[Federal Register Volume 83, Number 240 (Friday, December 14, 2018)]
[Notices]
[Page 64335]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-27102]
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DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD-2018-HA-0099]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary for Health Affairs, DoD.
ACTION: Information collection notice.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Defense Health Agency announces a proposed public information
collection and seeks public comment on the provisions thereof. Comments
are invited on: 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; the
accuracy of the agency's estimate of the burden of the proposed
information collection; ways to enhance the quality, utility, and
clarity of the information to be collected; and 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 February
12, 2019.
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 Chief Management
Officer, Directorate for Oversight and Compliance, 4800 Mark Center
Drive, Mailbox #24, Suite 08D09, Alexandria, VA 22350-1700.
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.
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 Defense Health
Agency, Office of General Counsel, 61401 E Centretech Parkway, Attn:
Bridget Ewings, Aurora, CO 80011, or call Defense Health Agency, Office
of General Counsel, at (303) 676-3705.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Statement of Personal
Injury: Possible Third Party Liability; DD-2527; OMB Control Number
0720-0003.
Needs and Uses: When a claim for TRICARE benefits is identified as
involving possible third party liability and the information is not
submitted with the claim the TRICARE contractors request that the
injured party (or a designee) complete DD Form 2527. To protect the
interests of the Government the contractor suspends claims processing
until the requested third party liability information is received. The
contractor conducts a preliminary evaluation based upon the collection
of information and refers the case to a designated appropriate legal
officer of the Uniformed Services. The responsible Uniformed Services
legal officer uses the information as a basis for asserting and
settling the Government's claim. When appropriate the information is
forwarded to the Department of Justice as the basis for litigation.
Affected Public: Individuals or households.
Annual Burden Hours: 47,022.50.
Number of Respondents: 188,090.
Responses per Respondent: 1.
Annual Responses: 188,090.
Average Burden per Response: 15 minutes.
Frequency: On occasion.
Dated: December 11, 2018.
Morgan E. Park,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2018-27102 Filed 12-13-18; 8:45 am]
BILLING CODE 5001-06-P