```

[Federal Register: September 30, 2010 (Volume 75, Number 189)]
[Notices]               
[Page 60418]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr30se10-41]                         

-----------------------------------------------------------------------

DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2010-HA-0132]

 
Proposed Collection; Comment Request

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

ACTION: Notice.

-----------------------------------------------------------------------

    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, Contract Operations Branch, 16401 E. Centretech Parkway, 
Attn: Kenneth Zimmerman, Aurora, CO 80011, or call TRICARE Management 
Activity, Contract Operations Branch, at (303-676-3502).
    Title; Associated Form; and OMB Number: TRICARE Retiree Dental 
Program Enrollment Application Form; OMB Number 0720-0015.
    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 verify by the applicant's 
signature that the applicant understands the benefits and rules of the 
program.
    Affected Public: Individuals or household.
    Annual Burden Hours: 17,833.
    Number of Respondents: 71,332.
    Responses Per Respondent: 1.
    Average Burden Per Response: 15 minutes.
    Frequency: Annually.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

    The TRICARE Retiree Dental Program (32 CFR 199.22) was implemented 
in 1998 based on the authority of 10 U.S.C. 1076c. Dental coverage 
under the program is available on a voluntary basis to retirees of the 
Uniformed Services entitled to retired pay and their family members.
    The information collection requirements under this proposed 
extension are similar to those under the current collection. 
Information on the applicant, such as name, address, telephone numbers, 
date of birth, and retiree's social security number, is necessary for 
identification purposes, as is information on the family members to be 
enrolled. The form also contains information on premium payment 
enrollment options and a certification statement for the applicant to 
sign and date. The primary change in the proposed extension of the 
information collection is to update the expiration date of the 
Enrollment Application.

    Dated: September 10, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2010-24531 Filed 9-29-10; 8:45 am]
BILLING CODE 5001-06-P
```