[Federal Register Volume 89, Number 150 (Monday, August 5, 2024)]
[Notices]
[Pages 63422-63423]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-17210]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2024-HA-0092]


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 October 
4, 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, 
Regulatory Directorate, 4800 Mark Center Drive, Mailbox #24, Suite 
05F16, 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

[[Page 63423]]

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 DoD/CHAMPUS Medical 
Claim Patient's Request for Medical Payment; DD Form 2642; OMB Control 
Number 0720-0006.
    Needs and Uses: The DD-2642, ``TRICARE DoD/Civilian Health and 
Medical Program of the Uniformed Services (CHAMPUS) Medical Claim 
Patient's Request for Medical Payment'' form is used by TRICARE 
beneficiaries to claim reimbursement for medical expenses under the 
TRICARE Program CHAMPUS. The information collected will be used by 
TRICARE to determine beneficiary eligibility, other health insurance 
liability, certification that the beneficiary has the received care, 
and reimbursement for medical services received.
    Affected Public: Individuals or households.
    Annual Burden Hours: 207,500.
    Number of Respondents: 830,000.
    Responses per Respondent: 1.
    Annual Responses: 830,000.
    Average Burden per Response: 15 minutes.

    Dated: July 31, 2024.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2024-17210 Filed 8-2-24; 8:45 am]
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