04-6881. Submission for OMB Review; Comment Request

ACTION:

Notice.

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).

DATES:

Consideration will be given to all comments received by April 28, 2004.

Title, Form, and OMB Number: TRICARE Retiree Dental Program; OMB Number 0720-0015.

Type of Request: Reinstatement.

Number of Respondents: 50,000.

Responses per Respondent: 1.

Annual Responses: 50,000.

Average Burden Per Response: 9 minutes.

Annual Burden Hours: 7,500.

Needs and Uses: The information collection requirement is necessary to provide the TRDP contractor (Delta Dental) with the information required to enroll eligible beneficiaries in the TRDP. Respondents are those DoD retired, eligible personnel and some others who wish to join the TRDP.

Affected Public: Individuals or households.

Frequency: On occasion.

Respondent's Obligation: Required to obtain or retain benefits.

OMB Desk Officer: Mr. John Kraemer. Written comments and recommendations on the proposed information collection should be sent to Mr. Kraemer at the Office of Management and Budget, Desk Officer for DoD Health Affairs, Room 10236, New Executive Office Building, Washington, DC 20503.

DoD Clearance Officer: Mr. Robert Cushing. Written requests for copies of the information collection proposal should be sent to Mr. Cushing, WHS/ESCD/Information Management Division, 1225 Jefferson Davis Highway, Suite 504, Arlington, VA 22202-4326.

L. M. Bynum,

Alternate OSD Federal Register Liaison Officer, Department of Defense.