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[Federal Register Volume 80, Number 21 (Monday, February 2, 2015)]
[Notices]
[Pages 5520-5521]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-01828]

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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2015-HA-0009]

Proposed Collection; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health 
Affairs, DoD.

ACTION: Notice.

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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 April 3, 
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: Federal Docket Management System Office, 4800 Mark 
Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100.
    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

[[Page 5521]]

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, ATTN: Mr. Mark Ellis, 7700 Arlington Boulevard, Falls Church, 
VA 22042-5101, or call (703) 681-0039.

SUPPLEMENTARY INFORMATION:
    Title; Associated Form; and OMB Number: TRICARE Young Adult 
Application; DD Form 2947; OMB Control Number 0720-0049.
    Needs and Uses: The information collection requirement is necessary 
to evaluate eligibility and qualifications of former young adult 
dependents applying for extended dependent coverage under the TRICARE 
Young Adult program (10 U.S.C. 1110b).
    Affected Public: Individuals or households.
    Annual Burden Hours: 8,000.
    Number of Respondents: 16,000.
    Responses per Respondent: 2.
    Average Burden per Response: 15 minutes.
    Frequency: On occasion.
    Information is collected from respondents whenever the respondent 
wishes to apply for extended dependent coverage under the TRICARE Young 
Adult program, when the respondent wishes to change their coverage 
under the TRICARE Young Adult program, or when the respondent wishes to 
terminate their coverage under the TRICARE Young Adult program. 
Estimated responses are on average are two per respondent during the 
term of their TRICARE Young Adult coverage. Respondents will complete 
the application upon applying for, changing, or terminating their 
TRICARE Young Adult coverage. Not all respondents will change their 
coverage, and others may choose to let their coverage lapse or stop 
paying premiums instead of submitting a termination request.

    Dated: January 27, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-01828 Filed 1-30-15; 8:45 am]
BILLING CODE 5001-06-P
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