[Federal Register Volume 84, Number 111 (Monday, June 10, 2019)]
[Notices]
[Pages 26820-26821]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-12142]


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DEPARTMENT OF DEFENSE

Department of the Army

[Docket ID USA-2019-HQ-0020]


Proposed Collection; Comment Request

AGENCY: Army & Air Force Exchange Service (Exchange), DoD.

ACTION: Information collection notice.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the 
Army & Air Force Exchange Service (Exchange) 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 August 
9, 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.
    Any associated form(s) for this collection may be located within 
this same electronic docket and downloaded for review/testing. Follow 
the instructions at http://www.regulations.gov for submitting comments. 
Please submit comments on any given form identified by docket number, 
form number, and title.

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 the Army & Air Force 
Exchange Service, Office of the General Counsel, Compliance Division, 
ATTN: Teresa Schreurs, Privacy Manager, 3911 South Walton Walker Blvd., 
Dallas, TX 75236-1598 or call the Exchange Compliance Division at 800-
967-6067.

SUPPLEMENTARY INFORMATION:
    Title; Associated Form; and OMB Number: Exchange Accident/Incident 
Reports; Exchange Form 3900-017, ``Statements''; OMB Control 0720-0138.
    Needs and Uses: The information collection requirement is necessary 
to record incidents such as accidents, mishaps, fires, thefts or any 
issue involving government property. This collection ensures the 
Exchange has the necessary information regarding injuries and illnesses 
in order to administer and

[[Page 26821]]

follow-up on medical treatment and payment of claims. The collection 
also assists the Exchange in recouping damages, correcting 
deficiencies, initiating appropriate disciplinary action(s), filing 
insurance and Workers' Compensation required documents.
    Affected Public: Individuals or Households, Business or other for 
profit; Not-for-profit institutions, and Federal Government.
    Annual Burden Hours: 13,914.
    Number of Respondents: 13,914.
    Responses per Respondent: 1.
    Annual Responses: 13,914.
    Average Burden per Response: 60 minutes.
    Frequency: On occasion.
    Respondents are Exchange employees, family members, customers, 
guests, visitors, and members of the public who have been involved in 
incidences relative to damage to Exchange property or facilities, have 
been suspected of shoplifting or theft, have been injured, or developed 
an illness on any incident occurring at Exchange facilities.

    Dated: June 5, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2019-12142 Filed 6-7-19; 8:45 am]
BILLING CODE 5001-06-P