[Federal Register Volume 64, Number 200 (Monday, October 18, 1999)]
[Notices]
[Pages 56191-56192]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-27064]


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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, Associated Form, and OMB Number: Department of Defense 
Reserve Forces Dental Examination; DD Form X403 (DRAFT); OMB Number 
0720-[To Be Determined].
    Type of Request: New Collection.
    Number of Respondents: 825,000.
    Responses Per Respondent: 1.
    Annual Responses: 825,000.
    Average Burden Per Response: 3 minutes.
    Annual Burden Hours: 41,250.
    Needs and Uses: The information collection requirement is necessary 
to obtain and record the dental health status of members of the Armed 
Forces. This form is the means for civilian dentists to record the 
results of their findings and provide the information to the member's 
military organization. The military organizations are required by

[[Page 56192]]

Department of Defense policy to track the dental status of its members. 
Respondents are medical professionals who provide dental services to 
the general public. The form is kept in the health record until no 
longer needed and then it is destroyed.
    Affected Public: Business or Other-For-Profit.
    Frequency: Annually.
    Respondent's Obligation: Voluntary.
    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 sent to Mr. Cushing, WHS/DIOR, 1215 Jefferson Davis Highway, 
Suite 1204, Arlington, VA 22202-4302.

    Dated: October 8, 1999.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 99-27064 Filed 10-15-99; 8:45 am]
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