[Federal Register Volume 74, Number 147 (Monday, August 3, 2009)]
[Notices]
[Pages 38422-38423]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-18401]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket No. DoD-2009-HA-0012]


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 
September 2, 2009.
    Title and OMB Number: TRICARE Dental Program (TDP) Dentist's Claim 
Form DD 5578 G 9/05 and TRICARE Dental Program Dentist's Claim Form DD 
5678 F 10/05 OCONUS; OMB No. 0720-0035.
    Type of Request: Extension.
    Number of Respondents: 64,930.
    Responses per Respondent: 62.
    Annual Responses: 4,025,660.
    Average Burden per Response: 15 minutes.
    Annual Burden Hours: 1,006,415.
    Needs and Uses: The TDP Claim Form(s) CONUS/OCONUS are 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: Required to obtain or retain benefits.
    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, Room 10236, New Executive Office 
Building, Washington, DC 20503.
    You may also submit comments, identified by docket number and 
title, by the following method:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
    Instructions: All submissions received must include the agency 
name, docket number and title for this Federal Register document. The 
general policy for comments and other submissions from members of the 
public is to make

[[Page 38423]]

these submissions available for public viewing on the Internet at 
http://www.regulations.gov as they are received without change, 
including any personal identifiers or contact information.
    DoD Clearance Officer: Ms. Patricia Toppings.
    Written requests for copies of the information collection proposal 
should be sent to Ms. Toppings at WHS/ESD/Information Management 
Division, 1777 North Kent Street, RPN, Suite 11000, Arlington, VA 
22209-2133.

    Dated: July 24, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. E9-18401 Filed 7-31-09; 8:45 am]
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