[Federal Register Volume 67, Number 22 (Friday, February 1, 2002)]
[Notices]
[Page 4949]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-2469]


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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).

DATES: Consideration will be given to all comments received by March 4, 
2002.
    Title, Form, and OMB Number: TRICARE Plus Enrollment and 
Disenrollment Applications; DD Form X437 and X438; OMB Number 0720-[To 
Be Determined].
    Type Of Request: New Collection.
    Number of Respondents: 20,689.
    Responses Per Respondent: 1.
    Annual Responses: 20,689.
    Average Burden Per Response: 7 minutes.
    Annual Burden Hours: 2,150.
    Needs And Uses: These collection instruments serve as an 
application for enrollment and disenrollment in the Department of 
Defense's TRICARE Plus Health Plan established in accordance with Title 
10 U.S.C. sections 1099 (which calls for a healthcare enrollment 
system) and 1086 (which authorizes TRICARE eligibility of Medicare 
Eligible Persons and has resulted in the development of a new 
enrollment option called TRICARE Plus). The information collected 
provides the TRICARE contractors with necessary data to determine 
beneficiary eligibility 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. Cristal A. Thomas.
    Written comments and recommendations on the proposed information 
collection should be sent to Ms. Thomas 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: January 25, 2002.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 02-2469 Filed 1-31-02; 8:45 am]
BILLING CODE 5001-08-M