Notice2024-30889
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
December 27, 2024
Issuing agencies
Defense Department
Abstract
The DoD has submitted to the Office of Management and Budget (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 89 Issue 248 (Friday, December 27, 2024)</title>
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[Federal Register Volume 89, Number 248 (Friday, December 27, 2024)]
[Notices]
[Page 105553]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-30889]
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DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2024-HA-0037]
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 the Office of Management and Budget
(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 January
27, 2025.
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: Reginald Lucas, (571) 372-7574, or
<a href="/cdn-cgi/l/email-protection#e2958a91cc8f81cf838e879acc879186cc8f809acc8686cf868d86cf8b8c848d908f83968b8d8ccf818d8e8e8781968b8d8c91a28f838b8ecc8f8b8e"><span class="__cf_email__" data-cfemail="3d4a554e13505e105c51584513584e5913505f45135959105952591054535b524f505c49545253105e525151585e495452534e7d505c545113505451">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: TRICARE DoD/CHAMPUS Medical
Claim Patient's Request for Medical Payment; DD Form 2642; OMB Control
Number 0720-0006.
Type of Request: Extension.
Number of Respondents: 830,000.
Responses per Respondent: 1.
Annual Responses: 830,000.
Average Burden per Response: 15 minutes.
Annual Burden Hours: 207,500.
Needs and Uses: The DD Form 2642, ``TRICARE DoD/Civilian Health and
Medical Program of the Uniformed Services (CHAMPUS) Medical Claim
Patient's Request for Medical Payment'' is used by TRICARE
beneficiaries to claim reimbursement for medical expenses under the
TRICARE Program CHAMPUS. The information collected will be used by
TRICARE to determine beneficiary eligibility, other health insurance
liability, certification that the beneficiary has the received care,
and reimbursement for medical services received.
Affected Public: Individuals or households.
Frequency: On occasion.
Respondent's Obligation: Voluntary.
DOD Clearance Officer: Mr. Reginald Lucas.
Dated: December 18, 2024.
Stephanie J. Bost,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2024-30889 Filed 12-26-24; 8:45 am]
BILLING CODE 6001-FR-P
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This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.