Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
                -                       the RIN which identifies each regulatory action listed in                      the Unified Agenda of Federal Regulatory and Deregulatory                      Actions                    

                    See the                                          Document Drafting Handbook                                        for more details.                  

###### Department of Defense

###### Office of the Secretary

          - [Docket No. DOD-2009-HA-0161]

# 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                               ( print page 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