[Federal Register Volume 89, Number 78 (Monday, April 22, 2024)]
[Notices]
[Pages 29312-29313]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-08477]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2024-HA-0037]


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.

[[Page 29313]]

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

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: TRICARE Select Enrollment, 
Disenrollment, and Change Form; DD Form 3043; OMB Control Number 0720-
0061.
    Needs and Uses: The information collection requirement is necessary 
to obtain each non-active duty TRICARE beneficiary's personal 
information needed to: (1) Complete his/her enrollment into the TRICARE 
Select health plan option, (2) dis-enroll a beneficiary, or (3) change 
a beneficiary's enrollment information (e.g., address, add a dependent, 
report other health insurance). This information is required to ensure 
the beneficiary's TRICARE benefits and claims are administered based on 
their TRICARE plan of choice. Without this new enrollment form, each 
non-active duty TRICARE beneficiary is automatically defaulted into 
direct care, limiting their health care options to 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.
    Annual Burden Hours: 24,825.
    Number of Respondents: 99,300.
    Responses per Respondent: 1.
    Annual Responses: 99,300.
    Average Burden per Response: 15 minutes.
    Frequency: On occasion.

    Dated: April 16, 2024.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2024-08477 Filed 4-19-24; 8:45 am]
BILLING CODE 6001-FR-P