal should
be sent to Ms. Duncan at <a href="/cdn-cgi/l/email-protection#f88f908bd6959bd599949d80d69d8b9cd6959a80d69c9cd59c979cd591969e978a95998c919796d59b9794949d9b8c9197968bb895999194d6959194"><span class="__cf_email__" data-cfemail="37405f44195a541a565b524f19524453195a554f1953531a5358531a5e595158455a56435e58591a54585b5b5254435e585944775a565e5b195a5e5b">[email protected]</span></a>.
Dated: August 2, 2021.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2021-16877 Filed 8-6-21; 8:45 am]
BILLING CODE 5001-06-P
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