[Federal Register Volume 61, Number 50 (Wednesday, March 13, 1996)]
[Notices]
[Pages 10324-10325]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-5997]



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DEPARTMENT OF DEFENSE

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 through 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 Office of the Civilian 
Health and Medical Program of the Uniformed Services (OCHAMPUS), 
Fitzsimmons Army Medical Center, Office of Appeals and Hearings, ATTN: 
Mr. Don Wagner, Aurora, CO 80045-6900.

[[Page 10325]]

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 above address, or call OCHAMPUS, Office of Appeals 
and Hearings, at (303) 361-1329.
    Title, Associated Form, and OMB Number: Professional 
Qualifications, Medical and Peer Reviewers, CHAMPUS Form 780, OMB 
Number 0720-0005.
    Needs and Uses: The information collection requirement is necessary 
to obtain and record the professional qualifications of medical and 
peer reviewers utilized within CHAMPUS. The form is included as an 
exhibit in an appeal or hearing case file as evidence of the reviewer's 
professional qualifications to review the medical documentation 
contained in the case file.
    Affected Public: Business or other for profit; Small businesses or 
organizations.
    Annual Burden Hours: 15.
    Number of Respondents: 60.
    Responses Per Respondent: 1.
    Average Burden Per Response: 15 minutes.
    Frequency: On occasion.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    Respondents are medical professionals who provide medical and peer 
review of cases appealed to the Office of Appeals and Hearing, 
OCHAMPUS. CHAMPUS Form 780 records the professional qualifications of 
the medical peer reviewer. The completed form is included as an exhibit 
in the appeal or hearing case file, and documents for anyone reviewing 
the file, professional qualifications of the medical professional who 
reviewed the case. If the form is not included in the case file, 
individuals reviewing the file will be readily assured of the 
qualifications of the reviewing medical professional. Having qualified 
professionals provide medical and peer review is essential in 
maintaining the integrity of the appeal and hearing process.

    Dated: March 8, 1996.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 96-5997 Filed 3-12-96; 8:45 am]
BILLING CODE 5000-04-M