71176 Federal Register / Vol. 77, No. 230 / Thursday, November 29, 2012 / Notices 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DoD–2012–HA–0147] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

In compliance with Section 

3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the Office of the 

Assistant Secretary of Defense for 

Health Affairs announces a proposed 

public information collection and seeks 

public comment on the provisions 

thereof. Comments are invited on: (a) 

Whether the proposed 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 proposed 

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 by January 28, 2013. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

East Tower, Suite 02G09, Alexandria, 

VA 22350–3100. 

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. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on this 

proposed information collection or to 

obtain a copy of the proposal and 

associated collection instruments, 

please write to the Office of the 

Assistant Secretary of Defense (Health 

Affairs) TRICARE Management Activity, 

ATTN: Ms. Shane Pham, 7700 Arlington 

Boulevard, Suite 5101 Falls Church, VA 

22042–5101, or call at (703) 681–8666. 

Title; Associated Form; and OMB 

Number: TRICARE Plus Enrollment 

Application, DD Form 2853 and 

TRICARE Plus Disenrollment Request, 

DD Form 2854; OMB Control Number 

0720–0028. 

Needs and Uses: These collected 

instruments serve as an application for 

enrollment and disenrollment in the 

Department of Defense’s TRICARE Plus 

Health Plan established in accordance 

with Title 10 U.S.C. sections 1099 

(which calls for a healthcare enrollment 

system) and 1086 (which authorizes 

TRICARE eligibility of Medicare Eligible 

Persons and has resulted in the 

development of a new enrollment 

option called TRICARE Plus) and the 

Assistant Secretary of Defense for 

Health Affairs Policy Memorandum to 

Establish the TRICARE Plus Program, 

June 22, 2001. The information 

collected hereby provides the TRICARE 

contractors with necessary data to 

determine beneficiary eligibility and to 

identify the selection of a health care 

option. 

Affected Public: Individuals or 

household. 

Annual Burden Hours: 2,924. 

Number of Respondents: 25,065. 

Responses per Respondent: 1. 

Average Burden per Response: 7 

minutes. 

Frequency: On occasion. 

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection 

The Department of Defense 

established TRICARE Plus as an 

enrollment option for persons who are 

eligible for care in Military Treatment 

Facilities (MTF) and not enrolled in 

TRICARE Prime. TRICARE Plus 

provides an opportunity to enroll with 

a primary care provider at a specific 

MTF, to the extent capacity exists. This 

is a way to facilitate primary care 

appointments at an MTF when needed. 

TRICARE Plus enrollment will help 

MTFs maintain an adequate clinical 

case mix for Graduate Medical 

Education programs and support 

readiness-related medical skills 

sustainment activities. In order to carry 

out this program, it is necessary that 

certain beneficiaries electing to enroll/ 

disenroll in TRICARE Plus complete an 

enrollment application/disenrollment 

request. Completion of the enrollment 

forms is an essential element of the 

TRICARE program. There is no lock-in 

and no enrollment fee for TRICARE 

Plus. 

Dated: November 26, 2012. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2012–28878 Filed 11–28–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DoD–2012–HA–0149] 

Proposed Collection; Comment 

Request 

AGENCY: TRICARE Management 

Activity, Office of Administration, 

Personnel Security Division. 

ACTION: Notice. 

In compliance with Section 

3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the Office of the 

Assistant Secretary of Defense for 

Health Affairs announces the proposed 

extension of a public information 

collection and seeks public comment on 

the provisions thereof. Comments are 

invited on: (a) Whether the proposed 

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 

proposed 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 by January 28, 2013. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

East Tower, 2nd floor, Suite 02G09, 

Alexandria, VA 22350–3100. 

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. 


pmangrum on DSK3VPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 230 / Thursday, November 29, 2012 / Notices 71177 

FOR FURTHER INFORMATION CONTACT: To 

request more information on this 

proposed information collection or to 

obtain a copy of the proposal and 

associated collection instruments, 

please write to: TRICARE Management 

Activity (TMA), Office of 

Administration, Personnel Security 

Division, ATTN: Chief, Personnel 

Security Division, 5111 Leesburg Pike, 

Skyline 5, Suite 810, Falls Church, VA 

22041–3206 or call TMA, Office of 

Administration, Personnel Security 

Division, at 703–681–8707. 

Title; Associated Form; and OMB 

Number: TMA Personnel Security 

Division Case Management System; 

OMB Control Number 0720–TBD. 

