[Federal Register Volume 66, Number 200 (Tuesday, October 16, 2001)]
[Notices]
[Page 52595]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-25924]


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DEPARTMENT OF DEFENSE

Office of the Secretary


Revision of a Currently Approved Collection; Comment Request

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

ACTION: Notice.

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    In accordance with Section 3506 (c)(2)(A) of the Paperwork 
Reduction Act of 1995, the Office of the Assistant Secretary of Defense 
(Health Affairs) announces the revision of a currently approved 
collection, with revision and seeks public comment on the provisions 
thereof. Comments are invited on: (a) Whether the proposed revision 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: Consideration will be given to all comments received December 
17, 2001.

ADDRESSES: Written comments and recommendations on the information 
collection should be sent to Office of the Assistant Secretary of 
Defense (Health Affairs) TRICARE Management Activity, Skyline Five, 
Suite 810, 5111 Leesburg Pike, Falls Church, Virginia 22041-3206.

FOR FURTHER INFORMATION CONTACT: To request more information on this 
proposed information collection, please write to the above address or 
call Duaine Goodno, Office of the Assistant Secretary of Defense 
(Health Affairs), TRICARE Management Activity at (703) 681-0039.
    Title; Associated Form; and OMB Number: TRICARE Prime Program; 
TRICARE Prime Enrollment Application, TRICARE Prime Disenrollment 
Request, and TRICARE Prime Change Request; OMB No. 0720-0008.
    Needs and Uses: These collection instruments serve as application 
for the enrollment, disenrollment and Primary Care Manager Change for 
the Department of Defense's TRICARE Prime program established in 
accordance with Title 10 U.S.C. Section 1099 (which calls for a 
healthcare enrollment system). Monthly payment options for retiree 
enrollment fees for TRICARE Prime is established in accordance with 
Title 10 U.S.C. Section 1097a(c). The information collected on the 
TRICARE Prime Enrollment Application provides the necessary data to 
determine beneficiary eligibility and to identify the selection of a 
health care option. The TRICARE Prime Disenrollment Request serves to 
disenroll an enrollee from TRICARE Prime on a voluntary basis. The 
TRICARE Prime Change Request serves to change the designated Primary 
Care Manager (PCM) when the beneficiary is relocating or merely 
requests a local PCM change, in accordance with the National Defense 
Authorization Act for Fiscal Year 2001 (P.L. 106-398), Section 
723(b)(E).
    Affected Public: Individuals or household.
    Annual Burden Hours: 41,260.
    Number of Respondents: 253,200.
    Responses Per Respondent: 1.
    Average Burden Per Response: TRICARE Prime Enrollment Application: 
15 minutes; TRICARE Disenrollment Request: 5 minutes; TRICARE Prime PCM 
Change Request: 8 minutes.
    Frequency: On occcasion.

SUPPLEMENTARY INFORMATION: The Department of Defense established 
TRICARE Prime as an enrollment option to give CHAMPUS-eligible 
beneficiaries a DOD-sponsored military managed care program. In order 
to simplify the collection of information on enrollment applications 
for TRICARE Prime, the existing information collection is being 
modified to create three separate forms: Initial enrollment, changes to 
a PCM and disenrollment. This modification decreases the total amount 
of time to complete forms by respondents. In order to implement this 
program, it is necessary that certain beneficiaries electing to enroll/
disenroll/change PCMs complete an enrollment application/disenrollment 
request/PCM change request. Completion of these forms is an essential 
element of the TRICARE program.

    Dated: October 9, 2001.
Patricia L. Toppings,
Alternative OSD Federal Register, Liaison Officer, Department of 
Defense.
[FR Doc. 01-25924 Filed 10-15-01; 8:45 am]
BILLING CODE 5001-08-M