25708 Federal Register / Vol. 77, No. 84 / Tuesday, May 1, 2012 / Notices 

Department of Defense (DoD) suite of 

Electronic Health Record (EHR) 

applications. 

Until recently, understanding the 

performance of EHR systems focused on 

functionality and user satisfaction. Now 

the focus has shifted towards 

understanding the usability of a system. 

This usability attribute describes the 

ease with which people can use the 

system to achieve a goal, and consists of 

three measurable components: 

Efficiency, effectiveness, and 

satisfaction. 

As the Military Health Systems (MHS) 

moves towards developing the next 

generation of EHR applications, it is 

important to obtain baseline usability 

data of our current suite of applications 

and be able to monitor changes over 

time as the new EHR is deployed. Over 

the next five years, the DoD will make 

a significant investment to deliver a new 

EHR solution and it will be important to 

accurately assess the benefits realized as 

a result of this investment. 

Affected Public: Individuals or 

households; Federal government. 

Frequency: Quarterly. 

Respondent’s Obligation: Voluntary. 

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. 2012–10399 Filed 4–30–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket No. DOD–2010–HA–0177] 

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 May 31, 2012. 

Title and OMB Number: Traumatic 

Brain Injury, Post-Traumatic Stress 

Disorder, and Long-Term Quality of Life 

Outcomes in Injured Tri-Service U.S. 

Military Personnel; OMB Control 

Number 0720–TBD. 

Type of Request: New. 

Number of Respondents: 4644. 

Responses per Respondent: 2. 

Annual Responses: 9288. 

Average Burden per Response: 20 

minutes. 

Annual Burden Hours: 3096 hours. 

Needs and Uses: The information 

collection requirement is necessary for 

the Naval Health Research Center 

(NHRC) to carry out the research study 

it has been tasked to perform. This 

research study will assess the long-term 

health impact of injury on quality of life 

outcomes in injured tri-service U.S. 

military personnel, with a special focus 

on the effects of traumatic brain injury 

(TBI) and Post-traumatic Stress Disorder 

(PTSD). 

Information collected will be used to 

investigate the long-term effects of 

injury, TBI, and PTSD on the overall 

physical and psychological health of 

military personnel injured in overseas 

contingency operations. Participants 

will respond to a health-related 

questionnaire bi-annually for three to 

six years. Respondents to this study will 

include both active-duty and separated 

members of all branches of the U.S. 

Armed Forces. 

Affected Public: Individuals or 

households. 

Frequency: Bi-annual. 

Respondent’s Obligation: Voluntary. 

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. 2012–10400 Filed 4–30–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket No. DOD–2009–HA–0161] 

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 May 31, 2012. 

Title and OMB Number: Application 

for TRICARE–Provider Status: 

Corporation Services Provider; OMB 

Number 0720–0020. 

Type of Request: Reinstatement. 

Number of Respondents: 200. 

Responses per Respondent: 1. 

Annual Responses: 200. 

Average Burden per Response: 1 hour. 

Annual Burden Hours: 200 hours. 

Needs and Uses: The information 

collection will allow eligible providers 

mstockstill on DSK4VPTVN1PROD with NOTICES

Federal Register / Vol. 77, No. 84 / Tuesday, May 1, 2012 / Notices 25709 

to apply for Corporate Services Provider 

status under the TRICARE program. 

Affected Public: Businesses or other 

for-profit; not-for-profit institutions. 

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. 2012–10397 Filed 4–30–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket No. DOD–2010–HA–0175] 

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 May 31, 2012. 

Title, Associated Form and OMB 

Number: Health Insurance Claim Form, 

CMS–1500; OMB Control Number 

0720–0001. 

Type of Request: Reinstatement. 

Number of Respondents: 86,000,000. 

Responses per Respondent: 1. 

Annual Responses: 86,000,000. 

Average Burden per Response: 15 

minutes. 

Annual Burden Hours: 21,500,000 

hours. 

Needs and Uses: This information 

collection requirement is used by 

TRICARE to determine reimbursement 

for health care services or supplies 

rendered by individual professional 

providers to TRICARE beneficiaries. The 

requested information is used to 

determine beneficiary eligibility, 

appropriateness and costs of care, other 

health insurance liability and whether 

services received are benefits. Use of 

this form continues TRICARE 

commitments to use the national 

standard claim form for reimbursement 

of services/supplies provided by 

individual professional providers. 

Affected Public: Business or other forprofit; not-for-profit institutions; Federal 

government; state, local or tribal 

government. 

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. 2012–10393 Filed 4–30–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket No. DOD–2010–HA–0131] 

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 May 31, 2012. 

Title, Associated Form and OMB 

Number: Statement of Personal Injury— 

Possible Third Party Liability, TRICARE 

Management Activity; DD Form 2527; 

OMB Control Number 0720–0003. 

Type of Request: Reinstatement. 

Number of Respondents: 224,399. 

Responses per Respondent: 1. 

Annual Responses: 224,399. 

Average Burden per Response: 15 

minutes. 

Annual Burden Hours: 56,100 hours. 

Needs and Uses: The information is 

provided by TRICARE (formerly 

CHAMPUS) beneficiaries suffering from 

personal injuries and receiving medical 

care at Government expense. The 

information is necessary in the assertion 

of the Government’s right to recovery 

under the Federal Medical Care 

Recovery Act. The data is used in the 

evaluation and processing of these 

claims. 

Affected Public: Individuals or 

households; Federal government. 

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 

mstockstill on DSK4VPTVN1PROD with NOTICES