Federal Register / Vol. 76, No. 197 / Wednesday, October 12, 2011 / Notices 63287 

Avg. Hours per Response: The USPTO 

estimates that it will take the public 

approximately 18 to 30 minutes (0.30 to 

0.50 hours) to complete the applications 

in this collection, depending on the 

application. This includes the time to 

gather the necessary information, 

prepare the application, and submit the 

completed application to the USPTO. 

Needs and Uses: This collection of 

information is required by the 

Trademark Act, 15 U.S.C. 1051 et seq. 

The rules implementing the Trademark 

Act are set forth in 37 CFR part 2. The 

Act and rules provide for the Federal 

registration of trademarks, service 

marks, collective trademarks and service 

marks, collective membership marks, 

and certification marks. Individuals and 

businesses who use their marks, or 

intend to use their marks, in commerce 

regulable by Congress, may file an 

application with the USPTO to register 

their marks. The USPTO uses the 

information in this collection to process 

the applications for the various marks 

and to determine whether the marks 

may be registered. This collection 

contains three paper forms and six 

electronic forms. The electronic forms 

are available through the Trademark 

Electronic Application System (TEAS). 

The information in this collection is 

available to the public. 

Affected Public: Businesses or other 

for-profits; and not-for-profit 

institutions. 

Frequency: On occasion. 

Respondent’s Obligation: Required to 

obtain or retain benefits. 

OMB Desk Officer: Nicholas A. Fraser, 

e-mail: 

Nicholas_A._Fraser@omb.eop.gov. 

Once submitted, the request will be 

publicly available in electronic format 

through the Information Collection 

Review page at http://www.reginfo.gov. 

Paper copies can be obtained by: 

• E-mail: 

InformationCollection@uspto.gov. 

Include ‘‘0651–0009 copy request’’ in 

the subject line of the message. 

• Mail: Susan K. Fawcett, Records 

Officer, Office of the Chief Information 

Officer, United States Patent and 

Trademark Office, P.O. Box 1450, 

Alexandria, VA 22313–1450. 

Written comments and 

recommendations for the proposed 

information collection should be sent on 

or before November 14, 2011 to 

Nicholas A. Fraser, OMB Desk Officer, 

via e-mail to 

Nicholas_A._Fraser@omb.eop.gov, or by 

fax to 202–395–5167, marked to the 

attention of Nicholas A. Fraser. 

Dated: October 6, 2011. 

Susan K. Fawcett, 

Records Officer, USPTO, Office of the Chief 

Information Officer. 

[FR Doc. 2011–26307 Filed 10–11–11; 8:45 am] 

BILLING CODE 3510–16–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DOD–2011–OS–0110] 

Privacy Act of 1974; System of 

Records 

AGENCY: Office of the Secretary of 

Defense, Department of Defense (DoD). 

ACTION: Notice to Add a System of 

Records. 

SUMMARY: The Office of the Secretary of 

Defense proposes to add a system of 

records to its inventory of record 

systems subject to the Privacy Act of 

1974 (5 U.S.C. 552a), as amended. 

DATES: This proposed action would be 

effective without further notice on 

November 14, 2011 unless comments 

are received which result in a contrary 

determination. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

* Federal Rulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

* Mail: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

East Tower, 2nd Floor, Suite 02G09, 

Alexandria, VA 22350–3100. 

Instructions: All submissions received 

must include the agency name and 

docket number 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: Ms. 

Cindy Allard, Chief, OSD/JS Privacy 

Office, Freedom of Information 

Directorate, Washington Headquarters 

Services, 1155 Defense Pentagon, 

Washington DC 20301–1155, or by 

phone at (571) 372–0461. 

SUPPLEMENTARY INFORMATION: The Office 

of the Secretary of Defense notices for 

systems of records subject to the Privacy 

Act of 1974 (5 U.S.C. 552a), as amended, 

have been published in the Federal 

Register and are available from the 

address in FOR FURTHER INFORMATION

CONTACT. 

The proposed system report, as 

required by 5 U.S.C. 552a(r) of the 

Privacy Act of 1974, as amended, was 

submitted on October 5, 2011, to the 

House Committee on Oversight and 

Government Reform, the Senate 

Committee on Governmental Affairs, 

and the Office of Management and 

Budget (OMB) pursuant to paragraph 4c 

of Appendix I to OMB Circular No. 

