[Federal Register Volume 74, Number 182 (Tuesday, September 22, 2009)]
[Notices]
[Pages 48232-48233]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-22785]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID DoD-2008-HA-0139]


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 a proposed 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 November 
23, 2009.

ADDRESSES: You may submit comments, identified by docket number and 
title, by any of the following methods:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Federal Docket Management System Office, 1160 
Defense Pentagon, Washington, DC 20301-1160.
    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 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.

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 TRICARE Management 
Activity Dental Care Branch, 5111 Leesburg Pike, Skyline 5, Attn: CAPT

[[Page 48233]]

Robert Mitton, Falls Church, VA 22041, or call the TRICARE Management 
Activity Dental Care Branch, at 703-681-0039.
    Title; Associated Form; and OMB Number: Active Duty Dental Program 
Claim Form; OMB Control Number 0720-TBD.
    Needs and Uses: The information collection requirement is necessary 
to obtain and record the dental readiness of Service Members using the 
Active Duty Dental Program and at the same time submit the claim for 
the dental procedures provided so that claims can be processed and 
reimbursement made to the provider. Many of these Service Members are 
not located near a military dental treatment facility and receive their 
dental care in the private sector. The new form is needed to update the 
dental readiness of all Service Members so that they can maintain 
worldwide deployment status and reduces paperwork by combining the 
dental claim and dental readiness into one form.
    Affected Public: Private Sector Dentists participating in the 
Active Duty Dental Program.
    Annual Burden Hours: 737,500.
    Number of Respondents: 59,000 (ADDP network is 59,000 dentists).
    Responses per Respondent: 1-500.
    Average Burden per Response: 3 minutes.
    Frequency: On occasion.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    Respondents are dental professionals who are participating 
providers in the Active Duty Dental Program (ADDP). The ADDP Claim form 
allows civilian dental providers to submit the claim for dental 
procedures provided to active duty service members and to update their 
dental readiness classification at the same time. The completed form is 
forwarded to the ADDP contractor, United Concordia Companies, Inc. for 
reimbursement and the electronic update of the dental readiness. If the 
form is not available, civilian providers will not have a mechanism to 
update dental readiness for this dental program. Dental readiness 
classification allows the Services to ensure that all Service Members 
are ready for worldwide deployment. Dental readiness is an integral 
part of medical readiness, and medical readiness is fundamental to the 
readiness of our forces.

     September 4, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. E9-22785 Filed 9-21-09; 8:45 am]
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