[Federal Register Volume 87, Number 83 (Friday, April 29, 2022)]
[Notices]
[Pages 25473-25474]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-09271]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2022-HA-0047]


Proposed Collection; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health Affairs 
(OASD(HA)), Department of Defense (DoD).

ACTION: 60-Day 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 June 28, 
2022.

ADDRESSES: You may submit comments, identified by docket number and 
title, by any of the following methods:
    Federal eRulemaking Portal: https://www.regulations.gov. Follow the 
instructions for submitting comments.
    Mail: Department of Defense, Office of the Assistant to the 
Secretary of Defense for Privacy, Civil Liberties, and Transparency, 
Regulatory Directorate, 4800 Mark Center Drive, Attn: 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 https://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 Defense Health 
Agency, 8111 Gatehouse Road, 229D, Falls Church, VA 22042, ATTN: Shane 
Pham or call 703-275-6249.

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: TRICARE Prime Enrollment, 
Disenrollment and Primary Care Manager Change Form; DD Form 2876: OMB 
Control Number 0720-0008.
    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) dis-enroll 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 portal, or by calling their regional Managed Care Support 
Contractor. 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.

[[Page 25474]]

    Annual Burden Hours: 760,025 hours.
    Number of Respondents: 1,520,050.
    Responses per Respondent: 2.
    Annual Responses: 3,040,100.
    Average Burden per Response: 15 minutes.
    Frequency: On occasion.

    Dated: April 26, 2022.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2022-09271 Filed 4-28-22; 8:45 am]
BILLING CODE 5001-06-P