[Federal Register Volume 61, Number 50 (Wednesday, March 13, 1996)]
[Notices]
[Page 10324]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-5996]



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DEPARTMENT OF DEFENSE
Office of the Secretary


Proposed Collection; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health 
Affairs, DOD.

ACTION: Notice.

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    In compliance with section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995, the Office of the Assistant Secretary of Defense for 
Health Affairs announces the proposed reinstatement of a public 
information collection and seeks public comment on the provisions 
thereof. Comments are invited on: (a) 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; (b) the accuracy of the agency's estimate of the burden of the 
proposed information collection; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the 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 May 13, 
1996.

ADDRESSES: Written comments and recommendations on the proposed 
information collection should be sent to: The Pentagon, Office of the 
Assistant Secretary of Defense (Health Affairs), Health Services 
Financing, Rm 3E349, 1200 Defense Pentagon, Washington, DC 20310-1200; 
Attn: Gunther Zimmerman.

FOR FURTHER INFORMATION CONTACT:
To request more information on this proposed information collection or 
to obtain a copy of the proposal and associated collection instrument, 
please write to the above address, or contact Mr. Gunther J. Zimmerman, 
on (703) 695-3331.
    Title, Associated Form, and OMB Number: Contained Health Care 
Benefit Program Application, CHCBP Form #7524.
    Needs and Uses: The information collection requirement is necessary 
to obtain and process enrollment on the CHCBP. Interested beneficiaries 
mail the application form and a check for the first ninety days of 
coverage to the TPA. The TPA reviews the application, accompanying 
proof of eligibility and premium check, and either accepts or rejects 
enrollment.
    Affected Public: Former military service members and their 
dependents.
    Annual Burden Hours: 500.
    Number of Respondents: 2,000.
    Responses Per Respondent: 1.
    Average Burden Per Response: 15 minutes.
    Frequency: Once per respondent.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    Respondents are former Military Health Services System (MHSS) 
beneficiaries who have lost their entitlement the MHSS health care. The 
1993 National Defense Authorization Act enacted the Continued Health 
Care Benefit Program (CHCBP), thereby entitling certain former MHSS 
beneficiaries to temporary, transitional health care coverage. Eligible 
beneficiaries must complete an application form to provide eligibility 
and enrollment data to allow the Department's civilian Third Party 
Administrator (TPA) to process their application for enrollment. 
Information from the application (e.g., name, age, SSN, address) is 
entered into Defense Enrollment and Eligibility Reporting System 
(DEERS), which is the system that controls eligibility for MHSS 
entitlement.

    Dated: March 8, 1996.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 96-5996 Filed 3-12-96; 8:45 am]
BILLING CODE 5000-04-M