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-0012]

# 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 September 2, 2009.

*Title and OMB Number:*                         TRICARE Dental Program (TDP) Dentist's Claim Form DD 5578 G 9/05 and TRICARE Dental Program Dentist's Claim Form DD 5678 F 10/05 OCONUS; OMB No. 0720-0035.                    

*Type of Request:*                         Extension.                    

*Number of Respondents:*                         64,930.                    

*Responses per Respondent:*                         62.                    

*Annual Responses:*                         4,025,660.                    

*Average Burden per Response:*                         15 minutes.                    

*Annual Burden Hours:*                         1,006,415.                    

*Needs and Uses:*                         The TDP Claim Form(s) CONUS/OCONUS are required to gather information to make payment for legitimate dental claims and to assist in contractor surveillance and program integrity investigations and to audit financial transactions where the Department of Defense has a financial stake. The information from the claim form is also used to provide important cost-share explanations to the beneficiary.                    

*Affected Public:*                         Business or other-for-profit.                    

*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                               ( print page 38423)                            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, 1777 North Kent Street, RPN, Suite 11000, Arlington, VA 22209-2133.

Dated: July 24, 2009.

Patricia L. Toppings,

OSD Federal Register Liaison Officer, Department of Defense.

[FR Doc. E9-18401 Filed 7-31-09; 8:45 am]

BILLING CODE 5001-06-P