Federal Register / Vol. 77, No. 245 / Thursday, December 20, 2012 / Notices 75413 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket No. DOD–2009–HA–0159] 

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 22, 2013. 

Title and OMB Number: TRICARE 

Prime Enrollment, Disenrollment, and 

Primary Care Manager (PCM) Change 

Form; DD Form 2876; OMB Control 

Number 0720–0008. 

Type of Request: Revision. 

Number of Respondents: 72,905. 

Responses per Respondent: 1. 

Annual Responses: 72,905. 

Average Burden per Response: 18.367 

minutes. 

Annual Burden Hours: 22,317. 

Needs and Uses: This collection 

instrument serves as applications for the 

Enrollment, Primary Care Manager 

(PCM) Change and Disenrollment for the 

Department of Defense’s TRICARE 

Prime program 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). 

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, 4800 

Mark Center Drive, East Tower, Suite 

02G09, Alexandria, VA 22350–3100. 

Dated: November 21, 2012. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. 2012–30663 Filed 12–19–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket No. DOD–2012–OS–0005] 

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 22, 2013. 

Title and OMB Number: Department 

of Defense Education Activity (DoDEA) 

Sure Start Parent Questionnaire; OMB 

Control Number 0704–0456. 

Type of Request: Reinstatement. 

Number of Respondents: 1100. 

Responses per Respondent: 2. 

Annual Responses: 2200. 

Average Burden per Response: 10 

minutes. 

Annual Burden Hours: 367 hours. 

Needs and Uses: The Sure Start 

Parent Questionnaire is an instrument to 

measure the overall satisfaction level of 

parents of students enrolled in DoDEA 

Sure Start programs. This collection is 

necessary to meet the Government 

Performance and Results Act of 1993, 

Public Law 103–62; 107 Stat. 285, that 

requires agencies to have strategic plans 

and to consult with affected persons. A 

major purpose of the regulation is to 

improve Federal program effectiveness 

and public accountability by promoting 

a new focus on results, service quality, 

and customer satisfaction. The parent 

survey is also a required component of 

the annual evaluation of the Sure Start 

program as required by DoDEA. 

Affected Public: Individuals or 

households. 

Frequency: Semi-annually. 

Respondent’s Obligation: Voluntary. 

OMB Desk Officer: Ms. Jasmeet 

Seehra. 

Written comments and 

recommendations on the proposed 

information collection should be sent to 

Ms. Seehra 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, 4800 

Mark Center Drive, East Tower, Suite 

02G09, Alexandria, VA 22350–3100. 

Dated: November 23, 2012. 

Patricia L. Toppings, 

OSD Federal Register, Liaison Officer, 

Department of Defense. 

[FR Doc. 2012–30659 Filed 12–19–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket No. DOD–2009–OS–0190] 

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 22, 2013. 

Title, Associated Forms and OMB 

Number: Application for a Review by 

the Physical Disability Board of Review 

(PDBR) of the Rating Awarded 

Accompanying a Medical Separation 


tkelley on DSK3SPTVN1PROD with