[Federal Register Volume 86, Number 150 (Monday, August 9, 2021)]
[Notices]
[Page 43530]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-16877]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID DoD-2021-HA-0050]


Submission for OMB Review; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health 
Affairs, Department of Defense (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 8, 2021.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.

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

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: TRICARE Select Enrollment, 
Disenrollment, and Change Form; DD Form 3043; OMB Control Number 0720-
0061.
    Type of Request: Extension.
    Number of Respondents: 99,300.
    Responses per Respondent: 1.
    Annual Responses: 99,300.
    Average Burden Per Response: 15 minutes.
    Annual Burden Hours: 24,825.
    Needs and Uses: The information collection requirement is necessary 
to obtain non-active duty TRICARE beneficiary's personal information 
needed to: (1) Complete his/her enrollment into the ``new'' TRICARE 
Select health plan option as created by SEC. 701. TRICARE SELECT AND 
OTHER TRICARE REFORM of the National Defense Authorization Act (NDAA) 
for Fiscal Year (FY) 2017, (2) dis-enroll a beneficiary, or (3) change 
the beneficiary's enrollment (e.g., address, add a dependent, report 
other health insurance). This information is required to ensure the 
beneficiary's benefits and claims are administered based on their plan 
of choice. Without the DD Form 3043 enrollment form, each non-active 
duty TRICARE beneficiary is automatically defaulted into direct care 
only, limiting their health care options to military hospitals and 
clinics. These beneficiaries would have no TRICARE coverage when using 
the TRICARE network of providers for services not available at their 
local military hospital or clinic.
    Affected Public: Individuals or households.
    Frequency: As required.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Ms. Julie Wise.
    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 Duncan.
    Requests for copies of the information collection proposal should 
be sent to Ms. Duncan at [email protected].

    Dated: August 2, 2021.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2021-16877 Filed 8-6-21; 8:45 am]
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