17878 Federal Register / Vol. 72, No. 68 / Tuesday, April 10, 2007 / Notices 

In accordance 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 

extension of 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 

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 June 11, 2007. 

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, 1160 Defense Pentagon, 

Washington, DC 20301–1160. 

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, please 

write TRICARE Management Activity, 

Office of General Counsel, 16401 E. 

Centretech Parkway, Attn: Helen Hilton, 

Aurora, CO 80011, or call TRICARE 

Management Activity, Office of General 

Counsel, at (303) 676–3542. 

Title Associated With Form, and OMB 

Number: Statement of Personal Injury—

Possible Third Party Liability, TRICARE 

Management Activity; DD Form 2527; 

OMB Number 0720–0003. 

Needs and Uses: This information 

collection is completed by CHAMPUS 

beneficiaries suffering from personal 

injuries and receiving medical care at 

Government expense. The information 

is necessary in the assertion of the 

Government’s right to recovery under 

the Federal Medical Care Recovery Act. 

The data is used in the evaluation and 

processing of these claims. 

Affected Public: Individuals or 

households; Federal government. 

Annual Burden Hours: 33,250. 

Number of Respondents: 133,000. 

Responses per Respondent: 1. 

Average Burden per Response: 20 

minutes. 

Frequency: On occasion, only when a 

beneficiary is injured under 

circumstances creating possible liability 

in a third party. 

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection 

The Federal Medical Recovery Act, 42 

U.S.C. 2651–2653 as implemented by 

Executive Order No. 11060 and 28 CFR 

part 43 provides for recovery of the 

reasonable value of medical care 

provided by the United States to a 

person who is injured or suffers a 

disease under circumstances creating 

tort liability in some third person. DD 

Form 2527 is required for investigating 

and asserting claims in favor of the 

United States arising out of such 

incidents. 

When a claim for CHAMPUS benefits 

is identified as involving possible third 

party liability and the information is not 

submitted with the claim, the TRICARE/ 

CHAMPUS contractor requests that the 

injured party (or a designee) complete 

DD Form 2527. To protect the interests 

of the Government, the contractor 

suspends claims processing until the 

requested third party liability 

information is received. The contractor 

conducts a preliminary evaluation based 

upon the collection of information and 

refers the case to a designated 

appropriate legal officer of the 

Uniformed Services. The responsible 

Uniformed Services legal officer uses 

the information as a basis for asserting 

and settling the Government’s claim. 

When appropriate, the information is 

forwarded to the Department of Justice 

as the basis for litigation. 

Section 1 of the Form is used to 

collect general information, such as 

name, address and telephone numbers 

about the military sponsor and the 

injured beneficiary and the date, time 

and location where the injured 

occurred. 

Section 2 of the Form is used to 

collect information about accidental 

injuries. Most of the investigations for 

third party liability involve motor 

vehicle accidents. Information about 

insurance coverage for the parties 

involved in the accident is collected. 

Section 2 of the Form is also used to 

collect information about accidents that 

do not involve motor vehicles. 

Information such as the type of 

accident, the place where the injury 

occurred, the name of the property 

owner where the injury occurred and 

cause of the injury is collected. The 

name and address of the employer is 

collected when the injury was work 

related. 

Section 3 of the Form is used for 

miscellaneous information such as 

possible medical treatment at a 

Government hospital, the name and 

address of the beneficiary’s attorney, 

and information regarding any possible 

releases or settlements with another 

party to the accident. It also contains the 

certification, date and signature of the 

beneficiary (or a designee). 

Dated: April 3, 2007. 

Patricia L. Toppings, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 07–1757 Filed 4–9–07; 8:45 am] 

BILLING CODE 5001–06–M 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[No. DoD–2007–HA–0029] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

In accordance 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 

extension of 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 

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 June 11, 2007. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 


cprice-sewell on PROD1PC66 with NOTICES
Federal Register / Vol. 72, No. 68 / Tuesday, April 10, 2007 / Notices 17879 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, 1160 Defense Pentagon, 

Washington, DC 20301–1160. 

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, please 

write to TRICARE Management Activity, 

Contract Operations Branch, 16401 E. 

