Federal Register / Vol. 80, No. 1 / Friday, January 2, 2015 / Notices 35 

Public Law 112–81. The Department 

will extend the evaluation consistent 

with proposed legislation extending the 

period from 2015 to 2018. 

Activities include the collection and 

analyses of data obtained confidentially 

from civilian physicians (M.D.s & D.O.s) 

and non-physician behavioral health 

providers (to include clinical 

psychologists, clinical social workers 

and other TRICARE authorized 

behavioral health providers) within U.S. 

geographic areas. Specifically, mail 

surveys with telephone follow-up of 

civilian providers will be conducted in 

the TRICARE market areas to determine 

how many health care providers are 

accepting new patients under TRICARE 

Standard in each market area. The 

surveys will be conducted in several 

TRICARE geographic areas in the United 

States each fiscal year from fiscal year 

2012 through and including fiscal year 

2016 to complete the 2015 survey. 

Representatives of TRICARE 

beneficiaries and selected provider 

groups will be consulted to identify 

potential locations. In addition, Section 

721 of the FY 2012 National Defense 

Authorization Act (NDAA) requires the 

Department to conduct annual surveys 

of beneficiary access experience and the 

availability to access civilian providers 

under TRICARE Standard and Extra 

program through the same period. These 

issues address the interests of Congress 

in reconciliation of responses of 

providers and beneficiaries who use 

TRICARE. Surveys of civilian health 

care providers (M.D.s, D.O.s and nonphysician behavioral health providers) 

and beneficiaries eligible for TRICARE 

Standard/Extra care will be conducted 

in areas where TRICARE Prime is 

offered and where it is not offered each 

year. The objective of this effort is to 

determine if TRICARE beneficiaries 

have difficulty in finding health care 

providers willing to provide services 

under Standard or Extra, and the extent 

to which providers in the area 

participate in Standard/Extra. 

Dated: December 29, 2014. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2014–30753 Filed 12–31–14; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Department of the Army 

[Docket ID: USA–2014–0049] 

Proposed Collection; Comment 

Request 

AGENCY: Army & Air Force Exchange 

Service (Exchange), DoD. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

Army & Air Force Exchange Service 

announces a proposed public 

information collection and seeks public 

comment on the provisions thereof. 

Comments are invited on: (a) 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; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed information collection; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) 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 March 3, 2015. 

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: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

East Tower, Suite 02G09, Alexandria, 

VA 22350–3100. 

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. 

Any associated form(s) for this 

collection may be located within this 

same electronic docket and downloaded 

for review/testing. Follow the 

instructions at http://

www.regulations.gov for submitting 

comments. Please submit comments on 

any given form identified by docket 

number, form number, and title. 

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 Army and Air Force 

Exchange Service, Office of the General 

Counsel, Compliance Division, Attn: 

Teresa Schreurs, 3911 South Walton 

Walker Blvd., Dallas, TX 75236–1598 or 

call the Exchange Compliance Division 

at 800–967–6067. 

SUPPLEMENTARY INFORMATION: Title; 

Associated Form; and OMB Number: 

Exchange Personnel Management and 

Payroll Systems; Exchange Form 1450– 

001 ‘‘Retirement Processing Checklist’’, 

Exchange Form 1700–110 ‘‘Group 

Health Benefits Continuation 

Application’’, Exchange Form 1100–012 

‘‘Promissory Note’’, Exchange Form 

1200–006 ‘‘Pre-Employment Screening 

Applicant Consent Form’’, Exchange 

Form 1700–117 ‘‘Conversion of Group 

Term Life Insurance’’; OMB Control 

Number: 0702–XXXX. 

Needs And Uses: The information 

collection requirement is necessary to 

provide a basis for computing civilian 

pay entitlements, maintaining a record 

of the history of pay transactions, and to 

provide health and retirement benefits 

to the appropriate individual. 

Information is collected through new 

employment orientation which may 

include the name of the individual (i.e. 

family member or dependent) SSN, 

home address, phone number, marital 

status, sex, security clearance, military 

status, pay status and rank, tax 

exemptions authorized deductions, and 

choices of retirement and health 

insurance. Additional information is 

obtained from court ordered documents 

such as Qualifying Domestic Relations 

Orders which require the Exchange to 

pay retirement benefits to ex-spouse or 

other dependents. This collection is 

necessary to accurately accrue civilian’s 

correct leave, benefits, retirement and 

pay, issue bonds, pay taxes, and to keep 

the Exchange compliant with court 

orders and the ability to answer any 

inquires to process such claims. In 

addition, the information is used to 

produce reports and statistical analyses 

of the civilian workforce to verify 

employment, provide data in support of 

Equal Employment Opportunity 

Programs, provide the Exchange with 

emergency contact information, 

responses to union requests, establish 

training requirements, provide projected 

staffing requirements, provide data for 

retirement processing, corrective 

actions, grievances and appeals, provide 

incentive awards, fill positions, 

determinations of medical 

qualifications, counsel employees on 

career development, plan dependent 


asabaliauskas on DSK5VPTVN1PROD with NOTICES
36 Federal Register / Vol. 80, No. 1 / Friday, January 2, 2015 / Notices 

services in overseas areas, determine 

validity of individual claims related to 

pay adjustments and for other 

managerial and statistical studies, 

records and reports. 

