[Federal Register Volume 78, Number 161 (Tuesday, August 20, 2013)]
[Notices]
[Pages 51172-51173]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-20257]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2008-HA-0180]


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 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 October 
21, 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, 2nd Floor, 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 Appeals, Hearings 
and Claims Collection Division, Office of General Counsel, 
TRICARE[supreg] Management Activity, ATTN: Mark P. Donahue, 16401 East 
Centretech Parkway, Aurora, CO 80011-9066, or via telephone at (303) 
676-3411.
    Title; Associated Form; and OMB Number: Professional Qualifications 
Medical/Peer Reviewers, CHAMPUS Form 780, OMB Number 0720-0005.
    Needs and Uses: The information collection requirement is necessary 
to obtain and record the professional qualifications of medical and 
peer reviewers utilized within TRICARE[supreg]. The form is included as 
an exhibit in an appeal or hearing case file as evidence of the 
reviewer's professional qualifications to review the medical 
documentation contained in the case file.
    Affected Public: Business or other for profit.
    Annual Burden Hours: 20.
    Number of Respondents: 60.
    Responses per Respondent: 1.
    Average Burden per Response: 20 minutes.

[[Page 51173]]

    Frequency: On occasion.

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection

    Respondents are medical professionals who provide medical and peer 
review of cases appealed to the Appeals, Hearings and Claims Collection 
Division, Office of General Counsel, TRICARE[supreg] Management 
Activity. CHAMPUS Form 780 records the professional qualifications of 
the medical or peer reviewer. The completed form is included as an 
exhibit in the appeal or hearing case file to document the professional 
qualifications of the medical professional who reviewed the case. If 
the form is not included in the case file, individuals reviewing the 
file cannot confirm the qualifications of the reviewing medical 
professional. Having qualified professionals provide medical and peer 
review is essential in maintaining the integrity of the appeal and 
hearing process.

    Dated: August 15, 2013.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2013-20257 Filed 8-19-13; 8:45 am]
BILLING CODE 5001-06-P