[Federal Register Volume 84, Number 168 (Thursday, August 29, 2019)]
[Notices]
[Pages 45475-45476]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-18624]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2019-HA-0075]


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 
September 30, 2019.

ADDRESSES: Comments and recommendations on the proposed information 
collection should be emailed to Mr. Josh 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: Application for Champus 
Provider Status: Corporate Services Provider, DD Form 3030, 0720-0020.
    Type of Request: Extension.
    Number of Respondents: 335.
    Responses per Respondent: 1.
    Annual Responses: 335.
    Average Burden per Response: 20 minutes.
    Annual Burden Hours: 112.
    Needs and Uses: This information collection requirement is 
necessary to ensure that the conditions are met for authorization as a 
TRICARE/CHAMPUS Corporate Service Provider. Respondents are 
freestanding corporations and foundations seeking authorization under 
the TRICARE/CHAMPUS program to provide otherwise covered professional 
services to eligible TRICARE/CHAMPUS beneficiaries.
    Affected Public: Business or other for-profit.
    Frequency: As required.
    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

[[Page 45476]]

Ms. James at [email protected].

    Dated: August 23, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2019-18624 Filed 8-28-19; 8:45 am]
 BILLING CODE 5001-06-P