Federal Register / Vol. 65, No. 210 / Monday, October 30, 2000 / Notices 64689

meet the Department of Defense’s (DoD)

requirement for cashing personal checks

overseas and afloat by DoD disbursing

activities, as provided in 31 U.S.C. 3342.

The DoD Financial Management

Regulation, Volume 5, provides

guidance to DoD Disbursing Officers in

the performance of this information

collection. This allows the DoD

disbursing officer or authorized agent

the authority to offset the pay without

prior notification, in cases where this

form has been signed subject to

conditions specified within the

approved procedures. The front of the

form will be completed and signed by

the authorized individual requesting

check cashing privileges. By signing the

form, the individual is freely and

voluntarily consenting to the immediate

collection from their current pay,

without prior notice. In the event the

check is dishonored, the disbursing

officer will complete and certify the

reverse side of the form and forward the

form to the applicable payroll office for

collection from the individual’s current

pay.

Affected Public: Individuals or

Households.

Frequency: On Occasion.

Respondent’s Obligation: Required to

Obtain or Retain Benefits.

OMB Desk Officer: Mr. Edward C.

Springer.

Written comments and

recommendations on the proposed

information collection should be sent to

Mr. Springer at the Office of

Management and Budget, Desk Officer

for DoD, Room 10236, New Executive

Office Building, Washington, DC 20503.

DOD Clearance Officer: Mr. Robert

Cushing.

Written requests for copies of the

information collection proposal should

be sent to Mr. Cushing, WHS/DIOR,

1215 Jefferson Davis Highway, Suite

1204, Arlington, VA 22202–4302.

Dated: October 24, 2000.

Patricia L. Toppings,

Alternate OSD Federal Register Liaison

Officer, Department of Defense.

[FR Doc. 00–27759 Filed 10–27–00; 8:45 am]

BILLING CODE 5001–10–M

DEPARTMENT OF DEFENSE

Office of the Secretary

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).

Title and OMB Number: TRICARE

Retiree Dental Program Enrollment

Application; OMB Number 0720–0015.

Type of Request: Revision

Number of Respondents: 50,000

Responses per Respondent: 1

Annual Responses: 50,000

Average Burden per Response: 15

minutes

Annual Burden Hours: 12,500

Needs and Uses: This information

collection is completed by Uniformed

Services members entitled to retired pay

and their eligible family members who

are seeking enrollment in the TRICARE

Retiree Dental Program (TRDP). 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 TRDP enrollment,

establish the premium payment amount,

and to verity by the applicant’s

signature that the applicant understands

the benefits and rules of the program.

Affected Public: Individuals or

Households.

Frequency: On Occasion.

Respondents Obligation: Required to

Obtain or Retain Benefits.

OMB Dest Officer: Ms. Allison Eydt.

Written comments and

recommendations on the proposed

information collection should be sent to

Ms. Eydt at the Office of Management

and Budget, Desk Officer for DoD Health

Affairs, Room 10235, New Executive

Office Building, Washington, DC 20503.

DOD Clearance Officer: Mr. Robert

Cushing.

Written requests for copies of the

information collection proposal should

be sent to Mr. Cushing, WHS/DIOR,

1215 Jefferson Davis Highway, Suite

1204, Arlington, VA 22202–4302.

Dated: October 24, 2000.

Patricia L. Toppings,

Alternate OSD Federal Register Liaison

Officer, Department of Defense.

[FR Doc. 00–27760 Filed 10–27–00; 8:45 am]

BILLING CODE 5001–10–M

DEPARTMENT OF DEFENSE

Office of the Secretary

Proposed Collection Comment

Request

AGENCY: Office of the Assistant

Secretary of Defense for Health Affairs,

DOD.

ACTION: Notice.

In accordance 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

extension of 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

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 December 29, 2000.

ADDRESSES: Written comments and

recommendations on the information

collection should be sent to TRICARE

Management Activity—Aurora, Office of

Program Requirement, 16401, E.

Centretech Parkway, ATTN: Graham

Kolb, Aurora, CO 80011– 9043.

FOR FURTHER INFORMATION CONTACT: To

request more information on this

proposed information collection, please

write to the above address or call

TRICARE Management Activity, Office

of Program Requirements at (303) 676–

3580.

Title Associated with Form, and OMB

Number: Health Insurance Claim Form,

UB 92, OMB Number 0720–0013.

Needs and Uses: This information

collection requirement is necessary for a

medical institution to claim benefits

under the Defense Health Program,

TRICARE, which includes the Civilian

Health and Medical Program for the

Uniform Services (CHAMPUS). The

information collected will be used by

TRICARE/CHAMPUS to determine

beneficiary eligibility, other health

insurance liability, certification that the

beneficiary received the care, and that

the provider is authorized to receive

TRICARE/CHAMPUS payments. The

form will we used by TRICARE/

CHAMPUS and it’s contractors to

determine the amount of benefits to be

paid to TRICARE/CHAMPUS

institutional providers.

Affected Public: Business or other forprofit; not-for profit institutions.

Annual Burden Hours: 525,000.

Number of Respondents: 2,100,000

annually.

Responses per Respondent: 1.

Average Burden per Response: 15

minutes.

Frequency: On occasion.

