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

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 theirbeneficiaries 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


### 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