Federal Register / Vol. 89, No. 248 / Friday, December 27, 2024 / Notices 105553 

[FR Doc. 2024–30760 Filed 12–26–24; 8:45 am] 

BILLING CODE 3510–60–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2024–HA–0037] 

Submission for OMB Review; 

Comment Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs 

(OASD(HA)), Department of Defense 

(DoD). 

ACTION: 30-Day information collection 

notice. 

SUMMARY: The DoD has submitted to the 

Office of Management and Budget 

(OMB) for clearance the following 

proposal for collection of information 

under the provisions of the Paperwork 

Reduction Act. 

DATES: Consideration will be given to all 

comments received by January 27, 2025. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

FOR FURTHER INFORMATION CONTACT: 

Reginald Lucas, (571) 372–7574, or 

whs.mc-alex.esd.mbx.dd-dodinformation-collections@mail.mil. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: TRICARE DoD/CHAMPUS 

Medical Claim Patient’s Request for 

Medical Payment; DD Form 2642; OMB 

Control Number 0720–0006. 

Type of Request: Extension. 

Number of Respondents: 830,000. 

Responses per Respondent: 1. 

Annual Responses: 830,000. 

Average Burden per Response: 15 

minutes. 

Annual Burden Hours: 207,500. 

Needs and Uses: The DD Form 2642, 

‘‘TRICARE DoD/Civilian Health and 

Medical Program of the Uniformed 

Services (CHAMPUS) Medical Claim 

Patient’s Request for Medical Payment’’ 

is used by TRICARE beneficiaries to 

claim reimbursement for medical 

expenses under the TRICARE Program 

CHAMPUS. The information collected 

will be used by TRICARE to determine 

beneficiary eligibility, other health 

insurance liability, certification that the 

beneficiary has the received care, and 

reimbursement for medical services 

received. 

Affected Public: Individuals or 

households. 

Frequency: On occasion. 

Respondent’s Obligation: Voluntary. 

DOD Clearance Officer: Mr. Reginald 

Lucas. 

Dated: December 18, 2024. 

Stephanie J. Bost, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2024–30889 Filed 12–26–24; 8:45 am] 

BILLING CODE 6001–FR–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2024–OS–0139] 

Proposed Collection; Comment 

Request 

AGENCY: Washington Headquarters 

Services (WHS), Department of Defense 

(DoD). 

ACTION: 60-Day information collection 

notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

Washington Headquarters Services 

(WHS) announces a proposed public 

information collection and seeks public 

comment on the provisions thereof. 

Comments are invited on: 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; the accuracy of the 

agency’s estimate of the burden of the 

proposed information collection; ways 

to enhance the quality, utility, and 

clarity of the information to be 

collected; and 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 February 25, 

2025. 

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 Assistant to the Secretary of Defense 

for Privacy, Civil Liberties, and 

Transparency, Regulatory Directorate, 

4800 Mark Center Drive, Mailbox #24 

Suite 05F16, Alexandria, VA 22350– 

1700. 

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 Office of the Secretary of 

Defense, 4800 Mark Center Drive Ste. 

02F09–02 Alexandria, VA 22350–1700, 

Ronald McCully, 571–372–0473. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: Separating Personnel Records 

Accountability Checklist—Transfer of 

Records Between DoD/OSD 

Components; SD Form 833; OMB 

Control Number 0704–SRAC. 

Needs and Uses: This form is needed 

to ensure records and information 

created and received by employees, 

Service members, and contract 

personnel departing or transferring from 

a WHS-serviced Component are 

preserved in appropriate locations or 

transferred to appropriate Record and 

Information Management personnel. 

Affected Public: Contractors. 

Annual Burden Hours: 250. 

Number of Respondents: 50. 

Responses per Respondent: 1. 

Annual Responses: 50. 

Average Burden per Response: 5 

hours. 

Frequency: As required. 

Dated: December 18, 2024. 

Stephanie J. Bost, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2024–30893 Filed 12–26–24; 8:45 am] 

BILLING CODE 6001–FR–P 

DEPARTMENT OF DEFENSE 

Department of the Navy 

[Docket ID: USN–2024–HQ–0019] 

Proposed Collection; Comment 

Request 

AGENCY: Department of the Navy, 

Department of Defense (DoD). 

ACTION: 60-Day information collection 

notice. 


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