26008 Federal Register / Vol. 80, No. 87 / Wednesday, May 6, 2015 / Notices 

registration, please contact Jennifer 

Holtz at (202) 482–2048 or email 

broadbandusa@ntia.doc.gov. Copies of 

the presentations provided in the 

webinar will be available on the NTIA 

Web site within 30 days following the 

webinar. 

The webinar will be accessible to 

people with disabilities. Individuals 

requiring accommodations are asked to 

notify Theresa Thomas at (202) 482– 

7407 or tthomas@ntia.doc.gov at least 5 

business days before the webinar. 

Dated: May 1, 2015. 

Lisa Mensah, 

Under Secretary for Rural Development. 

Lawrence E. Strickling, 

Assistant Secretary for Communications and 

Information. 

[FR Doc. 2015–10580 Filed 5–5–15; 8:45 am] 

BILLING CODE 3510–60–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DoD–2015–HA–0039] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

SUMMARY: In compliance with 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 July 6, 2015. 

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: Department of Defense, Office 

of the Deputy Chief Management 

Officer, Directorate of Oversight and 

Compliance, Regulatory and Audit 

Matters Office, 9010 Defense Pentagon, 

Washington, DC 20301–9010. 

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. Any associated form(s) for 

this collection may be located within 

this same electronic docket and 

downloaded for review/testing. Follow 

the instructions at http://

www.regulations.gov for submitting 

comments. Please submit comments on 

any given form identified by docket 

number, form number, and title. 

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 Defense Health 

Agency, Medical Benefits and 

Reimbursement Office, 16401 E. 

Centretech Pkwy, Attn: Sharon 

Seelmeyer, Aurora, CO 80011–9066, or 

call Defense Health Agency, Medical 

Benefits and Reimbursement Office at 

(303) 676–3690. 

SUPPLEMENTARY INFORMATION: Title; 

Associated Form; and OMB Number: 

Diagnosis Related Groups (DRG) 

Reimbursement; OMB Control Number: 

0720–0017. 

Needs and Uses: The TRICARE/

CHAMPUS contractors will use the 

information collected to reimburse 

hospitals for TRICARE/CHAMPUS share 

of capital and direct medical education 

costs. 

Affected Public: Individuals; business 

or other for-profit. 

Annual Burden Hours: 8,400. 

Number of Respondents: 5,600. 

Responses per Respondent: 1. 

Average Burden per Response: 90 

minutes. 

Frequency: On occasion. 

