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[Federal Register Volume 80, Number 87 (Wednesday, May 6, 2015)]
[Notices]
[Pages 26008-26009]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-10513]

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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2015-HA-0040]

Proposed Collection; Comment Request

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

ACTION: Notice.

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[[Page 26009]]

SUMMARY: In compliance 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 July 6, 
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: Department of Defense, Office of the Deputy Chief 
Management Officer, Directorate of Oversight and Compliance, Regulatory 
and Audit Matters Office, 9010 Defense Pentagon, Washington, DC 20301-
9010.
    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.
    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 TRICARE Dental 
Care Office, Health Plan Execution and Operation, Defense Health Agency 
(DHA), Rm. 3M451, ATTN: COL Colleen C. Shull, Falls Church, VA 22042 or 
call (703) 681-9517, DSN 761.

SUPPLEMENTARY INFORMATION: 
    Title; Associated Form; and OMB Number: Active Duty Dental Program 
(ADDP) Claim Form; OMB Control Number 0720-0053.
    Needs and Uses: The information collection is necessary to obtain 
and record the dental readiness of Service Members using the Active 
Duty Dental Program (ADDP) and at the same time submit the claim for 
the dental procedures provided so that claims can be processed and 
reimbursement made to the provider. Many Service Members are not 
located near a military dental treatment facility and receive their 
dental care in the private sector.
    Affected Public: Business or other for profit institutions; Not-
for-profit institutions.
    Annual Burden Hours: 25,000.
    Number of Respondents: 75,000.
    Responses per Respondent: 4.
    Average Burden per Response: 5 minutes.
    Frequency: On occasion.
    Respondents are dental providers who submit claims in order to be 
reimbursed for delivered dental care. The ADDP Claim form allows 
civilian dental providers to submit the claim for dental procedures 
provided to active duty service members and to update their dental 
readiness classification at the same time. The completed form is 
forwarded to the ADDP contractor, United Concordia Companies, Inc. for 
reimbursement and the electronic update of the dental readiness. If the 
form is not available, civilian providers will not have a mechanism to 
submit dental claims with the information required for reimbursement to 
provide an updated dental readiness classification for the member. 
Dental readiness classification allows the Services to ensure that all 
Service Members are ready for worldwide deployment. Dental readiness is 
an integral part of medical readiness, and medical readiness is 
fundamental to the readiness of our forces.

    Dated: April 30, 2015.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2015-10513 Filed 5-5-15; 8:45 am]
BILLING CODE 5001-06-P
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