Federal Register / Vol. 72, No. 166 / Tuesday, August 28, 2007 / Notices 49265 

Needs and Uses: 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 TRICARE 

Retiree Dental Program 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. 

The information is provided by 

Uniformed Services members entitled to 

retired pay and their eligible family 

members who are seeking enrollment in 

the TRICARE Retiree Dental Program. 

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, 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 

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: August 22, 2007. 

Patricia L. Toppings, 

Alternate OSD Federal Register, Liaison 

Officer, Department of Defense. 

[FR Doc. 07–4207 Filed 8–27–07; 8:45 am] 

BILLING CODE 5001–06–M 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[No. DoD–2007–HA–0022] 

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 September 27, 

2007. 

Title, Associated Form and OMB 

Number: Statement of Personal Injury—

Possible Third Party Liability, TRICARE 

Management Activity; DD Form 2527; 

OMB Control Number 0720–0003. 

Type of Request: Extension. 

Number of Respondents: 133,000. 

Responses per Respondent: 1. 

Annual Responses: 133,000. 

Average Burden per Response: 20 

minutes. 

Annual Burden Hours: 33,250. 

Needs and Uses: The information is 

provided 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. 

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 

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: August 22, 2007. 

Patricia L. Toppings, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 07–4208 Filed 8–27–07; 8:45 am] 

BILLING CODE 5001–06–M 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[No. DOD–2007–HA–0023] 

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 September 27, 

2007. 

Title, Associated Form and OMB 

Number: Professional Qualifications 

Medical/Peer Reviewers; CHAMPUS 

Form 780; OMB Control Number 0720–

0005. 

Type of Request: Extension. 

Number of Respondents: 60. 

Responses per Respondent: 1. 

Annual Responses: 60. 

Average Burden per Response: 15 

minutes. 

Annual Burden Hours: 15. 

Needs and Uses: The information 

collection requirement is necessary to 

obtain and record the professional 

qualifications of medical and peer 

reviewers utilized within TRICARE. The 

form is included as an exhibit in an 

appeal or hearing case file as evidence 

of the reviewer’s professional 

qualifications to review the medical 

documentation contained in the case 

file. 

Affected Public: Business or other forprofit; individuals or households. 

Frequency: On occasion. 

Respondent’s Obligation: Voluntary. 

OMB Desk Officer: Mr. John Kraemer. 

Written comments and 

recommendations on the proposed 


pwalker on PROD1PC71 with NOTICES