[Federal Register Volume 64, Number 192 (Tuesday, October 5, 1999)]
[Notices]
[Pages 54005-54006]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-25761]


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DEPARTMENT OF DEFENSE

Office of the Secretary


Submission for OMB Review; Comment Request

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 OMB Number: TRICARE Enrollment Application Form; OMB 
Number 0720-0008.
    Type of Request: Reinstatement.
    Number of Respondents: 575,210.
    Responses per Respondent: 1.
    Annual Responses: 575,210.
    Average Burden per Response: 15 minutes.
    Annual Burden Hours: 143,802.
    Needs and Uses: The form serves as an application form for 
enrollment in the TRICARE Health Care Delivery Program established in 
accordance with 10 U.S.C. 1099. The Department of Defense established 
TRICARE to povide for a more cost effective program for the delivery of 
health care services and to

[[Page 54006]]

improve the quality and access to health care services. The information 
collected provides the private Third Party Administrator, contracted to 
provide administrative support services, with necessary data to 
determine beneficiary eligibility, other health insurance liability, 
premium payment, and to identify the selection of a health care option.
    Affected Public: Individuals or Households.
    Frequency: On occasion.
    Respondent's Obligation: Required to Obtain or Retain Benefits.
    OMB Desk Officer: Ms. Allison Eydt.
    Written comments and recommendations on the proposed information 
collection should be sent to Ms. Eydt at the Office of Management and 
Budget, Desk Officer for DoD Health Affairs, Room 10235, New Executive 
Office Building, Washington, DC 20503.
    DoD Clearance Officer: Mr. Robert Cushing.
    Written requests for copies of the information collection proposal 
should be send to Mr. Cushing, WHS/DIOR, 1215 Jefferson Davis Highway, 
Suite 1204, Arlington, VA 22202-4302.

    Dated: September 28, 1999.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 99-25761 Filed 10-4-99; 8:45 am]
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