[Federal Register Volume 84, Number 159 (Friday, August 16, 2019)]
[Notices]
[Page 41972]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-17647]



[[Page 41972]]

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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DOD-2019-HA-0096]


Proposed Collection; Comment Request

AGENCY: Office of the Assistant Secretary of Defense 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 October 
15, 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 the Office of the 
Defense Health Agency Information Management Control Officer, 7700 
Arlington Boulevard, Falls Church, VA 22042, Ms. Wanda Oka or call 703-
681-1697.

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: Active Duty Dental Program 
(ADDP) Claim Form; OMB Control Number 0720-0053.
    Needs and Uses: The information collection is necessary to obtain 
and record the dental readiness of Service Members using the Active 
Duty Dental Program (ADDP) and at the same time submit the claim for 
the dental procedures provided so that claims can be processed and 
reimbursement made to the provider. Many Service Members are not 
located near a military dental treatment facility and receive their 
dental care in the private sector.
    Affected Public: Business or other for-profit; Not-for-profit 
institutions.
    Annual Burden Hours: 75,000.
    Number of Respondents: 75,000.
    Responses per Respondent: 4.
    Annual Responses: 300,000.
    Average Burden per Response: 15 minutes.
    Frequency: On occasion.

    Dated: August 13, 2019.
Shelly E. Finke,
Alternate OSD Federal Register, Liaison Officer, Department of Defense.
[FR Doc. 2019-17647 Filed 8-15-19; 8:45 am]
 BILLING CODE 5001-06-P