Affected Public: Employee family 

members, former spouses and other 

employee dependents. 

Annual Burden Hours: 208,000 Hours. 

Number of Respondents: 260,000. 

Responses per Respondent: 3.2. 

Average Burden per Response: 15 

minutes. 

Frequency: Daily. 

Respondents are dependents, 

including ex-spouses and/or Exchange 

personnel who are terminated or retired. 

Information is obtained from the 

Exchange personnel either prior to being 

employed, during active duty or after 

they have ended employment with the 

Exchange. Information is submitted to 

the Exchange primarily through 

electronic means so the Exchange may 

pay appropriately for time and 

accurately provide individuals with 

health and retirement benefits. 

Dated: December 29, 2014. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2014–30732 Filed 12–31–14; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Department of the Navy 

[Docket ID: USN–2014–0024] 

Proposed Collection; Comment 

Request 

AGENCY: Office of Human Resources, 

DON, DOD. 

ACTION: Notice. 

In compliance with the Paperwork 

Reduction Act of 1995, the Office of 

Human Resources announces a 

proposed public information collection 

and seeks public comment on the 

provisions thereof. Comments are 

invited on: (a) 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; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed information collection; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) 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 March 3, 2015. 

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: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

East Tower, Suite 02G09, Alexandria, 

VA 22350–3100. 

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. 

Any associated form(s) for this 

collection may be located within this 

same electronic docket and downloaded 

for review/testing. Follow the 

instructions at http://

www.regulations.gov for submitting 

comments. Please submit comments on 

any given form identified by docket 

number, form number, and title. 

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 Department of the 

Navy, Office of Equal Employment 

Opportunity (EEO) and Diversity 

Management, 614 Sicard Street SE., 

Suite 100, Washington Navy Yard, DC 

20374, or call the Office of EEO and 

Diversity Management at (202) 685– 

6230. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: Department of the Navy (DON) 

Reasonable Accommodations (RA) 

Tracker; SECNAV 12306/1T 

Confirmation of Reasonable 

Accommodation Request; OMB Control 

Number 0703–XXXX. 

Needs And Uses: The information 

collection requirement is necessary to 

track, monitor, review, and process 

requests for reasonable accommodations 

for employees, contractors, and 

applicants for employment. This 

information will be collected by DON 

EEO personnel involved in the 

Reasonable Accommodation process 

and data input into the Reasonable 

Accommodation Tracker (electronic 

information system) pursuant to 

Executive Order 13163. Official 

Reasonable Accommodation case files 

are secured with access granted on a 

strictly limited basis. 

Affected Public: Individuals or 

households; contractors and applicants 

for employment. 

Annual Burden Hours: 33. 

Number of Respondents: 100. 

Responses per Respondent: 1. 

Average Burden per Response: 20 

minutes (0.33 Hours). 

Frequency: On occasion. 

The Department of the Navy 

Reasonable Accommodation Tracker 

will maintain employment information, 

contact information, and information 

related to the disabilities and reasonable 

accommodations/potential reasonable 

accommodations for employees, 

contractors, and applicants for 

employment who request reasonable 

accommodations. Reasonable 

accommodations applicants complete 

SECNAV 12306/1T Form-Confirmation 

of Reasonable Accommodation Request, 

information from the form will be input 

into the Reasonable Accommodation 

Tracker. Contact information of 

deciding officials and health care 

providers will also be maintained in the 

system. Data collected is required for 

DON EEO officials and employees to 

track, monitor, review, and process 

requests for reasonable 

accommodations. Individuals involved 

in the reasonable accommodation 

process would not be able to perform 

their official duties of processing or 

deciding on cases if the subject 

information is not collected and 

maintained by DON EEO personnel. 

Official Reasonable Accommodation 

case files are secured with access 

granted on a strictly limited basis. Case 

files will be retained for the duration of 

that individual’s employment with the 

Department of the Navy. Case files 

maintained will be retained and 

disposed of in accordance with the 

provisions of the OPM Government 

wide Systems of Records, 65 CFR 27432. 

Dated: December 29, 2014. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2014–30757 Filed 12–31–14; 8:45 am] 

BILLING CODE 5001–06–P 


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