A–130, ‘‘Federal Agency 

Responsibilities for Maintaining 

Records About Individuals,’’ dated 

February 8, 1996 (February 20, 1996, 61 

FR 6427). 

Dated: October 6, 2011. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

DHA 22 

SYSTEM NAME: 

Medical Situational Awareness in the 

Theater (MSAT). 

SYSTEM LOCATION: 

Office of the Assistant Secretary of 

Defense for Health Affairs, Force Health 

Protection & Readiness, Skyline 4, Suite 

901, 5113 Leesburg Pike, Falls Church, 

VA 22041–3226. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

Members of the uniformed services 

and DoD civilian employees (to include 

non-appropriated fund employees) who 

receive or have received medical or 

dental care at one or more DoD medical 

treatment facilities in an active theater 

of operations. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Individual’s name, age, date of birth, 

Social Security Number (SSN) and/or 

DoD Identification (DoD ID) number, 

marital status, phone number, address, 

race, pay grade, personnel code, 

mobilization status, unit identification, 

and unit phone number. 

An individual’s Trauma Number, 

Register Number, and patient encounter 

data pertaining to symptoms; 

International Classification of Diseases 

(ICD) diagnosis codes; clinical data 

elements and codes with respect to 

symptoms, medical history, physical 

examination, tests, diagnosis, and 

therapy, medications, and vital signs; 

and treatment facility locations. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

10 U.S.C. Chapter 55, Medical and 

Dental Care; and E.O. 9397 (SSN), as 

amended. 

PURPOSE(S): 

To provide information to medical 

commanders and their staff on 


jlentini on DSK4TPTVN1PROD with NOTICES
63288 Federal Register / Vol. 76, No. 197 / Wednesday, October 12, 2011 / Notices 

personnel readiness status before and 

during deployment and sustainment, 

patient tracking from initial point of 

care and en route to CONUS military 

treatment facilities, medical 

surveillance of illnesses, injury rates 

and trends for theater, syndromic, and 

chemical, biological, radiological, and 

nuclear surveillance of individuals for 

early warning alerts. 

To provide information that, when 

combined with medical intelligence, 

patient tracking, geospatial mapping, 

logistics, personnel, and other 

information, supports a single identical 

display of relevant information shared 

by more than one command to facilitate 

collaborative planning and to assist all 

echelons in achieving situational 

awareness, and for assisting the 

Combatant Command and Joint Task 

Force Surgeon in assessing risks, 

mitigating operational vulnerabilities, 

and allocating scarce combat resources 

during the planning and conduct of 

operations. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

THE PURPOSES OF SUCH USES: 

In addition to those disclosures 

generally permitted under 5 U.S.C. 

552a(b) of the Privacy Act of 1974, as 

amended, these records may specifically 

be disclosed outside the DoD as a 

routine use pursuant to 5 U.S.C. 

552a(b)(3). 

The DoD ‘Blanket Routine Uses’ set 

forth at the beginning of the Office of 

the Secretary of Defense (OSD) 

compilation of systems of records 

notices apply to this system. 

Note 1: This system of records contains 

individually identifiable health information. 

The DoD Health Information Privacy 

Regulation (DoD 6025.18–R), issued pursuant 

to the Health Insurance Portability and 

Accountability Act of 1996 and 45 CFR Parts 

160 and 164, Health and Human Services, 

General Administrative Requirements and 

Security & Privacy, respectively, applies to 

most such health information. DoD 6025.18– 

R may place additional procedural 

requirements on the uses and disclosures of 

such information beyond those found in the 

Privacy Act of 1974, as amended, or 

mentioned in this system of records notice. 

Note 2: Personal identity, diagnosis, 

prognosis or treatment information of any 

patient maintained in connection with the 

performance of any program or activity 

relating to substance abuse education, 

prevention, training, treatment, 

rehabilitation, or research, which is 

conducted, regulated, or directly or indirectly 

assisted by any department or agency of the 

United States is, except as per 42 U.S.C. 

