[Federal Register Volume 68, Number 237 (Wednesday, December 10, 2003)]
[Notices]
[Page 68878]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-30548]


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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.

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    In compliance with Section 3506(c)(2)(A) 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 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 through the use of automated collection techniques or other 
forms of information technology.

DATES: Consideration will be given to all comments received by February 
9, 2004.

ADDRESSES: Written comments and recommendations on the proposed 
information collection should be sent to the Special Contractor 
Operations Office (SCOO) of the TRICARE Management Activity, 16401 East 
CentreTech Parkway, Aurora, CO 80011-9043, ATTN: Major Shannon Lynch.

FOR FURTHER INFORMATION CONTACT: To request more information on this 
proposed information collection or to obtain a copy of the proposal and 
associated collection instruments, please write to the above address, 
or call SCOO Dental Contracts at 303-676-3496.
    Title; Associated Form; and OMB Number: TRICARE Retiree Dental 
Program (TRDP) Enrollment Application; OMB Number 0720-0015.
    Needs and Uses: The information collection requirement is necessary 
to provide the TRDP contractor with the information required to enroll 
eligible beneficiaries in the TRDP.
    Affected Public: (DoD personnel and their families who are eligible 
for the TRDP).
    Annual Burden Hours: 0.15: NOTE this form is completed on initial 
application only.
    Number of Respondents: 50,000/year.
    Responses per Respondent: 1.
    Average Burden per Response: 9 minutes.
    Frequency: Once on initial application for enrollment.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    Respondents are those believing they are eligible for the TRICARE 
Retiree Dental program and who wish to join the TRDP. Eligibles 
include:

[sbull] Members of the Uniformed Services entitled to retired pay, 
including those aged 65 and over, and their eligible family members
[sbull] Members of the Retired Reserve/Retired Guard entitled to 
retired pay, but is under age 60, and their family members
[sbull] All eligible surviving spouses or eligible children
[sbull] A spouse and/or eligible child(ren) of certain non-enrolled 
members
[sbull] Medal of Honor Recipients and their eligible family members

    The form is the mechanism utilized by the TRDP contractor (Delta 
Dental) to enroll eligible DoD personnel in the TRDP. Without the form, 
the contractor is unable to process enrollment applications and enroll 
eligible beneficiaries.

    Dated: December 1, 2003.
Patricia L. Toppings,
Alternate OSD Federal Register, Liaison Officer, Department of Defense.
[FR Doc. 03-30548 Filed 12-9-03; 8:45 am]
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