60416 Federal Register / Vol. 75, No. 189 / Thursday, September 30, 2010 / Notices 

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 November 29, 

2010. 

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, 

Room 3C843, 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) (Defense Human Resource 

Activity), ATTN: Sam Yousef, 4000 

Defense Pentagon, Washington, DC 

20301–4000 or call at (703) 696–0478. 

Title, Associated Form, and OMB 

Control Number: Application for 

Identification Card/DEERS Enrollment, 

DD Form 1172–2, OMB Control Number 

0704–0415. 

Needs and Uses: This information 

collection requirement is necessary to 

validate eligibility for all individuals 

applying for Department of Defense 

benefits and privileges. These benefits 

and privileges include but are not 

limited to, medical coverage, DoD 

Identification Cards, access to DoD 

installations, buildings or facilities, and 

access to DoD computer systems and 

networks. This information collection is 

required to obtain the necessary data 

elements to determine eligible 

individual’s benefits and privileges, to 

provide a proper identification card 

reflecting those benefits and privileges, 

and to maintain a centralized database 

of the eligible population. 

Affected Public: Individuals or 

households. 

Annual Burden Hours: 400,000. 

Number of Respondents: 4,800,000. 

Responses Per Respondent: 1. 

Average Burden Per Response: 5 

minutes. 

Frequency: On occasion. 

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection 

This information collected is used to 

determine an eligible individual’s 

benefits and privileges, to provide a 

proper identification card reflecting 

those benefits and privileges, and to 

maintain a centralized database of the 

eligible population. 

Dated: September 10, 2010. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. 2010–24528 Filed 9–29–10; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DoD–2010–HA–0131] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

SUMMARY: In compliance 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 

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 November 29, 

2010. 

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, 

Room 3C843, 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 TRICARE Management 

Activity, Office of General Counsel, 

61401 E. Centretech Parkway, Attn: 

Michael Bibbo, Aurora, CO 80011, or 

call TRICARE Management Activity, 

Office of General Counsel, at (303) 676– 

3705. 

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. 

Needs and Uses: This information 

collection is completed by TRICARE 

(formerly 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: 56,100. 

Number of Respondents: 224,399. 

Responses per Respondent: 1. 

Average Burden per Response: 15 

minutes. 

Frequency: On occasion. 

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 

mstockstill on DSKH9S0YB1PROD with NOTICES6

Federal Register / Vol. 75, No. 189 / Thursday, September 30, 2010 / Notices 60417 

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 a 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 TRICARE benefits is 

identified as involving possible third 

party liability and the information is not 

submitted with the claim, the TRICARE 

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 not 

involving 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: September 17, 2010. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. 2010–24529 Filed 9–29–10; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2010–HA–0133] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

SUMMARY: In compliance 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 

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 November 29, 

2010. 

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, 

Room 3C843, 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 TRICARE 

Management Activity, Medical Benefits 

and Reimbursement Branch, Ann N. 

Fazzini, Aurora, CO 80011 or phone 

303–676–3803. 

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. Respondents are institutional 

providers. 

Affected Public: Business or other forprofit. 

Annual Burden Hours: 4,993. 

Number of Respondents: 4,993. 

Responses per Respondent: 1. 

Average Burden per Response: 1 hour. 

Frequency: On occasion. 

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection 

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 

were required to sign attestation and 

acknowledgment statements. These 

requirements were implemented to 

ensure a means of holding hospitals and 

mstockstill on DSKH9S0YB1PROD with NOTICES6