[Federal Register Volume 78, Number 187 (Thursday, September 26, 2013)]
[Notices]
[Page 59341]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-23442]



[[Page 59341]]

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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID DoD-2012-HA-0147]


Submission for OMB Review; Comment Request

ACTION: Notice.

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SUMMARY: 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 October 
28, 2013.

FOR FURTHER INFORMATION CONTACT: Fred Licari, 571-372-0493.

SUPPLEMENTARY INFORMATION: 
    Title, Associated Form and OMB Number: TRICARE Plus Enrollment 
Application (DD 2853) and TRICARE Plus Disenrollment Request (DD 2854); 
OMB Control Number 0720-0028.
    Type of Request: Reinstatement with Change
    Number of Respondents: 25,065
    Responses per Respondent: 1
    Annual Responses: 25,065
    Average Burden per Response: 7 minutes
    Annual Burden Hours: 2,924
    Needs and Uses: These collected instruments serve as an application 
for enrollment and disenrollment in the Department of Defense's TRICARE 
Plus Health Plan established in accordance with Title 10 U.S.C. 1099 
(which calls for a healthcare enrollment system) and 1086 (which 
authorizes TRICARE eligibility of Medicare Eligible Persons and has 
resulted in the development of a new enrollment option called TRICARE 
Plus) and the Assistant Secretary of Defense for Health Affairs Policy 
Memorandum to Establish the TRICARE Plus Program, June 22, 2001. The 
information collected hereby provides the TRICARE contractors with 
necessary data to determine beneficiary eligibility and to identify the 
selection of a health care option.
    Affected Public: Individuals or household.
    Frequency: On occasion.
    Respondent's Obligation: Required to Obtain or Retain a Benefit.
    OMB Desk Officer: Mr. John Kraemer.
    Written comments and recommendations on the proposed information 
collection should be sent to Mr. John 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 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: September 23, 2013.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2013-23442 Filed 9-25-13; 8:45 am]
BILLING CODE 5001-06-P