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###### Department of Defense

###### Office of the Secretary

          - [Docket No. DOD-2010-HA-0132]

# 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 May 31, 2012.

*Title and OMB Number:*                         TRICARE Retiree Dental Program Enrollment Application; OMB Control Number 0720-0015.                    

*Type of Request:*                         Reinstatement.                    

*Number of Respondents:*                         64,000.                    

*Responses per Respondent:*                         1.                    

*Annual Responses:*                         64,000.                    

*Average Burden per Response:*                         15 minutes.                    

*Annual Burden Hours:*                         16,000.                    

*Needs and Uses:*                         The information is necessary to enable the DoD-contracted third party administrator of the program to identify the program's applicants, determine their eligibility for TRICARE Retiree Dental Program enrollment, establish the premium payment amount, and to verify by the applicant's signature that the applicant understands the benefits and rules of the program. The information is provided by Uniformed Services members entitled to retired pay and their eligible family members who are seeking enrollment in the TRICARE Retiree Dental Program.                    

*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, Room 10236, New Executive Office Building, Washington, DC 20503.

You may also submit comments, identified by docket number and title, by the following method:
      -  Federal eRulemaking Portal: http://www.regulations.gov.                          Follow the instructions for submitting comments.                    

*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.                    

*DOD Clearance Officer:*                         Ms. Patricia Toppings.                    

Written requests for copies of the information collection proposal should be sent to Ms. Toppings at WHS/ESD/Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100.

Dated: February 15, 2012.

Patricia L. Toppings,

OSD Federal Register Liaison Officer, Department of Defense.

[FR Doc. 2012-10395 Filed 4-30-12; 8:45 am]

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