99-12802. Proposed Collection; Comment Request

[Federal Register Volume 64, Number 98 (Friday, May 21, 1999)]
[Notices]
[Pages 27760-27761]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-12802]


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DEPARTMENT OF DEFENSE

Office of the Secretary


Proposed Collection; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health 
Affairs.

ACTION: Notice

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    In accordance with Section 3506 (c)(2)(A) of the Paperwork 
Reduction Act of 1995, the Office of the Assistant Secretary of Defense 
(Health Affairs) announces the proposed reinstatement of a public 
information collection and seeks public comment on the provisions 
thereof. Comments are invited on: (a) whether the proposed extension of 
collection of information is necessary for the proper performance of 
the functions of the agency, including whether the information shall 
have practical utility; (b) the accuracy of the agency's estimate of 
the burden of the information collection; (c) ways to enhance the 
quality, utility, and clarity of the information to be collected; and 
(d) 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 July 20, 
1999.

ADDRESSES: Written comments and recommendations on the information 
collection should be sent to Office of the Assistant Secretary of 
Defense (Health Affairs) TRICARE Management Activity, Skyline Five, 
Suite 810, 5111 Leesburg Pike, Falls Church, Virginia 22041-3206.

FOR FURTHER INFORMATION CONTACT: To request more information on this 
proposed information collection, please write to the above address or 
call Michael Talisnik, Office of the Assistant Secretary of Defense 
(Health Affairs), TRICARE Management Activity at [phone].
    Title; Associated Form; and OMB Number: TRICARE Enrollment 
Application Form, OMB No. 0720-0008.
    Needs and Uses: The collection instrument serves as an application 
form for enrollment in the TRICARE Health Care Delivery Program 
established in accordance with 10 USC 1099. The information collected 
hereby

[[Page 27761]]

provides the private Third Party Administrator, contracted to provide 
administrative support services, with necessary data to determine 
beneficiary eligibility, other health insurance liability, premium 
payment, and to identify the selection of a health care option.
    Affected Public: Individuals or household.
    Annual Burden Hours: 75,000.
    Number of Respondents: 300,000.
    Responses Per Respondent: 1.
    Average Burden Per Response: 15 minutes.
    Frequency: On occasion.

SUPPLEMENTARY INFORMATION: The Department established TRICARE to 
provide for a more cost effective program for the delivery of health 
care services and to improve the quality of and access to health care 
services. In order to carry out this program, it is necessary that 
certain beneficiaries electing to enroll in the TRICARE Prime option 
complete an enrollment form. Completion of the enrollment form is an 
essential element of the TRICARE program.

    Dated: May 14, 1999.
L.M. Bynum,
Alternative OSD Federal Register Liaison Officer, Department of 
Defense.
[FR Doc. 99-12802 Filed 5-20-99; 8:45 am]
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