Notice2022-17965
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 22, 2022
Issuing agencies
Defense Department
Abstract
The DoD 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 87 Issue 161 (Monday, August 22, 2022)</title>
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[Federal Register Volume 87, Number 161 (Monday, August 22, 2022)]
[Notices]
[Page 51390]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-17965]
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DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2022-HA-0047]
Submission for OMB Review; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health Affairs
(OASD(HA)), Department of Defense (DoD).
ACTION: 30-Day information collection notice.
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SUMMARY: The DoD 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 21, 2022.
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, <a href="/cdn-cgi/l/email-protection#2c5b445f02414f014d40495402495f4802414e54024848014843480145424a435e414d58454342014f434040494f584543425f6c414d454002414540"><span class="__cf_email__" data-cfemail="ccbba4bfe2a1afe1ada0a9b4e2a9bfa8e2a1aeb4e2a8a8e1a8a3a8e1a5a2aaa3bea1adb8a5a3a2e1afa3a0a0a9afb8a5a3a2bf8ca1ada5a0e2a1a5a0">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: TRICARE Prime Enrollment,
Disenrollment and Primary Care Manager Change Form; DD Form 2876; OMB
Control Number 0720-0008.
Type of Request: Extension.
Number of Respondents: 258,899.
Responses per Respondent: 2.
Annual Responses: 517,798.
Average Burden per Response: 15 minutes.
Annual Burden Hours: 129,449.5.
Needs and Uses: The information collection requirement is necessary
to obtain the TRICARE beneficiary's personal information needed to: (1)
Complete his/her enrollment into TRICARE Prime health plan, (2) change
the beneficiary's enrollment (new Primary Care Manager, enrolled
region, add/drop a dependent, etc.), or (3) dis-enroll the beneficiary.
All TRICARE beneficiaries have the option of enrolling, changing their
enrollment or dis-enrolling using the DD Form 2876, the Beneficiary Web
Enrollment portal, or by calling their regional Managed Care Support
Contractor. Although the telephonic enrollment/change is the preferred
method by the large majority of beneficiaries, many beneficiaries
prefer using the form to document their enrollment date and
preferences.
Affected Public: Individuals or households.
Frequency: On occasion.
Respondent's Obligation: Voluntary.
OMB Desk Officer: Mr. Michael Ciccarone.
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#7b0c1308551618561a171e03551e081f55161903551f1f561f141f5612151d1409161a0f12141556181417171e180f121415083b161a121755161217"><span class="__cf_email__" data-cfemail="384f504b16555b1559545d40165d4b5c16555a40165c5c155c575c1551565e574a55594c515756155b5754545d5b4c5157564b785559515416555154">[email protected]</span></a>.
Dated: August 16, 2022.
Kayyonne T. Marston,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2022-17965 Filed 8-19-22; 8:45 am]
BILLING CODE 5001-06-P
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