Needs and Uses: The electronic 

information collection requirement is 

necessary to improve the current 

method of maintaining and recording 

the background investigation and 

security clearance status of TRICARE 

Management Activity contractor 

personnel who require access to TMA/ 

DoD Information Technology resource 

and network systems, in accordance 

with Homeland Security Policy 

Directive-12 (HSPD–12), Policy for a 

Common Identification Standard for 

Federal Employees and Contractors; 

Executive Order 10450, Security 

Requirements for Government 

Employment; Executive Order 12968, 

Access to Classified Information and 

Background Investigations Standards; 

DoD 5200.2R, Personnel Security 

Program; Directive Type Memorandum 

08–006, DoD Implementation of HSPD– 

12; Memorandum, May 18, 2009, DoD 

Implementation and Transition to the 

OPM eQIP; and Memorandum, 

September 9, 2009, TMA 

Implementation and Transition to the 

eQIP. 

Affected Public: Federal personnel 

and/or Federal contractors. 

Annual Burden Hours: 1,500. 

Number of Respondents: 2,000. 

Responses per Respondent: 1. 

Average Burden per Response: 45 

minutes. 

Frequency: Annual. 

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection 

TRICARE Management Activity 

(TMA), Office of Administration, 

Personnel Security Division (PSD) 

routinely obtains and records personnel 

security background investigation 

information as a basis for determining 

suitability for Homeland Security Policy 

Directive (HSPD)–12 credentialing of 

TMA contractor personnel that require 

access to TMA/DoD Information 

Technology (IT) resources and network 

systems. TMA’s HSPD–12 credential is 

known as the Common Access Card 

(CAC). The PSD makes interim 

determinations for issuance of the CAC 

for TMA contractor personnel who 

currently do not have the required 

background investigation, but do have a 

favorable Federal Bureau of 

Investigations (FBI) fingerprint report 

and/or favorable Advance National 

Agency Check (NAC), and a scheduled 

background investigation with the 

Office of Personnel Management (OPM). 

TMA PSD routinely maintains a record 

of background investigations requested 

from the Office of Personnel 

Management, Electronic Questionnaires 

for Investigations Processing (eQIP) 

system, and security clearance status of 

TMA contractors who require an 

approval before having access to TMA/ 

DoD Information Technology (IT) 

resources and network systems or to 

sensitive data. The electronic 

information collection system will 

reduce the level of work and time 

involved for determining the status of 

returning contractors and approving 

CAC renewals. 

Dated: November 26, 2012. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2012–28865 Filed 11–28–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DoD–2012–HA–0150] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

In compliance with Section 

3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the Office of the 

Assistant Secretary of Defense for 

Health Affairs announces the proposed 

extension of a public information 

collection and seeks public comment on 

the provisions thereof. Comments are 

invited on: (a) Whether the proposed 

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 

proposed 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 by January 28, 2013. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

East Tower, 2nd Floor, Suite 02G09, 

Alexandria, VA 22350–3100. 

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. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on this 

proposed information collection or to 

obtain a copy of the proposal and 

associated collection instruments, 

please write to Defense Health Services 

Systems (DHSS) Program Executive 

Office (PEO), ATTN: Maj Ethiel 

Rodriguez, Defense Health Headquarters 

(DHHQ) 7700 Arlington Boulevard, 

Falls Church, Virginia 22042–2902, or 

call DHSS, at 703–681–1137. 

Title; Associated Form; and OMB 

Number: Centralized Credentials 

Quality Assurance System (CCQAS); 

OMB Control Number 0720–TBD. 

Needs and Uses: CCQAS v2.9.11 is an 

automated Tri-Service, Web-based 

database containing credentialing, 

privileging, risk management, and 

adverse actions information on direct 

healthcare providers in the MHS. 

CCQAS also allows providers to apply 

for privileges online. This latter 

capability allows for a privileging 

workflow for new providers, for 

transfers (TDY and PCS), for 

modification of privileges, and for 

renewal of privileges and staff 

reappointment within the system. 

CCQAS was CAC enforced December 

2009 and as part of the Federal Health 

Care Center, North Chicago, VA PIV 

users gained access in October 2010. In 

November 2011, CCQAS was PKI/SSO 

integrated. 

Affected Public: Individuals or 

households. 

Annual Burden Hours: 80,000. 

Number of Respondents: 40,000. 

Responses per Respondent: 1. 


pmangrum on DSK3VPTVN1PROD with NOTICES