Centretech Parkway, Attn: Kenneth 

Zimmerman, Aurora, CO 80011, or call 

TRICARE Management Activity, 

Contract Operations Branch, at (303) 

676–3502. 

Title Associated With Form, and OMB 

Number: TRICARE Retiree Dental 

Program Enrollment Form, OM Number 

0720–0015. 

Needs and Uses: This information 

collection is completed by Uniformed 

Services members entitled to retired pay 

and their eligible family members who 

are seeking enrollment in the TRICARE 

Retiree Dental Program (TRDP). The 

information is necessary to enable the 

DoD-contracted third party 

administrator of the program to identify 

the program’s applicants, determine 

their eligibility for TRDP enrollment, 

establish the premium payment amount, 

and to verify by the applicant’s 

signature that the applicant understands 

the benefits and rules of the program. 

Affected Public: Individuals or 

household. 

Annual Burden Hours: 17,833. 

Number of Respondents: 71,332. 

Responses per Respondent: 1. 

Average Burden per Response: 15 

minutes. 

Frequency: Once, at time of initial 

application. 

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection 

The TRICARE Retiree Dental Program 

(32 CFR 199.22) was implemented in 

1998 based on the authority of 10 U.S.C. 

1076c. Dental coverage under the 

program is available on a voluntary 

basis to retirees of the Uniformed 

Services entitled to retired pay and their 

family members. The initial Notice of 

Proposed rule and proposed information 

collection was published in the Federal 

Register (62 FR 34032) on June 24, 1997. 

No comments were received concerning 

the information collection requirements 

at that time. 

The information collection 

requirements under this proposed 

extension are similar to those under the 

current collection. Information on the 

applicant, such as name, address, 

telephone numbers, retiree’s social 

security numbers, is necessary for 

identification purposes, as is 

information on the family members to 

be enrolled. The form contains 

information on premium payment types 

of enrollments, and enrollment periods, 

and a certification statement for the 

applicant to sign and date. The primary 

change in the proposed extension of the 

information collection is the elimination 

of the requirement for information on 

the applicant’s chosen premium 

payment methodology if the applicant is 

not entitled to retired pay (e.g., a 

surviving spouse). The third party 

administrator of the program has found 

it unnecessary to continue the collection 

of this information on the enrollment 

form. 

Dated: April 2, 2007. 

Patricia L. Toppings, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 07–1758 Filed 4–9–07; 8:45 am] 

BILLING CODE 5001–06–M 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[No. DoD–2007–OS–0032] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Under Secretary of 

Defense (Personnel and Readiness), 

DoD. 

ACTION: Notice. 

In compliance with Section 

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

Reduction Act of 1995, the Office of the 

Under Secretary of Defense (Personnel 

and Readiness) announces the following 

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 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 June 11, 2007. 

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, 1160 Defense Pentagon, 

Washington, DC 20301–1160. 

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 Under 

Secretary of Defense (Personnel and 

Readiness) (Military Personnel Policy) 

(Officer and Enlisted Personnel 

Management), ATTN: CDR Lesa Kirsch, 

USN, 4000 Defense Pentagon, 

Washington, DC 20301–4000 or call at 

(703) 697–4959. 

Title, Associated Form, and OMB 

Control Number: Repatriation 

Automated Accounting and Reporting 

System, DD Form 2585, OMB Control 

Number 0704–0334. 

Needs and Uses: This information 

collection is necessary for personnel 

accountability of all evacuees, 

regardless of nationality, who are 

processed through designated 

Repatriation Centers throughout the 

United States. The information obtained 

from the DD Form 2585 is entered into 

an automated system; a series of reports 

is accessible to DoD Components, 

Federal and State agencies and Red 

Cross, as required. 

Affected Public: Individuals or 

households; Federal government. 

Annual Burden Hours: 1,667. 

Number of Respondents: 5,000. 

Responses per Respondent: 1. 

Average Burden per Response: 20 

minutes. 

Frequency: One-time. 

SUPPLEMENTARY INFORMATION: 


cprice-sewell on PROD1PC66 with NOTICES