Federal Register / Vol. 81, No. 19 / Friday, January 29, 2016 / Notices 5013 

Dated: January 26, 2016. 

Todd A. Stevenson, 

Secretary, Consumer Product Safety 

Commission. 

[FR Doc. 2016–01699 Filed 1–28–16; 8:45 am] 

BILLING CODE 6355–01–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DOD–2012–HA–0160] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs 

ACTION: Notice. 

SUMMARY: In compliance with 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 March 29, 2016. 

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 Defense Health 

Agency Uniform Business Office, 

Defense Health Headquarters, 7700 

Arlington Blvd., Falls Church, Virginia 

22042, ATTN: DeLisa E. Prater, Program 

Manager, 703–681–3492. ext. 6757 (DSN 

761). 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: Third Party Collection 

Program/Medical Services Account/

Other Health Insurance; DD Form 2569; 

OMB Control Number 0720–0055. 

Needs and Uses: The information 

collection requirement is necessary to 

obtain health insurance policy 

information used for coordination of 

health care benefits and billing third 

party payers and other federal agencies 

for health care provided to their 

beneficiaries and also to civilian nonUniformed Service beneficiaries for 

health care provided to them. DoD 

implemented the Third Party Collection 

Program (TPCP) in FY87 based on the 

authority granted in 10 U.S.C. 1095 and 

implemented by 32 CFR 220 in 

accordance with the Consolidated 

Omnibus Budget Reconciliation Act of 

1986 (COBRA) (Pub. L. 99–272, section 

2001, April 7, 1986). Under the TPCP, 

DoD is authorized to collect from thirdparty payers the cost of inpatient and 

outpatient services rendered to DoD 

beneficiaries who have other health 

insurance. Military treatment facilities 

(MTFs) are required to make this form 

available to third-party payers upon 

request. A third-party payer may not 

request any other assignment of benefits 

form from the subscriber. Also, for 

civilian non-Uniformed Services 

beneficiary and interagency patients, DD 

Form 2569 is necessary and serves as an 

assignment of benefits, approval to 

submit claims to payers on behalf of the 

patient and authorization to release 

medical information. 

Affected Public: Individuals or 

households. 

Annual Burden Hours: 260,000. 

Number of Respondents: 3,900,000. 

Responses per Respondent: 1. 

Annual Responses: 3,900,000. 

Average Burden per Response: 4 

minutes. 

Frequency: Annually, on occasion. 

The administration has placed an 

increased emphasis upon recovery of 

health care expenses under the TPCP, as 

authorized by 10 U.S.C. 1095 and 

1097b, and also from civilians and other 

federal agencies as authorized by 10 

U.S.C. 1079b and 1085. Completion of 

this form, while increasing total burden 

hours, will aid in increasing revenue to 

improve services, operating efficiency 

and effectiveness within the Military 

Health System. Funds collected return 

directly to the operation and 

maintenance budget of the MTF where 

the care was delivered and are used to 

improve the quality of healthcare. Often 

the funds allow the continuation of 

programs or purchasing of equipment at 

the facilities for which there would 

otherwise not be funding. This 

information is collected either during 

the admission and/or discharge process 

for an inpatient stay or during the 

registration process for an outpatient 

visit or as soon as practical thereafter. 

Dated: January 26, 2016. 

Morgan E. Park, 

Alternate OSD Federal Register, Liaison 

Officer, Department of Defense. 

[FR Doc. 2016–01702 Filed 1–28–16; 8:45 am] 

BILLING CODE 5001–06–P 

ENVIRONMENTAL PROTECTION 

AGENCY 

[ER–FRL–9025–3] 

Environmental Impact Statements; 

Notice of Availability 

Responsible Agency: Office of Federal 

Activities, General Information (202) 

564–7146 or http://www2.epa.gov/nepa. 

Weekly receipt of Environmental 

Impact Statements (EISs), Filed 01/18/

2016 Through 01/22/2016, Pursuant to 

40 CFR 1506.9. 

Notice 

Section 309(a) of the Clean Air Act 

requires that EPA make public its 

comments on EISs issued by other 

Federal agencies. EPA’s comment letters 

on EISs are available at: https://

cdxnodengn.epa.gov/cdx-nepa-public/

action/eis/search. 

EIS No. 20160016, Final, FHWA, TX, 

SH 249 Extension, Contact: Carlos 

Swonke 512–416–2734, Under MAP– 

21 Section 1319 FHWA has issued a 

single FEIS and ROD. Therefore, the 

30-day wait/review period under 

NEPA does not apply to this action. 

