[Federal Register Volume 77, Number 84 (Tuesday, May 1, 2012)]
[Notices]
[Pages 25709-25710]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-10394]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket No. DOD-2010-HA-0131]


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 May 31, 
2012.
    Title, Associated Form and OMB Number: Statement of Personal 
Injury--Possible Third Party Liability, TRICARE Management Activity; DD 
Form 2527; OMB Control Number 0720-0003.
    Type of Request: Reinstatement.
    Number of Respondents: 224,399.
    Responses per Respondent: 1.
    Annual Responses: 224,399.
    Average Burden per Response: 15 minutes.
    Annual Burden Hours: 56,100 hours.
    Needs and Uses: The information is provided by TRICARE (formerly 
CHAMPUS) beneficiaries suffering from personal injuries and receiving 
medical care at Government expense. The information is necessary in the 
assertion of the Government's right to recovery under the Federal 
Medical Care Recovery Act. The data is used in the evaluation and 
processing of these claims.
    Affected Public: Individuals or households; Federal government.
    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

[[Page 25710]]

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.
    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, 4800 Mark Center Drive, East Tower, Suite 02G09, Alexandria, 
VA 22350-3100.

    Dated: February 15, 2012.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2012-10394 Filed 4-30-12; 8:45 am]
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