[Federal Register Volume 70, Number 229 (Wednesday, November 30, 2005)]
[Notices]
[Pages 71805-71806]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-23487]


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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 December 
30, 2005.
    Title and OMB Number: TRICARE Dental Program (TDP) Claim Form, OMB 
Number 0720-0035.
    Type of Request: Extension.
    Number of Respondents: 56,512.
    Responses Per Respondent: 62.
    Annual Responses: 3,503,744.
    Average Burden Per Response: 15 minutes.
    Annual Burden Hours: 875,936.
    Needs and Uses: The TDP claim form is required to gather 
information to make payment for legitimate dental claims and to assist 
in contractor surveillance and program integrity investigations and to 
audit financial transactions where the Department of Defense has a 
financial stake. The information from the claim form is also used to 
provide important cost share explanations to the beneficiary.
    Affected Public: Business or other for-profit.
    Frequency: On Occasion.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Mr. John Kraemer.
    Written comments and recommendations on the proposed information 
collection should be sent to Mr. Kraemer at the Office of Management 
and Budget, Desk Officer for DoD Health, Room 10102, New Executive 
Office Building, Washington, DC 20503.
    DOD Clearance Officer: Ms. Patricia Toppings.
    Written requests for copies of the information collection proposal 
should

[[Page 71806]]

be sent to Ms. Toppings, WHS/ESD/Information Management Division, 1777 
North Kent Street, RPN, Suite 11000, Arlington, VA 22209-2133.

    Dated: November 22, 2005.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 05-23487 Filed 11-29-05; 8:45 am]
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