EIS No. 20160017, Draft, USFS, AK, 

Shoreline II Oufitter/Guide (formerly 


jstallworth on DSK7TPTVN1PROD with NOTICES
5014 Federal Register / Vol. 81, No. 19 / Friday, January 29, 2016 / Notices 

Shoreline II, Outfitter and Guide 

Management Plan), Comment Period 

Ends:, 03/14/2016, Contact: Carey 

Case 907–772–3871. 

EIS No. 20160018, Draft, NPS, MD, 

Assateague Island National Seashore 

General Management Plan, Comment 

Period Ends: 05/01/2016, Contact: 

Deborah Darden 410–629–6080. 

EIS No. 20160019, Final, USFS, OR, 

Kahler Dry Forest Restoration, Review 

Period Ends: 03/14/2016, Contact: 

John Evans 541–278–3869. 

EIS No. 20160020, Draft, USFS, CA, 

Lassen National Forest Over-Snow 

Vehicle (OSV) Use Designation, 

Comment Period Ends: 03/15/2016, 

Contact: Chris Obrien 530–252–6698. 

EIS No. 20160021, Draft, USACE, NY, 

Mamaroneck and Sheldrake Rivers 

Flood Risk Management Village of 

Mamaroneck General Reevaluation, 

Comment Period Ends: 03/14/2016, 

Contact: Matthew Voisine 917–790– 

8718. 

Amended Notices 

EIS No. 20150312, Draft, FRA, NY, NEC 

FUTURE Tier 1, Comment Period 

Ends: 02/16/2016, Contact: Rebecca 

Reyes-Alicea 212–668–2282, Revision 

to FR Notice Published 11/13/2015; 

Extending Comment Period from 01/ 

30/2016 to 02/16/2016. 

EIS No. 20150353, Draft, FRA, MD, 

Baltimore and Potomac Tunnel 

Project, Comment Period Ends: 02/19/ 

2016, Contact: Michelle W. Fishburne 

202–293–0398, Revision to FR Notice 

Published 12/18/20105; Extending 

Comment Period from 02/05/2016 to 

02/19/2016. 

EIS No. 20150358, Draft, USACE, FL, 

Herbert Hoover Dike Dam Safety 

Modification, Comment Period Ends: 

02/23/2016, Contact: Stacie 

Auvenshine 904–232–3694, Revision 

to FR Notice Published 12/24/2015; 

Correction to Comment Period from 

02/08/2016 to 02/23/2016. 

EIS No. 20160001, Final, FHWA, CO, I– 

70 East, Review Period Ends: 03/02/ 

2016, Contact: Chris Horn 720–963– 

3017, Revision to FR Notice Published 

01/15/2016; Extending Comment 

Period from 02/16/2016 to 03/02/

2016. 

EIS No. 20160008, Draft, USFS, WY, 

Withdrawn—Bear Lodge Project, 

Contact: Jeanette Timm 307–283– 

1361, Revision to FR Notice Published 

01/15/2016; The U.S. Department of 

Agriculture’s Forest Service has 

Officially Withdrawn this EIS. 

Dated: January 26, 2016. 

Dawn Roberts, 

Management Analyst, NEPA Compliance 

Division, Office of Federal Activities. 

[FR Doc. 2016–01706 Filed 1–28–16; 8:45 am] 

BILLING CODE 6560–50–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–153] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 (the 

PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information (including each proposed 

extension or reinstatement of an existing 

collection of information) and to allow 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates or any other aspect of 

this collection of information, including 

any of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

DATES: Comments must be received by 

March 29, 2016. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. To be assured 

consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

http://www.cms.hhs.gov/ 

PaperworkReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

Reports Clearance Office at (410) 786– 

1326. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–R–153 Medicaid Drug Use 

Review (DUR) Program 

Under the PRA (44 U.S.C. 3501– 

3520), federal agencies must obtain 

approval from the Office of Management 

and Budget (OMB) for each collection of 

information they conduct or sponsor. 

The term ‘‘collection of information’’ is 

defined in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

Section 3506(c)(2)(A) of the PRA 

requires federal agencies to publish a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, CMS is publishing this 

notice. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicaid Drug 

Use Review (DUR) Program; Use: States 

must provide for a review of drug 

therapy before each prescription is filled 


jstallworth on DSK7TPTVN1PROD with NOTICES