[Federal Register Volume 89, Number 78 (Monday, April 22, 2024)]
[Notices]
[Page 29315]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-08474]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2024-HA-0036]


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 (DHA) 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 21, 
2024.

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 the Defense Health 
Agency, 7700 Arlington Blvd., Falls Church, VA 22042, ATTN: Ms. Amanda 
Grifka, 703-681-1771.

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: TRICARE Plus Enrollment and 
Disenrollment Forms; DD Forms 2853 and 2854; OMB Control Number 0720-
0028.
    Needs and Uses: These collected instruments serve as an application 
for enrollment and disenrollment in the Department of Defense's TRICARE 
Plus Health Plan established in accordance with Title 10 U.S.C. 1099. 
The information hereby provides the TRICARE contractors with the 
necessary data to determine beneficiary eligibility and to identify the 
selection of a health care option.
    Affected Public: Individuals or households.
    Annual Burder Hours: 386.
    Number of Respondents: 3,305.
    Responses per Respondent: 1.
    Annual Responses: 3,305.
    Average Burden per Response: 7 minutes.
    Frequency: On occasion.

    Dated: April 16, 2024.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2024-08474 Filed 4-19-24; 8:45 am]
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