[Federal Register Volume 77, Number 182 (Wednesday, September 19, 2012)]
[Notices]
[Pages 58100-58101]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-23107]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2012-HA-0117]


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 the proposed extension of a 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 
19, 2012.

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, 4800 Mark 
Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100.
    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 Mr. Mike Talisnik, 
Office of the ASD (HA)--TMA, 7700 Arlington Blvd., Suite 5101, Falls 
Church, VA 22042, (703) 681-8723.
    Title; Associated Form; and OMB Number: TriCase Case Management & 
Authorization System; OMB Control Number 0720-TBD.
    Needs and Uses: TriCase (Case Management and Authorization System) 
manages cases involving the coordination of medical care and medical 
transportation. The system provides International SOS employees with a 
central application to interact with TRICARE beneficiaries, providers, 
family members, and government representatives to manage healthcare 
delivery activities. TriCase is available in four International SOS 
offices worldwide and is limited to authorized TRICARE users who meet 
appropriate clearance levels. The system has been tailored to support 
TRICARE Management Activity (TMA).

[[Page 58101]]

    Affected Public: Individuals or households.
    Annual Burden Hours: 28,800.
    Number of Respondents: 4,800 per month.
    Responses per Respondent: 12.
    Average Burden per Response: 30 minutes.
    Frequency: Monthly.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    Information collected is for TRICARE beneficiaries requesting 
health care services outside the 50 United States and District of 
Columbia. The information collected can come in writing from a Military 
Treatment Facility (MTF), from a TRICARE beneficiary or from a host 
nation provider. The information can also be collected telephonically 
when assisting the beneficiary or host nation provider rendering the 
care. The system allows International SOS to document interaction with 
the patient (including emails, letters, faxes, and phone 
conversations). It allows for notes and actions to be documented in the 
system to allow the ability to track progress of all types of cases and 
authorizations. It further allows for validation of enrollment and 
eligibility for services. This information is used to assign staff with 
various tasks to manage an incident of care both administratively and 
medically to manage a case.

    Dated: September 14, 2012.
Aaron Siegel,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2012-23107 Filed 9-18-12; 8:45 am]
BILLING CODE 5001-06-P