Federal Register / Vol. 86, No. 120 / Friday, June 25, 2021 / Notices 33691 

in conjunction with U.S. Governmentsponsored official travel. This also 

includes loss, damage or destruction 

caused by fire, flood, theft vandalism 

and/or unusual occurrence that 

occurred incident to service. 

Respondents are retired/former military, 

retired/former Federal (GS/NAF) 

employees, US military Academy 

students, ROTC Cadets, family members 

with Power of Attorney, and Next of 

Kin. 

Affected Public: Individuals and 

households. 

Annual Burden Hours: 336. 

Number of Respondents: 224. 

Responses per Respondent: 2. 

Annual Responses: 448. 

Average Burden per Response: 45 

minutes. 

Frequency: On occasion. 

Dated: June 16, 2021. 

Aaron T. Siegel, 

Alternate OSD Federal Register, Liaison 

Officer, Department of Defense. 

[FR Doc. 2021–13595 Filed 6–24–21; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2021–HA–0023] 

Submission for OMB Review; 

Comment Request 

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-dodinformation-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.dddod-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 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2021–HA–0052] 

Proposed Collection; Comment 

Request 

AGENCY: The Office of the Assistant 

Secretary of Defense for Health Affairs, 

Department of Defense (DoD). 

ACTION: Information collection notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

Defense Health Agency 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 August 24, 2021. 

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: The DoD cannot receive written 

comments at this time due to the 

COVID–19 pandemic. Comments should 

be sent electronically to the docket 

listed above. 

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 the Defense Health 

Agency, 7700 Arlington Blvd., Room 

3M368B, ATTN: Ms. Jennylynn Balmer, 

Falls Church, VA 22042 or call 703– 

681–8429. 


lotter on DSK11XQN23PROD with NOTICES1