Notice2022-11028
Proposed Collection; 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
May 24, 2022
Issuing agencies
Defense Department
Abstract
In compliance with the Paperwork Reduction Act of 1995, the Defense Health Agency 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 the use of automated collection techniques or other forms of information technology.
Full Text
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<title>Federal Register, Volume 87 Issue 100 (Tuesday, May 24, 2022)</title>
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[Federal Register Volume 87, Number 100 (Tuesday, May 24, 2022)]
[Notices]
[Pages 31541-31542]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-11028]
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DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2022-HA-0058]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health Affairs
(OASD(HA)), Department of Defense (DoD).
ACTION: 60-Day information collection notice.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Defense Health Agency 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
[[Page 31542]]
burden of the information collection on respondents, including the use
of automated collection techniques or other forms of information
technology.
DATES: Consideration will be given to all comments received by July 25,
2022.
ADDRESSES: You may submit comments, identified by docket number and
title, by any of the following methods:
Federal eRulemaking Portal: <a href="http://www.regulations.gov">http://www.regulations.gov</a>. Follow the
instructions for submitting comments.
Mail: Department of Defense, Office of the Assistant to the
Secretary of Defense for Privacy, Civil Liberties, and Transparency,
Regulatory Directorate, 4800 Mark Center Drive, Attn: Mailbox 24, Suite
08D09, 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 <a href="http://www.regulations.gov">http://www.regulations.gov</a> as they are received without
change, including any personal identifiers or contact information.
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 write to the Defense Health
Agency Uniform Business Office, 8111 Gatehouse Road, Suite #221 Falls
Church, VA 22042-5101, DeLisa Prater, or call 703-275-6380.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Third Party Collection
Program (Insurance Information); DD Form 2569; OMB Control Number 0720-
0055.
Needs and Uses: The DoD is authorized to collect ``reasonable
charges'' from third party payers for the cost of inpatient and
outpatient services rendered at military treatment facilities (MTFs) to
military retirees, all dependents, and other eligible beneficiaries who
have private health insurance. The DoD may also collect the cost of
trauma or other medical care provided from civilians (or their
insurers), and/or the average cost of health care provided to
beneficiaries at DoD MTFs from other federal agencies. For DoD to
perform such collections, eligible beneficiaries may elect to provide
DoD with other health insurance information. For civilian non-
beneficiary and interagency patients, DD Form 2569 is necessary and
serves as an assignment of benefits, approval to submit claims to
payers on behalf of the patient, and authorizes the release of medical
information. This form is available to third-party payers upon request.
The collection of personal information from individuals of the
public for use in medical services is authorized by Title 10 U.S.C.
1095, ``Health Care Services Incurred on Behalf of Covered
Beneficiaries: Collection from Third-Party Payers'' Title 32 CFR 220,
``Collection From Third Party Payers of Reasonable Charges for
Healthcare Services,'' Title 10 U.S.C. 1079b(a), ``Procedures for
Charging Fees for Care Provided to Civilians; Retention and Use of Fees
Collected,'' and Title 10 U.S.C. 1085, ``Medical and Dental Care from
Another Executive Department: Reimbursement.''
Affected Public: Individuals or households.
Annual Burden Hours: 386,500.
Number of Respondents: 3,865,000.
Responses per Respondent: 1.5.
Annual Responses: 5,797,500.
Average Burden per Response: 4 minutes.
Frequency: On occasion.
Dated: May 17, 2022.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2022-11028 Filed 5-23-22; 8:45 am]
BILLING CODE 5001-06-P
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</html>Indexed from Federal Register on May 24, 2022.
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