[Federal Register Volume 59, Number 83 (Monday, May 2, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-10356]


[[Page Unknown]]

[Federal Register: May 2, 1994]


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DEPARTMENT OF DEFENSE
 

Public Information Collection Requirement Submitted to the Office 
of Management and Budget (OMB) for Review

ACTION: Notice.

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    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 (44 U.S.C. chapter 35).
    Title and Applicable Form: Continued Health Care Benefit Program 
(CHCBP)--Enrollment Application.
    Type of Request: New collection.
    Number of Respondents: 100,000.
    Responses per Respondent: 1.
    Annual Responses: 100,000.
    Average Burden per Response: 15 minutes.
    Annual Burden Hours: 25,000.
    Needs and Uses: The information collected hereby will serve to 
enroll beneficiaries in the Continued Health Care Benefit Program 
(CHCBP). It will also be used by a private Third Party Administrator 
(TPA) firm, providing administrative support services, to determine 
beneficiary eligibility, other health insurance liability, and amount 
of premium payment.
    Affected Public: Individuals or households.
    Frequency: On occasion.
    Respondent's Obligation: Required to obtain or retain a benefit.
    OMB Desk Officer: Ms. Shannah Koss.
    Written comments and recommendations on the proposed information 
collection should be sent to Ms. Koss at the Office of Management and 
Budget, Desk Officer for DoD, room 3001, New Executive Office Building, 
Washington, DC 20503.
    DOD Clearance Officer: Mr. William P. Pearce.
    Written requests for copies of the information collection proposal 
should be sent to Mr. Pearce, WHS/DIOR, 1215 Jefferson Davis Highway, 
suite 1204, Arlington, VA 22202-4302.

    Dated: April 25, 1994.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 94-10356 Filed 4-29-94; 8:45 am]
BILLING CODE 5000-04-M