[Federal Register Volume 82, Number 10 (Tuesday, January 17, 2017)]
[Notices]
[Page 4863]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-00829]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID DOD-2008-HA-0180]


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 February 
16, 2017.

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

SUPPLEMENTARY INFORMATION: 
    Title, Associated Form and OMB Number: Professional Qualifications 
Medical/Peer Reviewers; CHAMPUS Form 780; OMB Control Number 0720-0005.
    Type of Request: Reinstatement.
    Number of Respondents: 60.
    Responses per Respondent: 1.
    Annual Responses: 60.
    Average Burden per Response: 20 minutes.
    Annual Burden Hours: 20.
    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.
    Frequency: On occasion.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Ms. Stephanie Tatham.
    Comments and recommendations on the proposed information collection 
should be emailed to Ms. Stephanie Tatham, 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 03F09, Alexandria, VA 22350-3100.

    Dated: January 11, 2017.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2017-00829 Filed 1-13-17; 8:45 am]
 BILLING CODE 5001-06-P