64690 Federal Register / Vol. 65, No. 210 / Monday, October 30, 2000 / Notices

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

This collection instrument is for us by

medical institutions filing for

reimbursement with the Defense Health

Program, TRICARE, which includes the

Civilian Health and Medical Program of

the Uniformed Services (TRICARE/

CHAMPUS). TRICARE/CHAMPUS is a

health benefits entitlement program for

the dependent of active duty members

of the Uniformed Service, and deceased

sponsors, retirees and their dependents,

dependents of department of

transportation (Cost Guard) sponsors,

and certain North Atlantic Treaty

Organization, National Oceanic and

Atmospheric Administration, and

Public Health Service eligible

beneficiaries. Use of the UB–92 (also

known as the HCFA 1450) continues

TRICARE/CHAMPUS commitments to

use the national standard claim form for

reimbursement of medical services/

supplies provided by institutional

providers.

Dated: October 24, 2000.

Patricia L. Topplings,

Alternate OSD Federal Register Liaison

Officer, Department of Defense.

[FR Doc. 00–27758 Filed 10–27–00; 8:45 am]

BILLING CODE 5001–10–M

DEPARTMENT OF EDUCATION

Notice of Proposed Information

Collection Requests

AGENCY: Department of Education.

ACTION: Notice of Proposed Information

Collection Requests.

SUMMARY: The Leader, Regulatory

Information Management, Office of the

Chief Information Officer, invites

comments on the proposed information

collection requests as required by the

Paperwork Reduction Act of 1995.

DATES: An emergency review has been

requested in accordance with the Act

(44 U.S.C. Chapter 3507 (j)), since

public harm is reasonably likely to

result if normal clearance procedures

are followed. Approval by the Office of

Management and Budget (OMB) has

been requested by November 6, 2000.

ADDRESSES: Written comments

regarding the emergency review should

be addressed to the Office of

Information and Regulatory Affairs,

Attention: Lauren Wittenberg, Acting

Desk Officer: Department of Education,

Office of Management and Budget; 725

17th Street, NW., Room 10235, New

Executive Office Building, Washington,

DC 20503.

SUPPLEMENTARY INFORMATION: Section

3506 of the Paperwork Reduction Act of

1995 (44 U.S.C. Chapter 35) requires

that the Director of OMB provide

interested Federal agencies and the

public an early opportunity to comment

on information collection requests. The

Office of Management and Budget

(OMB) may amend or waive the

requirement for public consultation to

the extent that public participation in

the approval process would defeat the

purpose of the information collection,

violate State or Federal law, or

substantially interfere with any agency’s

ability to perform its statutory

obligations. The Leader, Regulatory

Information Management, Office of the

Chief Information Officer, publishes this

notice containing proposed information

collection requests at the beginning of

the Departmental review of the

information collection. Each proposed

information collection, grouped by

office, contains the following: (1) Type

of review requested, e.g., new, revision,

extension, existing or reinstatement; (2)

Title; (3) Summary of the collection; (4)

Description of the need for, and

proposed use of, the information; (5)

Respondents and frequency of

collection; and (6) Reporting and/or

Recordkeeping burden. ED invites

public comment.

The Department of Education is

especially interested in public comment

addressing the following issues: (1) Is

this collection necessary to the proper

functions of the Department; (2) Will

this information be processed and used

in a timely manner; (3) Is the estimate

of burden accurate; (4) How might the

Department enhance the quality, utility,

and clarity of the information to be

collected; and (5) How might the

Department minimize the burden of this

collection on respondents, including

through the use of information

technology.

Dated: October 24, 2000.

John Tressler,

Leader, Regulatory Information Management,

Office of the Chief Information Officer.

Office of Elementary and Secondary

Education

Type of Review: Revision.

Title: Consolidated State Performance

Report and State Self-Review.

Abstract: This information collection

package contains two related parts: the

Consolidated State Performance Report

(CSPR) and the State Self-Review (SSR).

The Elementary and Secondary

Education Act (ESEA), in general, and

its provision for submission of

consolidated plans, in particular

(section 14301 of the ESEA), emphasize

the importance of cross-program

coordination and integration of federal

programs into educational activities

carried out with State and local funds.

States would use both instruments for

reporting on activities that occur during

the 1999–2000 school year and, if the

ESEA, when aurthorized, does not

become effective for the 2000–2001

school year, for that year as well. The

proposed CSPR requests essentially the

same information as in 1999–2000, in a

more concise and accessible format. The

proposed SSR replaces informal data

collections performed by each program

review team in advance of site visits to

states (approximately 14 each year),

now conducted as integrated program

reviews of all ESEA and Goals 2000

programs. This document and the

associated visits promote the

Department’s interests in (1) gathering

essential information on how States

have implemented their approval

consolidated State plans and (2)

identifying federal assistance to States

on how to use federal funds most

effectively. The State responses to the

SSR will complement their responses to

the CSPR by providing specific

information on program implemention

that is needed for an effective integrated

review. When the ESEA is reauthorized

the Department intends to work actively

with the public to revise the content of

these documents and develop an

integrated information collection system

that responds to the new law, uses new

technologies, and better reflects how

federal programs help to promote State

and local reform efforts.

Additional Information: The

Department of Education is requesting

an emergency review of the

Consolidated State Performance Report

(CSPR) and the State Self-Review (SSR)

by November 6, 2000. Emergency

clearance is requested due to an

unanticipated event. Statutory changes

of Title VI resulted in a new eligible

category. In addition, the Department

has made improvements to their

electronic collection. If normal

clearance procedures were to be

followed, ED would not meet its

effective date of November 20, 2000, the

date this collection will be available to

states via Web-based electronic

collection.

Frequency: Annually.

Affected Public: State, Local, or Tribal

Gov’t, SEAs or LEAs.

Reporting and Recordkeeping Hour

Burden: 

Responses: 53.

Burden Hours: 137,086.

Requests for copies of the proposed

information collection request should be

addressed to Vivian Reese, Department