[Federal Register Volume 84, Number 98 (Tuesday, May 21, 2019)]
[Notices]
[Page 23038]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-10524]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DOD-2019-HA-0029]


Submission for OMB Review; Comment Request

AGENCY: Office of the Assistant Secretary of Defense 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 June 20, 
2019.

ADDRESSES: Comments and recommendations on the proposed information 
collection should be emailed to Mr. John Brammer, 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: TRICARE Prime Enrollment, 
Disenrollment, and Primary Care Manager (PCM) Change Form; DD Form 
2876; OMB Control Number 0720-0008.
    Type of Request: Extension.
    Number of Respondents: 1,520,050.
    Responses per Respondent: 2.
    Annual Responses: 3,040,100.
    Average Burden per Response: 15 minutes.
    Annual Burden Hours: 760,025 hours.
    Needs and Uses: The information collection requirement is necessary 
to obtain the TRICARE beneficiary's personal information needed to: (1) 
Complete his/her enrollment into TRICARE Prime health plan, (2) change 
the beneficiary's enrollment (new Primary Care Manager, enrolled 
region, add/drop a dependent, etc.), or (3) disenroll the beneficiary. 
All TRICARE beneficiaries have the option of enrolling, changing their 
enrollment or dis-enrolling using the DD Form 2876, the Beneficiary Web 
Enrollment (BWE) portal, or by calling their regional Managed Care 
Support Contractor (MCSC). Although the telephonic enrollment/change is 
the preferred method by the large majority of beneficiaries, many 
beneficiaries prefer using the form to document their enrollment date 
and preferences.
    Affected Public: Individuals or households.
    Frequency: On occasion.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Mr. Josh Brammer.
    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].

    Dated: May 15, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2019-10524 Filed 5-20-19; 8:45 am]
 BILLING CODE 5001-06-P