22556 Federal Register / Vol. 75, No. 82 / Thursday, April 29, 2010 / Notices 

develop and implement a survey 

instrument to evaluate retention of 

behavioral health providers 

(psychiatrists and psychologists). 

Lockheed Martin is working with a 

subcontractor, Mathematica Policy 

Research, whose staff will help with the 

survey data collection for this project. 

Information collected will include 

type of behavioral health provider, 

importance of different factors 

influencing decision to join the military, 

deployment information, ratings of 

military mental health treatment, salary 

information, satisfaction with being a 

military mental health provider, overall 

health status, and demographic 

information. Former providers also will 

be surveyed about reasons for leaving 

the military, current work status, 

satisfaction with current employment 

and salary information, potential 

influences that could have extended 

military service. Current providers 

alsowill be surveyed about reasons that 

might influence decision to extend 

military service, first and last name, 

rank, type of behavioral health provider, 

date left service (if former provider), 

mailing address, e-mail address, phone 

number (home and cell), and 

installation/last installation. 

Affected Public: Individuals or 

households. 

Frequency: One time. 

Respondent’s Obligation: Voluntary. 

OMB Desk Officer: Mr. John Kraemer. 

Written comments and 

recommendations on the proposed 

information collection should be sent to 

Mr. Kraemer at the Office of 

Management and Budget, Desk Officer 

for DoD, Room 10236, New Executive 

Office Building, Washington, DC 20503. 

You may also submit comments, 

identified by docket number and title, 

by the following method: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

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. 

DOD Clearance Officer: Ms. Patricia 

Toppings. 

Written requests for copies of the 

information collection proposal should 

be sent to Ms. Toppings at WHS/ESD/ 

Information Management Division, 1777 

North Kent Street, RPN, Suite 11000, 

Arlington, VA 22209–2133. 

Dated: April 26, 2010. 

Mitchell S. Bryman, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2010–10001 Filed 4–28–10; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket No. DOD–2009–HA–0159] 

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). 

DATES: Consideration will be given to all 

comments received by June 1, 2010. 

Title and OMB Number: TRICARE 

Prime Enrollment Application/PCM 

Change Form DD Form 2876, and 

TRICARE Prime Disenrollment 

Application; DD Form 2877; OMB 

Number 0720–0008. 

Type of Request: Extension. 

Number of Respondents: 72,905. 

Responses per Respondent: 1. 

Annual Responses: 72,905. 

Average Burden per Response: 18.367 

minutes (average). 

Annual Burden Hours: 22,317 hours. 

Needs and Uses: This information is 

collected in accordance with the 

National Defense Authorization Act for 

Fiscal Year 2001 (Pub. L. 106–398), 

section 723(b)(E)). These collection 

instruments serve as applications for the 

Enrollment, Primary Care Manager 

(PCM) Change and Disenrollment for the 

Department of Defense’s TRICARE 

Prime program established in 

accordance with title 10 U.S.C. 1099 

(which calls for a healthcare enrollment 

system). Monthly payment options for 

retiree enrollment fees for TRICARE 

Prime are established in accordance 

with title 10 U.S.C. 1097a(c). The 

information collected on the TRICARE 

Prime Enrollment Application/PCM 

Change Form provides the necessary 

data to determine beneficiary eligibility, 

to identify the selection of a health care 

option, and to change the designated 

PCM when the beneficiary is relocating 

or merely requests a local PCM change. 

The information collected on the 

TRICARE Prime Disenrollment Form 

provides the necessary data to disenroll 

a beneficiary from TRICARE Prime. The 

Disenrollment Application is needed to 

implement disenrollment from 

TRICARE Prime, TRICARE Prime 

Remote or the Uniformed Services 

Family Health Plan as requested by the 

enrollee. Failure to provide information 

will result in continued enrollment and 

beneficiaries’ responsibility for payment 

of an enrollment fee. 

Affected Public: Individuals or 

households. 

Frequency: On occasion. 

Respondent’s Obligation: Required to 

obtain or retain benefits. 

OMB Desk Officer: Mr. John Kraemer. 

Written comments and 

recommendations on the proposed 

information collection should be sent to 

Mr. Kraemer at the Office of 

Management and Budget, Desk Officer 

for DoD, Room 10236, New Executive 

Office Building, Washington, DC 20503. 

You may also submit comments, 

identified by docket number and title, 

by the following method: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

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. 

DOD Clearance Officer: Ms. Patricia 

Toppings. 

Written requests for copies of the 

information collection proposal should 

be sent to Ms. Toppings at WHS/ESD/ 

Information Management Division, 1777 

North Kent Street, RPN, Suite 11000, 

Arlington, VA 22209–2133. 

Dated: April 26, 2010. 

Mitchell S. Bryman, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2010–10005 Filed 4–28–10; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket No. DOD–2009–HA–0185] 

Submission for OMB Review; 

Comment Request 

ACTION: Notice. 

The Department of Defense has 

submitted to OMB for clearance, the 

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