[Federal Register Volume 63, Number 78 (Thursday, April 23, 1998)]
[Notices]
[Page 20172]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-10746]
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DEPARTMENT OF DEFENSE
Office of the Secretary
Submission for OMB Review; Comment Request
ACTION: Notice.
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The Department of Defense has submitted to OMB for clearance, the
following proposal for collection of information under the provisions
of the Paperwork Reduction Act (44 U.S.C. Chapter 35).
Title, Applicable Form, and OMB Number: TRICARE Senior Prime
Enrollment Application Form: OMB No. 0720-[to be determined].
Type of Request: New collection; Emergency Processing requested
with a shortened public comment period ending May 4, 1998. An approval
date of May 15, 1998, is requested.
Number of Respondents: 77,381.
Responses per Respondent: 1.
Annual Responses: 77,381.
Average Burden Per Response: 20 minutes.
Annual Burden Hours: 25,536 hours.
Needs and Uses: This information collection is a requirement for
TRICARE Senior Prime, a joint demonstration project of military managed
health care conducted by the Department of Defense (DoD) and the
Department of Health and Human Services (HHS). Under this
demonstration, authorized by the Balanced Budget Act of 1997, DoD will
offer Medicare-eligible military retirees and their dependents
enrollment in a DoD-operated managed health care program. Medicare-
eligible beneficiaries will be offered the opportunity to enroll at
selected Medical treatment Facilities (MTFs) in a managed care program
modeled after the existing TRICARE Prime benefit. Medicare will
reimburse DoD on a capitated basis for health care services it provides
to the enrolled beneficiaries. Eligible beneficiaries seeking
enrollment in the program will be required to fill out an enrollment
application which will provide information pertaining to eligibility
for the program, personal information for identification purposes, and
information on other health insurance.
Affected Public: Individuals or households.
Frequency: On occasion.
Respondent's Obligation: Required to obtain or retain a benefit.
OMB Desk Officer: Ms. Allison Eydt.
Written comments and recommendations on the proposed information
collection should be sent to Ms. Eydt at the Office of Management and
Budget, Desk Officer for DoD/Health Affairs, Room 10235, New Executive
Office Building, Washington, DC 20503, or via facsimile at (202) 395-
6974.
DOD Clearance Officer: Mr. Robert Cushing.
Requests for copies of the information collection proposal should
be sent to Mr. Cushing at OSD/WHS/DIOR, 1215 Jefferson Davis Highway,
Suite 1204, Arlington, VA 22202-4302, or via facsimile at (703) 604-
6270, or requested telephonically at (703) 604-4582.
Dated: April 17, 1998.
Patricia L. Toppings,
Alternate OSD Federal Register, Liaison Officer, Department of Defense.
[FR Doc. 98-10746 Filed 4-22-98; 8:45 am]
BILLING CODE 5000-04-M
