[Federal Register Volume 65, Number 33 (Thursday, February 17, 2000)]
[Notices]
[Page 8125]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-3736]


=======================================================================
-----------------------------------------------------------------------

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.

-----------------------------------------------------------------------

    In accordance with Section 3506(c) 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 extension of 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 
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:  Considerations will be given to all comments received April 17, 
2000.

ADDRESSES:  Written comments and recommendations on the proposed 
information collection should be sent to TRICARE Management Activity--
Aurora, Office of Appeals and Hearings, 16401 E. Centretech Pkwy, ATTN: 
Donald F. Wagner, Aurora, CO 80011-9043.

FOR FURTHER INFORMATION CONTACT:  To request more information on this 
proposed information collection, please write to the above address or 
call TRICARE Management Activity, Office of Appeals and Hearings at 
(303) 676-3411.
    Title, Associated Form, and OMB Number: Professional Qualifications 
Medical/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.
    Annual Burden Hours: 15.
    Annual 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 Hearings, TRICARE 
Management Activity. CHAMPUS Form 780 records the professional 
qualifications of the medical/peer reviewers. The completed form is 
included as an exhibit in the appeal or hearing case file, and 
documents for anyone reviewing the file, the professional 
qualifications of the medical professional who review the case. If the 
form is not included in the case file, individuals reviewing the file 
will not have ready access to 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.

    February 11, 2000.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 00-3736 Filed 2-16-00; 8:45 am]
BILLING CODE 5001-10-M