[Federal Register Volume 81, Number 56 (Wednesday, March 23, 2016)]
[Notices]
[Page 15511]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-06495]



[[Page 15511]]

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DEPARTMENT OF DEFENSE

Department of the Army

[Docket ID: USA-2016-HQ-0009]


Proposed Collection; Comment Request

AGENCY: Army & Air Force Exchange Service (Exchange), DoD.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the 
Army & Air Force Exchange Service 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 May 23, 
2016.

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 Army and Air 
Force Exchange Service, Office of the General Counsel, Compliance 
Division, Attn: Teresa Schreurs, 3911 South Walton Walker Blvd., 
Dallas, TX 75236-1598 or call the Exchange Compliance Division at 800-
967-6067.

SUPPLEMENTARY INFORMATION: Title; Associated Form; and OMB Number: 
Exchange Employee Management and Pay System; Exchange Form 1400-011 
``Annuity Application'', Exchange From 1450-018 ``Application for 
Payment of Survivor Annuity'', Exchange Form 1700-012 ``Beneficiary 
Designation'', Exchange Form 6650-007 ``Patient Health Questionnaire'', 
Web-based ``Health/Benefit Enrollment''; OMB Control Number: 0702-XXXX.
    Needs and Uses: The information collection requirement is necessary 
to administer a number of different benefits and pay available to 
eligible Exchange associates, former associates (retirees), their 
personal dependents, beneficiaries, spouses, and ex-spouses. This 
includes collecting data needed to provide and administer pay, salary 
and retirement funds/entitlements.
    Affected Public: Individuals or households and Federal Government.
    Annual Burden Hours: 7,163.
    Number of Respondents: 9,550.
    Responses per Respondent: 1.
    Annual Responses: 9,550.
    Average Burden per Response: 45 Minutes.
    Frequency: On occasion.
    Respondents are active, former/retired or terminated Exchange 
personnel to include their family members, beneficiaries and survivors. 
Survivor, annuity and patient health information is provided manually 
by the respondents. Other benefits such as enrollment in health 
coverage, beneficiary designation, and retirement options are done so 
primarily through electronic means. Health, beneficiary and retirement 
collections are maintained by the service provider; i.e. Aetna, Inc. 
Respondents also include active duty military service members and their 
eligible family members stationed at U.S. Military installations in 
Europe. Patient health information obtained through Exchange Form 6650-
007 is collected on new optometry patients and is maintained by the 
Exchange optometrists at the facility of service.

    Dated: March 17, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2016-06495 Filed 3-22-16; 8:45 am]
BILLING CODE 3710-08-P