75508 Federal Register / Vol. 71, No. 241 / Friday, December 15, 2006 / Notices 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[No. DoD–2006–HA–0195] 

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 January 16, 2007. 

Title, Form and OMB Number: 

Women, Infants, and Children 

Overseas—Eligibility Determination; 

OMB Number 0720–0030. 

Type of Request: Extension. 

Number of Respondents: 375. 

Responses Per Respondent: 2. 

Annual Responses: 750. 

Average Burden Per Response: 15 

minutes. 

Annual Burden Hours: 188. 

Needs and Uses: The information 

collection requirement is necessary for 

individuals to apply for certification 

and periodic recertification to receive 

WIC Overseas benefits. 

Affected Public: Individuals or 

households. 

Frequency: On occasion and semiannually. 

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, DoD Health 

Desk Officer, Room 10102, New 

Executive Office Building, Washington, 

DC 20503. 

You may also submit comments, 

identified by docket number and title, 

by the following method: 

• Federal e-Rulemaking 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, 1777 

North Kent Street, RPN, Suite 11000, 

Arlington, VA 22209–2133. 

Dated: December 8, 2006. 

Patricia L. Toppings, 

Alternate OSD Federal Register, Liaison 

Officer, Department of Defense. 

[FR Doc. 06–9718 Filed 12–14–06; 8:45 am] 

BILLING CODE 5001–06–M 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[No. DoD–2006–HA–0180] 

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 January 16, 2007. 

Title, Form, and OMB Number: 

TRICARE Prime Enrollment/ 

Disenrollment Applications; DD Forms 

2876 and 2877; OMB Number 0720–

0008. 

Type of Request: Extension. 

Number of Respondents: 72,905. 

Responses Per Respondent: 1. 

Annual Responses: 72,905. 

Average Burden Per Response: 20 

minutes (DD Form 2876) and 5 minutes 

(DD Form 2877). 

Annual Burden Hours: 22,316. 

Needs and Uses: This information is 

collected in accordance with the 

National Defense Authorization for 

Fiscal Year 2001 (Pub. L. 106–398), 

section 723(b)(E). These collection 

instruments serve as applications for 

enrollment in the Primary Care Manager 

(PCM) Change and disenrollment from 

the Department of Defense’s TRICARE 

Prime programs established in 

accordance with Title 10 U.S.C. 1099 

(which calls for a healthcare enrollment 

system). Monthly payment options for 

retiree enrollment fees for TRICARE 

Prime are established in accordance 

with Title 10 U.S.C. 1097a(c). The 

information collected on the TRICARE 

Prime Enrollment Application/PCM 

Change form provides the necessary 

data to determine beneficiary eligibility, 

to identify the selection of a health care 

option, and to change the designated 

PCM when the beneficiary is relocating 

or merely requests a local PCM change. 

The information collected on the 

TRICARE Prime disenrollment form 

provides the necessary data to disenroll 

a beneficiary from TRICARE Prime. The 

disenrollment application is needed to 

implement disenrollment from 

TRICARE Prime, TRICARE Prime 

Remote or the Uniformed Services 

Family Health Plan as requested by the 

enrollee. Failure to provide information 

will result in continued enrollment and 

beneficiaries’ responsibility for payment 

of an enrollment fee. 

Affected Public: Individuals or 

households. 

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, DoD Health 

Desk Officer, Room 10102, 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.pInstructions: 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, 1777 

North Kent Street, RPN, Suite 11000, 

Arlington, VA 22209–2133. 

Dated: December 8, 2006. 

Patricia L. Toppings, 

Alternate OSD Federal Register, Liaison 

Officer, Department of Defense. 

[FR Doc. 06–9719 Filed 12–14–06; 8:45 am] 

BILLING CODE 5001–06–M 

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