[Federal Register Volume 68, Number 108 (Thursday, June 5, 2003)]
[Notices]
[Page 33682]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-14145]


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DEPARTMENT OF DEFENSE

Office of the Secretary


Continuing Collection; Comment Request

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

ACTION: Notice.

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SUMMARY: In compliance 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 extension of a currently approved 
collection and seeks public comment on the provisions thereof. Comments 
are invited on: (a) Whether the proposed 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 proposed 
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 the 
use of automated collection techniques or other forms of information 
technology.

DATES: Consideration will be given to all comments received by August 
4, 2003.

ADDRESSES: Written comments and recommendations on the continuing 
information collection should be sent to the TRICARE Management 
Activity, 5111 Leesburg Pike, Suite 810, Falls Church, VA. 22041-3206, 
Attn: Major Joann Kelsch.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
continuation of this information collection, please write to the above 
address or contact TRICARE Management Activity, DHP Management Control 
and Financial Studies at 703-681-3492.
    Title, Associated Form and OMB Number: Third Party Collection 
Program--Record of Other Health Insurance, DD Form 2569; OMB Number 
0704-0323.
    Needs and Uses: The information contained in the DD Form 2569 will 
be used to collect reimbursement from private insurers for medical care 
provided to family members of retirees and deceased Service members 
having health insurance. Such monetary benefits accruing to the 
Military Treatment Facility (MTF) will be used to enhance healthcare 
delivery in the MTF. Information will also be used by MTF staff and 
CHAMPUS Fiscal Intermediaries to determine eligibility for care, 
deductibles, and co-payments and by Health Affairs for program planning 
and management.
    Affected Public: Family members of retirees and deceased Service 
members having health insurance.
    Annual Burden Hours: 115,096 hours (.041 x 2,807,212).
    Number of Respondents: 2,807,212.
    Responses Per Respondent: 1.
    Average Burden Per Response: .041 hrs (2.5 minutes).
    Frequency: Annually or on occasion when insurance information 
changes.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    This is a reinstatement of a previously approved collection that 
will expire July 31, 2003.
    The administration has placed increased emphasis upon recovery of 
health care expenses under the Federal Medical Care Recovery Act. 
Completion of this form, while increasing total burden hours, will aid 
in increasing revenues (O&M dollars), services, and operating 
efficiency and effectiveness within the Military Health Services 
System. This information is collected either during the inpatient stay 
admission and/or discharge process or during the visit when a patient 
presents for an outpatient procedure.

    Dated: May 29, 2003.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 03-14145 Filed 6-4-03; 8:45 am]
BILLING CODE 5001-08-M