The Department of Defense 

Authorization Act, 1984, Public Law 

98–94 amended Title 10, section 

1079(j)(2)(A) of the U.S.C. and provided 

the Civilian Health and Medical 

Program of the Uniform Services 

(CHAMPUS) with the statutory 

authority to reimburse institutional 

providers based on diagnosis-related 

groups (DRGs). The CHAMPUS DRGbased payment system, except for 

children’s hospitals (whose capital and 

direct medical education costs are 

incorporated in the children’s hospital 

differential), who want to be reimbursed 

for allowed capital and direct medical 

education costs must submit a request 

for payment to the TRICARE/CHAMPUS 

contractor. The request allows TRICARE 

to collect the information necessary to 

properly reimburse hospitals for its 

share of these costs. The information 

can be submitted in any form, most 

likely in the form of a letter. The 

contractor will calculate the TRICARE/ 

CHAMPUS share of capital and direct 

medical educations costs and make a 

lump-sum payment to the hospital. The 

TRICARE/CHAMPUS DRG-based 

payment system is modeled on the 

Medicare Prospective Payment System 

(PPS) and was implemented on October 

1, 1987. Initially, under 42 CFR 412.46 

of the Medicare regulations, physicians 

was required to sign attestation and 

acknowledgment statements. These 

requirements were implemented to 

ensure a means of holding hospitals and 

physicians accountable for the 

information they submit on the 

Medicare claim forms. Being modeled 

on the Medicare PPS, CHAMPUS also 

adopted these requirements. The 

physicians attestation and physician 

acknowledgment required by Medicare 

under 42 CFR 412.46 are also required 

for TRICARE/CHAMPUS as a condition 

for payment and may be satisfied by the 

same statements as required for 

Medicare, with substitution or addition 

of ‘‘TRICARE/CHAMPUS’’ when the 

word ‘‘Medicare’’ is used. Physicians 

sign a physician acknowledgement, 

maintained by the institution, at the 

time the physician is granted admitting 

privileges. This acknowledgement 

indicates the physician understands the 

importance of a correct medical record, 

and misrepresentation may be subject to 

penalties. 

Dated: April 30, 2015. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2015–10510 Filed 5–5–15; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2015–HA–0040] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 87 / Wednesday, May 6, 2015 / Notices 26009 

SUMMARY: In compliance 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 July 6, 2015. 

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: Department of Defense, Office 

of the Deputy Chief Management 

Officer, Directorate of Oversight and 

Compliance, Regulatory and Audit 

Matters Office, 9010 Defense Pentagon, 

Washington, DC 20301–9010. 

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. 

Any associated form(s) for this 

collection may be located within this 

same electronic docket and downloaded 

for review/testing. Follow the 

instructions at http://

www.regulations.gov for submitting 

comments. Please submit comments on 

any given form identified by docket 

number, form number, and title. 

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 TRICARE Dental 

Care Office, Health Plan Execution and 

Operation, Defense Health Agency 

(DHA), Rm. 3M451, ATTN: COL Colleen 

C. Shull, Falls Church, VA 22042 or call 

(703) 681–9517, DSN 761. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: Active Duty Dental Program 

(ADDP) Claim Form; OMB Control 

Number 0720–0053. 

Needs and Uses: The information 

collection is necessary to obtain and 

record the dental readiness of Service 

Members using the Active Duty Dental 

Program (ADDP) and at the same time 

submit the claim for the dental 

procedures provided so that claims can 

be processed and reimbursement made 

to the provider. Many Service Members 

are not located near a military dental 

treatment facility and receive their 

dental care in the private sector. 

Affected Public: Business or other for 

profit institutions; Not-for-profit 

institutions. 

Annual Burden Hours: 25,000. 

Number of Respondents: 75,000. 

Responses per Respondent: 4. 

Average Burden per Response: 5 

minutes. 

Frequency: On occasion. 

Respondents are dental providers who 

submit claims in order to be reimbursed 

for delivered dental care. The ADDP 

Claim form allows civilian dental 

providers to submit the claim for dental 

procedures provided to active duty 

service members and to update their 

dental readiness classification at the 

same time. The completed form is 

forwarded to the ADDP contractor, 

United Concordia Companies, Inc. for 

reimbursement and the electronic 

update of the dental readiness. If the 

form is not available, civilian providers 

will not have a mechanism to submit 

dental claims with the information 

required for reimbursement to provide 

an updated dental readiness 

classification for the member. Dental 

readiness classification allows the 

Services to ensure that all Service 

Members are ready for worldwide 

deployment. Dental readiness is an 

integral part of medical readiness, and 

medical readiness is fundamental to the 

readiness of our forces. 

Dated: April 30, 2015. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2015–10513 Filed 5–5–15; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2015–HA–0038] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

SUMMARY: In compliance with 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 July 6, 2015. 

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: Department of Defense, Office 

of the Deputy Chief Management 

Officer, Directorate of Oversight and 

Compliance, Regulatory and Audit 

Matters Office, 9010 Defense Pentagon, 

Washington, DC 20301–9010. 

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. 

Any associated form(s) for this 

collection may be located within this 

same electronic docket and downloaded 

for review/testing. Follow the 

instructions at http://

www.regulations.gov for submitting 

comments. Please submit comments on 


tkelley on DSK3SPTVN1PROD with NOTICES