[Federal Register Volume 84, Number 40 (Thursday, February 28, 2019)]
[Notices]
[Pages 6773-6774]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-03555]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2018-HA-0099]


Submission for OMB Review; Comment Request

AGENCY: Office of the Assistant Secretary for Health Affairs, DoD.

ACTION: 30-day information collection 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 April 1, 
2019.

ADDRESSES: Comments and recommendations on the proposed information 
collection should be emailed to Ms. Cortney Higgins, DoD Desk Officer, 
at [email protected]. Please identify the proposed 
information collection by DoD Desk Officer, Docket ID number, and title 
of the information collection.

FOR FURTHER INFORMATION CONTACT: Fred Licari, 571-372-0493, or [email protected].

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: Statement of Personal 
Injury: Possible Third Party Liability; DD-2527; OMB Control Number 
0720-0003.
    Type of Request: Extension.
    Number of Respondents: 188,090.
    Responses per Respondent: 1.
    Annual Responses: 188,090.
    Average Burden per Response: 15 minutes.
    Annual Burden Hours: 47,022.50.
    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.
    Frequency: On occasion.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Ms. Cortney Higgins.
    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.
    Requests for copies of the information collection proposal should 
be sent to

[[Page 6774]]

Mr. Licari at [email protected].

    Dated: February 25, 2019.
Shelly E. Finke,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2019-03555 Filed 2-27-19; 8:45 am]
 BILLING CODE 5001-06-P