[Federal Register Volume 80, Number 197 (Tuesday, October 13, 2015)]
[Notices]
[Pages 61387-61388]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-25937]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2012-HA-0145]


Proposed Collection; Comment Request

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

ACTION: Notice.

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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 December 
14, 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

[[Page 61388]]

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 TRICARE Management 
Activity Program, Policy and Benefits Branch, Attn: Mr. Jody Donehoo, 
5111 Leesburg Pike, Suite 810, Falls Church, VA 220141-3206, or call 
(703) 681-0039.

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: Continued Health Care 
Benefit Program; DD Form 2837; OMB Control Number 0704-0364.
    Needs and Uses: The information collection requirement is necessary 
for individuals to apply for enrollment in the Continued Health Care 
Benefit Program (CHCBP). The CHCBP is a program of temporary health 
care benefit coverage that is made available to eligible individuals 
who lose health care coverage under the Military Health System (MHS).
    Affected Public: Individuals or Households.
    Annual Burden Hours: 625.
    Number of Respondents: 2,500.
    Responses per Respondent: 1.
    Annual Responses: 2,500.
    Average Burden per Response: 0.25 hours.
    Frequency: On occasion.
    Respondents are individuals who are or were beneficiaries of the 
Military Health System (MHS) and who desire to enroll in the CHCBP 
following their loss of entitlement to health care coverage in the MHS. 
These beneficiaries include the active duty service member or former 
service member (who, for purposes of this notice shall be referred to 
as ``service member''), an unmarried former spouse of a service member, 
an unmarried child of a service member who ceases to meet requirements 
for being considered a dependent, and a child placed for adoption or 
legal custody with the service member. In order to be eligible for 
health care coverage under CHCBP, an individual must first enroll in 
CHCBP. DD Form 2837 is used as the information collection vehicle for 
that enrollment. The CHCBP is a legislatively mandated program and it 
is anticipated that the program will continue indefinitely.

    Dated: October 6, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-25937 Filed 10-9-15; 8:45 am]
 BILLING CODE 5001-06-P