[Federal Register Volume 80, Number 119 (Monday, June 22, 2015)]
[Notices]
[Pages 35637-35638]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-15227]


-----------------------------------------------------------------------

DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2015-HA-0060]


Proposed Collection; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health 
Affairs, DoD.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with 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 August 
21, 2015.

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: Department of Defense, Office of the Deputy Chief 
Management Officer, Directorate of Oversight and Compliance, Regulatory 
and Audit Matters Office, 9010 Defense Pentagon, Washington, DC 20301-
9010.
    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.
    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 the TRICARE Dental 
Care Office, Health Plan Execution and Operation, Defense Health Agency 
(DHA), Rm 3M 451, ATTN: COL Colleen C. Shull, Falls Church, VA 22042 or 
call (703) 681-9517, DSN 761.

[[Page 35638]]


SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: TRDP Enrollment 
Application; OMB Control Number 0720-0015.
    Needs and Uses: This information collection is completed by 
Uniformed Services members entitled to retired pay and their eligible 
family members who are seeking enrollment in the TRICARE Retiree Dental 
Program (TRDP). The information is necessary to enable the DoD-
contracted third party administrator of the program to identify the 
program's applicants, determine their eligibility for TRDP enrollment, 
establish the premium payment amount, and to verify by the applicant's 
signature that the applicant understands the benefits and rules of the 
program.
    Affected Public: Business or other for profit; Not-for-profit 
institutions.
    Annual Burden Hours: 12,000.
    Number Of Respondents: 48,000.
    Responses Per Respondent: 1.
    Average Burden Per Response: 15 minutes.
    Frequency: On occasion.
    Respondents are retired members of the Uniformed Services who elect 
to enroll themselves and their families into the TRDP. The enrollment 
application must be completed and submitted to the TRDP contractor, 
along with two-month premium payment, prior to enrollment. The 
contractor will validate eligibility and complete the enrollment 
action.

    Dated: June 17, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-15227 Filed 6-19-15; 8:45 am]
BILLING CODE 5001-06-P