[Federal Register Volume 80, Number 210 (Friday, October 30, 2015)]
[Notices]
[Page 66883]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-27708]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2015-HA-0036]


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.

DATES: Consideration will be given to all comments received by November 
30, 2015.

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

SUPPLEMENTARY INFORMATION: 
    Title, Associated Form and OMB Number: Statement of Personal 
Injury--Possible Third Party Liability, Defense Health Agency; DD Form 
2527; OMB Control Number 0720-0003.
    Type of Request: Reinstatement, with change, of a previously 
approved collection for which approval has expired.
    Number of Respondents: 188,090.
    Responses per Respondent: 1.
    Annual Responses: 188,090.
    Average Burden per Response: 15 minutes.
    Annual Burden Hours: 47,023.
    Needs and Uses: This information collection is completed by TRICARE 
(formerly CHAMPUS) beneficiaries suffering from personal injuries and 
receiving medical care at Government expense. The information is 
necessary in the assertion of the Government's right to recovery under 
the Federal Medical Care Recovery Act. The data is used in the 
evaluation and processing of these claims.
    Affected Public: Individuals or households.
    Frequency: On occasion.
    Respondent's Obligation: Required to obtain or retain benefits.
    OMB Desk Officer: Mr. Joshua Brammer.
    Comments and recommendations on the proposed information collection 
should be emailed to Mr. Joshua Brammer, DoD Desk Officer, at 
[email protected]. Please identify the proposed information 
collection by DoD Desk Officer and the Docket ID number and title of 
the information collection.
    You may also submit comments and recommendations, identified by 
Docket ID 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 ID 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: Mr. Frederick Licari.
    Written requests for copies of the information collection proposal 
should be sent to Mr. Licari at WHS/ESD Directives Division, 4800 Mark 
Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100.

    Dated: October 27, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-27708 Filed 10-29-15; 8:45 am]
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