[Federal Register Volume 78, Number 64 (Wednesday, April 3, 2013)]
[Notices]
[Pages 20095-20096]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-07689]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2013-OS-0071]


Proposed Collection; Comment Request

AGENCY: Defense Finance and Accounting Service, DoD.

ACTION: Notice.

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SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995, the Defense Finance and Accounting Service 
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 June 3, 
2013.

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

[[Page 20096]]

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.
    Any associated form(s) for this collection may be located within 
this same electronic docket and downloaded for review/testing. Follow 
the instructions at http://www.regulations.gov for submitting comments. 
Please submit comments on any given form identified by docket number, 
form number, and title.

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 Defense Finance and 
Accounting Service--Cleveland, 1240 East Ninth Street, ATTN: JFBDA--Mr. 
Charles Moss, Room 1569, Cleveland, OH 44199.
    Title, Associated Form, and OMB Number: Physician Certificate for 
Child Annuitant, DD Form 2828, 0730-0011.
    Needs and Uses: This form is required and must be on file to 
support an incapacitation occurring prior to age 18. The form provides 
the authority for the Directorate of Annuity Pay, Defense Finance and 
Accounting Service--Cleveland to establish and pay a Retired 
Serviceman's Family Protection Plan (RSFPP) or Survivor Benefit Plan 
(SBP) annuity to the incapacitated individual.
    Affected Public: Incapacitated child annuitants, and/or their legal 
guardians, custodians and legal representatives.
    Annual Burden Hours: 240 hours.
    Number of Respondents: 120.
    Responses Per Respondent: 1.
    Average Burden Per Response: 2 hours.
    Frequency: On occasion.

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection

    The form will be used by the Directorate of Annuity Pay, Defense 
Finance and Accounting Service--Cleveland (DFAS-CL/JFBDA, in order to 
establish and start the annuity for a potential child annuitant. When 
the form is completed, it will serve as a medical report to 
substantiate a child's incapacity. The law requires that an unmarried 
child who is incapacitated must provide a current certified medical 
report. When the incapacity is not permanent a medical certification 
must be received by DFAS-CL/JFBDA every two years in order for the 
child to continue receiving annuity payments.

    Dated: March 28, 2013.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2013-07689 Filed 4-2-13; 8:45 am]
BILLING CODE 5001-06-P