[Federal Register Volume 70, Number 129 (Thursday, July 7, 2005)]
[Notices]
[Page 39242]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-13335]


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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 
September 6, 2005.

ADDRESSES: Written comments and recommendations on the continuing 
information collection should be sent to the TRICARE Management 
Activity, CEB Office, Attn: Lyn Bell, 16401 East Centretech Parkway, 
Aurora, CO 80011-9043.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
continuation of the information collection, please write to the above 
address or contract Lyn Bell by calling (303) 676-3521 or e-mail at 
[email protected].
    Title, Associated Form and OMB Number: Continued Health Care 
Benefit Program (CHCBP); DD Form 2837; OMB Number 0704-0364.
    Need and Uses: The continuing information collection requirement is 
necessary for individuals to apply for enrollment in the Continued 
Health Care Benefit Program (CHCBP). The CHCBP is a program of 
temporary health care benefit coverage that is made available to 
eligible individuals who lose health care under the Military Health 
System.
    Affected Public: Individuals or households.
    Annual Burden Hours: 202.
    Number of Respondents: 808.
    Responses Per Respondent: 1.
    Average Burden Per Response: 15 minutes.
    Frequency: On occasion.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    Respondents are individuals who are or were beneficiaries of the 
Military Health System (MHS) and who desire to enroll in the CHCBP 
following their loss of entitlement to health care coverage in the MHS. 
These beneficiaries include the active duty service member or former 
service member (who for purposes of this notice shall be referred to as 
``service member''), an unremarried former spouse of a service member, 
an unmarried child of a service member who ceases to meet the 
requirements for being considered a dependent, and a child placed for 
adoption or legal custody with the service member.
    In order to be eligible for health care coverage under CHCBP, an 
individual must first enroll in CHCBP. DD Form 2837 is used as the 
information collection vehicle for that enrollment. The CHCBP is a 
legislatively mandated program and it is anticipated the program will 
continue indefinitely. As such, the need for collection information 
that will allow an individual to enroll in CHCBP continues and the 
Department of Defense is thus publishing this formal notice.

    Dated: June 28, 2005.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 05-13335 Filed 7-6-05; 8:45 am]
BILLING CODE 5001-06-M