[Federal Register Volume 80, Number 197 (Tuesday, October 13, 2015)]
[Notices]
[Pages 61388-61389]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-25953]


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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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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 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 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.

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: Professional Qualifications 
Medical/Peer Reviewers, CHAMPUS Form 780, OMB Control 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.
    Annual Responses: 60.
    Average Burden per Response: 20 minutes.
    Frequency: On occasion.
    Respondents are medical professionals who provide medical and peer 
review of cases appealed to the Office of 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, and 
documents for anyone reviewing the file, 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 be readily assured of 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.


[[Page 61389]]


    Dated: October 7, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-25953 Filed 10-9-15; 8:45 am]
BILLING CODE 5001-06-P