[Federal Register Volume 81, Number 155 (Thursday, August 11, 2016)]
[Notices]
[Page 53128]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-19063]


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DEPARTMENT OF DEFENSE

Department of the Army

[Docket ID USA-2014-0033]


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 
September 12, 2016.

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

SUPPLEMENTARY INFORMATION: 
    Title, Associated Form and OMB Number: Exchange Accident/Incident 
Reports; Exchange Form 3900-017, ``Statements'', OMB Control Number: 
0702-XXXX.
    Type of Request: In existence without OMB Control Number.
    Number of Respondents: 4854.
    Responses per Respondent: 1.
    Annual Responses: 4854.
    Average Burden per Response: 60 minutes.
    Annual Burden Hours: 4854 hours.
    Needs and Uses: The information collection requirement is necessary 
to record incidents such as accidents, mishaps, fires, thefts or any 
issue involving government property. This collection insures the 
Exchange has the necessary information regarding injuries and illnesses 
in order to administer and follow-up on medical treatment and payment 
of claims. Collection assists the Exchange in recouping damages, 
correcting deficiencies, initiating appropriate disciplinary action(s), 
filing insurance and workers' compensation required documents.
    Affected Public: Individuals or Households and Federal Government.
    Frequency: On occasion.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Ms. Jasmeet Seehra.
    Comments and recommendations on the proposed information collection 
should be emailed to Ms. Jasmeet Seehra, 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: August 8, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2016-19063 Filed 8-10-16; 8:45 am]
 BILLING CODE 5001-06-P