55182 Federal Register / Vol. 72, No. 188 / Friday, September 28, 2007 / Notices 

individual who may be a member of the 

public. Pursuant to 37 U.S.C. 401, 403, 

406, and 10 U.S.C. 1072 and 1076, the 

member must provide more than one 

half of the claimed dependent’s monthly 

expenses. DoD Financial Management 

Regulation 7000.14–R, Vol. 7A, defines 

dependency and directs that 

dependency be proven. Dependency 

claim examiners use the information 

from these forms to determine the 

degree of benefits. The requirement to 

provide the information decreases the 

possibility of monetary allowances 

being approved on behalf of ineligible 

dependents. 

Affected Public: Individuals or 

households. 

Frequency: On occasion. 

Respondent’s Obligation: Required to 

obtain or retain benefits. 

OMB Desk Officer: Ms. Hillary Jaffe. 

Written comments and 

recommendations on the proposed 

information collection should be sent to 

Ms. Jaffe 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 eRuling 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: September 21, 2007. 

Patricia L. Toppings, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 07–4793 Filed 9–27–07; 8:45 am] 

BILLING CODE 5001–06–M 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[No. DOD–2007–HA–0021] 

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 October 29, 2007. 

Title, Associated Form and OMB 

Number: Health Insurance Claim Form, 

CMS–1500; OMB Control Number 

0720–0001. 

Type of Request: Extension. 

Number of Respondents: 24,000,000. 

Responses per Respondent: 1. 

Annual Responses: 24,000,000. 

Average Burden per Response: 15 

minutes. 

Annual Burden Hours: 6,000,000. 

Needs and Uses: This information 

collection requirement is used by 

TRICARE to determine reimbursement 

for health care services or supplies 

rendered by individual professional 

providers to TRICARE beneficiaries. The 

requested information is used to 

determine beneficiary eligibility, 

appropriateness and costs of care, other 

health insurance liability and whether 

services received are benefits. Use of 

this form continues TRICARE 

commitments to use the national 

standard claim form for reimbursement 

of services/supplies provided by 

individual professional providers. 

Affected Public: Business or other forprofit; not-for-profit institutions; Federal 

government; state, local or tribal 

governments. 

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: September 21, 2007. 

Patricia L. Toppings, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 07–4794 Filed 9–27–07; 8:45 am] 

BILLING CODE 5001–06–M 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[No. DoD–2007–HA–0073] 

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 October 29, 2007. 

Title and OMB Number: Public 

Perceptions of Military Health Care; 

OMB Control Number 0720–TBD. 

Type of Request: New. 

Number of Respondents: 2,400. 

Responses per Respondent: 1. 

Annual Responses: 2,400. 

Average Burden per Response: 8 

minutes. 

Annual Burden Hours: 319. 

Needs and Uses: The purpose of this 

survey effort is to determine the public’s 

perceptions of Military Health Care and 

compare and contrast that with their 

perceptions of U.S. Health Care. 

Affected Public: Individuals or 

households. 

Frequency: Annually. 

Respondent’s Obligation: Voluntary. 

OMB Desk Officer: Mr. John Draemer. 

Written comments and 

recommendations on the proposed 

information collection should be sent to 

Mr. Kraemer at the Office of 

Management and Budget, Desk Officer 


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