[Federal Register Volume 88, Number 13 (Friday, January 20, 2023)]
[Notices]
[Page 3727]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-01094]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2023-OS-0008]


Proposed Collection; Comment Request

AGENCY: Office of the Under Secretary of Defense for Personnel and 
Readiness (OUSD(P&R)), 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 
Office of the Under Secretary of Defense for Personnel and Readiness 
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 March 
21, 2023.

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 Assistant to the 
Secretary of Defense for Privacy, Civil Liberties, and Transparency, 
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 
USD(P&R),OASD(HA),HSP&O 7700 Arlington Blvd., Room 3M631, Falls 
Church, VA 22042; Dr. Paul Ciminera; 703-681-1708, 
[email protected].

SUPPLEMENTARY INFORMATION:
    Title; Associated Form; and OMB Number: Separation Health 
Assessment; DD Form 3146; OMB Control Number 0704-SHAS.
    Needs and Uses: The form will be used to document physical 
examinations and mental health assessments conducted for Service 
members at separation from service pursuant to section 1145 of Title 10 
of the United Sates Code and DoD Instruction 6040.46, ``The Separation 
History and Physical Examination (SHPE) for the DoD Separation Health 
Assessment (SHA) Program.'' The Department of Defense developed DD Form 
3146 in coordination with the Department of Veterans Affairs (VA) as a 
common form for documentation of the separation health assessment. Once 
approved for official use, the DD Form 3146 will replace DD Forms 2807-
1, ``Report of Medical History,'' and 2808, ``Report of Medical 
Examination,'' for documentation of health assessments of Service 
members required at their separation, thereby fulfilling the common 
form objective in the January 24, 2022 VA/DoD Memorandum of Agreement 
concerning Separation Health Assessments.
    Affected Public: Individuals and households.
    Annual Burden Hours: 100,000.
    Number of Respondents: 200,000.
    Responses per Respondent: 1.
    Annual Responses: 200,000.
    Average Burden per Response: 30 minutes.
    Frequency: Once.

    Dated: January 17, 2023.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2023-01094 Filed 1-19-23; 8:45 am]
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