290dd–2, treated as confidential and 

disclosed only for the purposes and under 

the circumstances expressly authorized 

under 42 U.S.C. 290dd–2. 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

Electronic storage media. 

RETRIEVABILITY: 

Individual’s name, date of birth, 

Trauma Number, Register Number, SSN 

and/or DoD ID Number, or any 

combination of the above. 

SAFEGUARDS: 

Electronic media, data and/or 

electronic records are maintained in a 

controlled area. The computer system is 

accessible only to authorized personnel. 

Entry into these areas is restricted to 

those personnel with a valid 

requirement and authorization to enter. 

Physical entry is restricted by the use of 

locks, passwords which are changed 

periodically, and administrative 

procedures. 

The system provides two-factor 

authentication including Common 

Access Cards (CAC) and user ID/ 

passwords. Access to personal 

information is restricted to those who 

require the data in the performance of 

their official duties. All personnel 

whose official duties require access to 

the information are trained in the proper 

safeguarding and use of the information. 

RETENTION AND DISPOSAL: 

Disposition pending (until the 

National Archives and Records 

Administration approves retention and 

disposal schedule, records will be 

treated as permanent). 

SYSTEM MANAGER(S) AND ADDRESS: 

Product Manager, MSAT, Defense 

Health Information Management 

System, Skyline 4, Suite 700, 5113 

Leesburg Pike, Falls Church, VA 22041– 

3226. 

NOTIFICATION PROCEDURE: 

Individuals seeking to determine 

whether information about themselves 

is contained in this system of record 

should address written inquiries to the 

TRICARE Management Activity, 

Department of Defense, ATTN: TMA 

Privacy Officer, Suite 810, 5111 

Leesburg Pike, Falls Church, VA 22041– 

3206. 

Requests should contain the 

individual’s full name and SSN and/or 

DoD ID Number. 

RECORD ACCESS PROCEDURES: 

Individuals seeking access to records 

about themselves contained in this 

system of record should address written 

inquiries to TRICARE Management 

Activity, Attention: Freedom of 

Information Act Requester Service 

Center, 16401 East Centretech Parkway, 

Aurora, CO 80011–9066. 

Requests should contain the 

individual’s full name, SSN and/or DoD 

ID Number, the name and number of 

this system of records notice, and be 

signed. 

CONTESTING RECORD PROCEDURES: 

The OSD rules for accessing records, 

for contesting contents and appealing 

initial agency determinations are 

published in OSD Administrative 

Instruction 81, 32 CFR Part 311, or may 

be obtained from the system manager. 

RECORD SOURCE CATEGORIES: 

Theater Medical Data Store, AHLTA— 

Theater, and Theater Medical 

Information Program Cache. 

EXEMPTIONS CLAIMED FOR THE SYSTEM: 

None. 

[FR Doc. 2011–26306 Filed 10–11–11; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF EDUCATION 

Notice of Proposed Information 

Collection Requests 

AGENCY: Department of Education. 

ACTION: Comment request. 

SUMMARY: The Department of Education 

(the Department), in accordance with 

the Paperwork Reduction Act of 1995 

(PRA) (44 U.S.C. 3506(c)(2)(A)), 

provides the general public and Federal 

agencies with an opportunity to 

comment on proposed and continuing 

collections of information. This helps 

the Department assess the impact of its 

information collection requirements and 

minimize the reporting burden on the 

public and helps the public understand 

the Department’s information collection 

requirements and provide the requested 

data in the desired format. The Acting 

Director, Information Collection 

Clearance Division, Privacy, Information 

and Records Management Services, 

Office of Management, invites 

comments on the proposed information 

collection requests as required by the 

Paperwork Reduction Act of 1995. 

DATES: Interested persons are invited to 

submit comments on or before 

December 12, 2011. 

ADDRESSES: Comments regarding burden 

and/or the collection activity 

requirements should be electronically 

mailed to ICDocketMgr@ed.gov or 

mailed to U.S. Department of Education, 

400 Maryland Avenue, SW., LBJ, 

Washington, DC 20202–4537. Please 

note that written comments received in 

response to this notice will be 

considered public records. 


jlentini on DSK4TPTVN1PROD with NOTICES