[Federal Register Volume 84, Number 95 (Thursday, May 16, 2019)]
[Notices]
[Pages 22118-22119]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-10141]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DOD-2018-OS-0079]


Submission for OMB Review; Comment Request

AGENCY: Office of the Under Secretary of Defense for Personnel and 
Readiness, 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 June 17, 
2019.

ADDRESSES: 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, Docket ID number, and title 
of the information collection.

FOR FURTHER INFORMATION CONTACT: Angela James, 571-372-7574, or [email protected].

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: Family Member Travel 
Screening; DD Form 3040, Screening Verification; DD Form 3040-1, 
Medical and Educational Information; DD Form 3040-2, Dental Health 
Information; DD Form 3040-3, Patient Care Review; DD Form 3040-4, 
Administrative Review Checklist; OMB Control Number 0704-0560.
    Type of Request: Revision.
    Number of Respondents: 267,032.
    Responses per Respondent: 1.
    Annual Responses: 267,032.
    Average Burden per Response: 17.5 minutes.
    Annual Burden Hours: 85,030.25.
    Needs and Uses: The DD Forms 3040, 3040-1, 3040-2, 3040-3, and 
3040-4 are used are used during the Family Member Travel Screening 
(FMTS) process when active duty Service members with Permanent Change 
of Station (PCS) orders request Command sponsorship for accompanied 
travel to remote or OCONUS installations. These forms document any 
special medical, dental, and/or educational needs of dependents 
accompanying the Service member to assist in determining the 
availability of care at a gaining installation.
    Affected Public: Individuals or households.
    Frequency: As required.
    Respondent's Obligation: Mandatory.
    OMB Desk Officer: Ms. Jasmeet Seehra.
    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: Ms. Angela James.
    Requests for copies of the information collection proposal should 
be sent to Ms. James at [email protected].


[[Page 22119]]


    Dated: May 13, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2019-10141 Filed 5-15-19; 8:45 am]
 BILLING CODE 5001-06-P