Federal Register / Vol. 86, No. 139 / Friday, July 23, 2021 / Notices 39009 

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, ATTN: Maj Nathan Reynolds, 

7700 Arlington Blvd., STE 5158, 

3M546B, Falls Church, VA 22042 or call 

703–681–5101. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: DoD COVID–19 Vaccine 

Questionnaire; OMB Control Number 

0720–0069. 

Needs and Uses: The purpose of the 

DoD COVID–19 Vaccine Questionnaire 

is as follows: (1) Exercise due-diligence 

to reach out to the vast majority of our 

authorized vaccine eligible population 

(but has not received the COVID–19 

vaccine per Military Health System 

records) with instructions on how to 

receive the vaccine. (2) Understand 

existing vaccine demand to adjust. (3) 

Inform future (i.e. booster) vaccination 

efforts. (4) Lift an administrative burden 

from the military treatment facilities by 

executing a standardized survey at the 

HQ level. (5) Remind message/ 

questionnaire recipients to have their 

medical record updated with their 

vaccination as applicable. 

Affected Public: Individuals or 

households. 

Annual Burden Hours: 19,000. 

Number of Respondents: 570,000. 

Responses per Respondent: 1. 

Annual Responses: 570,000. 

Average Burden per Response: 2 

minutes. 

Frequency: One time. 

Dated: July 20, 2021. 

Aaron T. Siegel, 

Alternate OSD Federal Register, Liaison 

Officer, Department of Defense. 

[FR Doc. 2021–15758 Filed 7–22–21; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DoD–2021–OS–0069] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Under Secretary of 

Defense for Personnel and Readiness, 

Department of Defense (DoD). 

ACTION: Information collection notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

Office of the Under Secretary of Defense 

for Personnel and Readiness 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 September 21, 

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: 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 Ms. Angela Duncan at 

the Department of Defense, Washington 

Headquarters Services, ATTN: 

Executive Services Directorate, 

Directives Division, 4800 Mark Center 

Drive, Suite 03F09–09, Alexandria, VA 

22350–3100 or call 571–372–7574. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: Application for Surrogate 

Association for DoD Self-Service (DS) 

Logon; DD Form 3005; OMB Control 

Number 0704–0559. 

Needs and Uses: This information 

collection is needed to obtain the 

necessary data to establish eligibility for 

a DS Logon credential and enrollment in 

DEERS. This information shall be used 

to establish an individual’s eligibility 

for DEERS enrollment and DS Logon 

credential issuance as a surrogate. 

Information is collected via the DD 

Form 3005, ‘‘Application for Surrogate 

Association for DoD Self-Service (DS) 

Logon,’’ and used to establish a record 

in DEERS and issue a DS Logon 

credential in accordance with DoDM 

1341.02, Volume 1. The information 

that is collected may be released to 

Federal and State agencies and private 

entities, on matters relating to 

utilization review, professional quality 

assurance, program integrity, civil and 

criminal litigation, and access to Federal 

government facilities, computer 

systems, networks, and controlled areas. 

Affected Public: Individuals or 

households. 

Annual Burden Hours: 834 hours. 

Number of Respondents: 5,000. 

Responses per Respondent: 1. 

Annual Responses: 5,000. 

Average Burden per Response: 10 

minutes. 

Frequency: On occasion. 

Dated: July 20, 2021. 

Aaron T. Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2021–15760 Filed 7–22–21; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2021–OS–0074] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Under Secretary of 

Defense for Personnel and Readiness, 

Department of Defense (DoD). 

ACTION: Information collection notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

Office of the Under Secretary of Defense 

for Personnel and Readiness 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. 


khammond on DSKJM1Z7X2PROD with NOTICES
39010 Federal Register / Vol. 86, No. 139 / Friday, July 23, 2021 / Notices 

DATES: Consideration will be given to all 

comments received by September 21, 

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: 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 Ms. Angela Duncan at 

the Department of Defense, Washington 

Headquarters Services, ATTN: 

Executive Services Directorate, 

Directives Division, 4800 Mark Center 

Drive, Suite 03F09–09, Alexandria, VA 

22350–3100 or call 571–372–7574. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: Medical Screening of Military 

Personnel-Medical History Report and 

Accession Medical History Report; DD 

Form 2807–1/DD Form 2807–2; OMB 

Control Number 0704–0413. 

Needs and Uses: This information 

collected is the basis for determining 

medical eligibility of applicants for 

entry in the Armed Forces. This 

information is needed to determine the 

medical qualifications of applicants 

based upon their current and past 

medical history. The information 

obtained on the DD Form 2807–2 

ensures the recruiter that an applicant 

have identified any medical 

disqualifying condition(s) prior to 

application process and meets the 

Congressional requirements to obtain 

both the applicants Health Care 

provider and Insurance provider. 

Additionally, it allows the military 

examining physician to obtain medical 

records critical to evaluating the 

applicant’s medical condition(s) prior to 

their medical examination. The DD 

Form 2807–1 is needed as part of the 

required medical examination to assist 

physicians in making determinations as 

to acceptability of applicants for 

military service and verifies 

disqualifying medical condition(s) 

noted on the accession medical history 

report form. 

Affected Public: Individuals or 

households. 

Annual Burden Hours: 128,834 hours. 

Number of Respondents: 773,003. 

Responses per Respondent: 1. 

Annual Responses: 773,003. 

Average Burden per Response: 10 

minutes. 

Frequency: On occasion. 

Dated: July 20, 2021. 

Aaron T. Siegel, 

Alternate OSD Federal Register, Liaison 

Officer, Department of Defense. 

[FR Doc. 2021–15757 Filed 7–22–21; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DoD–2021–OS–0068] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Under Secretary of 

Defense for Personnel and Readiness, 

Department of Defense (DoD). 

ACTION: Information collection notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

Office of the Under Secretary of Defense 

for Personnel and Readiness 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 September 21, 

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: 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 Ms. Angela Duncan at 

the Department of Defense, Washington 

Headquarters Services, ATTN: 

Executive Services Directorate, 

Directives Division, 4800 Mark Center 

Drive, Suite 03F09–09, Alexandria, VA 

22350–3100 or call 571–372–7574. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: SAPR/SHARP Survey; OMB 

Control Number 0704–0608. 

Needs and Uses: NORC at the 

University of Chicago, in collaboration 

with the United States Naval Academy 

(USNA) Sexual Assault Prevention and 

Response (SAPR) staff and the United 

States Military Academy (USMA) sexual 

harassment/assault response and 

prevention (SHARP) staff, is conducting 

the SAPR/SHARP Surveys (a baseline 

survey and one follow-up survey) with 

USNA students (midshipmen) and 

USMA students (cadets) with funding 

support from the Sexual Assault 

Prevention and Response Office. The 

purpose of the overall study is to 

determine the effectiveness of the 

academy prevention programming in 

addressing sexual harassment and 

sexual assault. The survey assesses 

topics such as rape myth acceptance, 

descriptive behavioral norms at the 

respective academies, experiences of 

sexual harassment and sexual assault, 

alcohol-related sex expectancies, 

witnessing experiences that might call 

for bystander intervention to prevent 

sexual harassment and/or sexual 

assault, and personal responses when 

exposed to these situations. The surveys 

are voluntary. Data are aggregated by 

appropriate sociodemographic 

categories (sex, sexual orientation, race/ 

ethnicity, and varsity athletic 

participation; sociodemographic 

responses will be recoded as binary 

indicators to prevent anyone from 

figuring out an individual participant’s 


khammond on DSKJM1Z7X2PROD with NOTICES