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###### Department of Defense

###### Office of the Secretary

          - [Docket ID: DoD-2021-HA-0023]

# AGENCY:

The Office of the Assistant Secretary of Defense for Health Affairs, Department of Defense (DoD).

# ACTION:

30-Day information collection notice.

# SUMMARY:

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.

# DATES:

Consideration will be given to all comments received by July 26, 2021.

# 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:

                        Angela Duncan, 571-372-7574, or                         *whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil.*

# SUPPLEMENTARY INFORMATION:

*Title; Associated Form; and OMB Number:*                     COVID-19 Vaccine Screening and Immunization Documentation; DHA Form 207; OMB Control Number 0720-0068.                

*Type of Request:*                     Revision.                

*Number of Respondents:*                     2,000,000.                

*Responses per Respondent:*                     2.                

*Annual Responses:*                     4,000,000.                

*Average Burden per Response:*                     5 minutes.                

*Annual Burden Hours:*                     333,333.34.                

*Needs and Uses:*                     The Defense Health Agency (DHA) has created the DHA Form 207, “COVID-19 Vaccine Screening and Immunization Documentation” to determine if the COVID-19 vaccine can be administered to a patient. The DHA Form 207 is used to determine and document patient eligibility and vaccine declinations for a COVID-19 vaccination. Respondents include Active Duty military members, Federal employees, beneficiaries, and contractors (based on their employment) who wish to receive the vaccine.                

*Affected Public:*                     Individuals or households.                

*Frequency:*                     On occasion.                

*Respondent's Obligation:*                     Voluntary.                

*OMB Desk Officer:*                     Dr. James Crowe.                

You may also submit comments and recommendations, identified by Docket ID 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 ID 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. Angela Duncan.                

                    Requests for copies of the information collection proposal should be sent to Ms. Duncan at                     *whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil.*

Dated: June 16, 2021.

Aaron T. Siegel,

Alternate OSD Federal Register Liaison Officer, Department of Defense.

[FR Doc. 2021-13579 Filed 6-24-21; 8:45 am]

BILLING CODE 5001-06-P