[Federal Register Volume 77, Number 234 (Wednesday, December 5, 2012)]
[Notices]
[Page 72334]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-29340]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID DoD-2012-OS-0037]


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 January 
4, 2013.
    Title, Form, and OMB Number: The Application of Child Care Services 
Form, DLA Form 1854; OMB Control Number 0704-TBD.
    Type of Request: New.
    Number of Respondents: 30.
    Responses per Respondent: 1.
    Annual Responses: 30.
    Average Burden per Response: 0.33 hours (20 minutes).
    Annual Burden Hours: 10 hours.
    Needs and Uses: The Application of Child Care Services Form, DLA 
Form 1854, is used to request child care services provided by DLA 
managed facilities. Enrollee records are provided to the Child and 
Youth Programs Coordinator, the CDP Director, and the Headquarters DLA 
Inspection Team upon request for the purpose of ensuring safe and 
effective services.
    Waiting List Applicant records include the names of the sponsor and 
spouse (when applicable); home and electronic mail addresses; work, 
home, cell telephone numbers; place of employment; rank or civilian pay 
grade; child's name and birth date; documentation of any special needs 
or health concerns regarding the child, to include documentation of 
food restrictions; physical abilities and limitations; physical, 
emotional, or other special care requirements (including restrictions 
or special precautions concerning diet); special services Individual 
Development Plans (IDP) when special needs have already been diagnosed.
    Enrollee records include all items listed above plus names and 
phone numbers of emergency points of contact; medical, dental and 
insurance provider data; medical examination reports, health 
assessments and screening results; immunization, allergy and medication 
information; documentation of Special Needs Resource Team (SNRT) 
meetings (when applicable) as well as serious event/incident report 
forms; symptoms records; and other records used to provide effective 
services.
    Affected Public: Individuals or households.
    Frequency: On occasion.
    Respondent's Obligation: Required to obtain or retain benefits.
    OMB Desk Officer: Ms. Jasmeet Seehra.
    Written comments and recommendations on the proposed information 
collection should be sent to Ms. Seehra 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.
    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: November 21, 2012.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2012-29340 Filed 12-4-12; 8:45 am]
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