[Federal Register Volume 74, Number 228 (Monday, November 30, 2009)]
[Notices]
[Pages 62564-62565]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-28529]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket No. DoD-2008-HA-0119]


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, 2009.
    Title and OMB Number: TRICARE Plus Enrollment Application, DD Form 
2853, and TRICARE Plus Disenrollment Request, DD Form 2854; OMB Control 
Number 0720-0028.
    Type of Request: Reinstatement.
    Number of Respondents: 25,065.
    Responses per Respondent: 1.
    Annual Responses: 25,065.
    Average Burden per Response: 0.117 hours.
    Annual Burden Hours: 2,933 hours.
    Needs and Uses: These collected instruments serve as an application 
for enrollment and disenrollment in the Department of Defense's TRICARE 
Plus Health Plan established in accordance with Title 10 U.S.C. 
sections 1099 (which calls for a health care enrollment system) and 
1086 (which authorizes TRICARE eligibility of Medicare Eligible Persons 
and has resulted in the development of a new enrollment option called 
TRICARE Plus) and the Assistant Secretary of Defense for Health Affairs 
Policy Memorandum to Establish the TRICARE Plus Program, June 22, 2001. 
The information collected hereby provides the TRICARE contractors with 
necessary data to determine beneficiary eligibility and to identify the 
selection of a health care option.
    Affected Public: Individuals or households.
    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 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.

[[Page 62565]]

    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: November 13, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. E9-28529 Filed 11-27-09; 8:45 am]
BILLING CODE 5001-06-P