13506 Federal Register / Vol. 66, No. 44 / Tuesday, March 6, 2001 / Notices

AmeriCorps members spearheading

community efforts to provide young

people with five basic promises:

• Ongoing relationships with caring

adults—parents, mentors, tutors or

coaches;

• Safe places with structured

activities during nonschool hours;

• Healthy start and future;

• Marketable skills through effective

education; and

• Opportunities to give back through

community service.

The 2001 AmeriCorps Promise

Fellows Application Instructions

provide the requirements, instructions

and forms that eligible applicants need

to complete an application to the

Corporation for funding.

The Corporation seeks public

comment on the forms, the instructions

for the forms, and the instructions for

the narrative portion of these

application instructions.

Type of Review: New collection.

Agency: Corporation for National and

Community Service.

Title: 2001 AmeriCorps Promise

Fellows Application Instructions.

OMB Number: None.

Agency Number: None.

Affected Public: Governor-appointed

state commissions on national and

community service (State

Commissions); nonprofit organizations

proposing to sponsor AmeriCorps

Promise Fellows in more than one state;

Indian Tribes; and local government

agencies, institutions of higher

education, or public or private nonprofit

organizations in states or U.S. territories

that do not have a State Commission.

Total Respondents: 90.

Frequency: Once per year.

Average Time Per Response: 28 hours.

Estimated Total Burden Hours: 2,520

hours.

Total Burden Cost (capital/startup):

None.

Total Burden Cost (operating/

maintenance): None.

Technical Assistance Call

The Corporation will host a

conference call to provide technical

assistance regarding the 2001

AmeriCorps Promise Fellows

Application Instructions. The primary

purpose of these calls is to offer

technical assistance to interested

applicants to the program. The call will

occur on Wednesday, March 21, 2001, at

2 p.m. Eastern time. To register for this

call, please contact Austin Holland at

(202) 606–5000, extension 274 or

aholland@cns.gov to receive the

information you need to join the call.

Dated: February 28, 2001.

Tracy Stone,

Director, AmeriCorps Promise Fellows.

[FR Doc. 01–5312 Filed 3–5–01; 8:45 am]

BILLING CODE 6050–$$–P

DEPARTMENT OF DEFENSE

Office of the Secretary

Proposed Collection; Comment

Request

AGENCY: Office of the Assistant

Secretary of Defense for Health Affairs,

Defense.

ACTION: Notice.

In accordance with section

3506(c)(2)(A) of the Paperwork

Reduction Act of 1995, the Office of the

Assistant Secretary of Defense for

Health Affairs/TRICARE Management

Activity announces a proposed new

public health information collection and

seeks public comment on the provisions

thereof. Comments are invited on: (a)

Whether the proposed new 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 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 on or before May 1,

2001.

ADDRESSES: Written comments and

recommendations on the information

collection should be sent to the

TRICARE Management Activity

(Optimization & Integration), Attention:

LTC Scott Goodrich, MC, USA, Deputy

Director, Population Health Programs,

5111 Leesburg Pike, Suite 810, Falls

Church, VA 22041–3206.

FOR FURTHER INFORMATION CONTACT: To

request more information on this

proposed information collection, please

write to the above address.

Title; Associated Form; and OMB

Number: Health Evaluation Assessment

Review (HEAR) Survey 2.X.

Needs and Uses: The objective of this

work is to design and implement the

HEAR 2.X. The HEAR is a tool that will

help to define the health status of a

population. The survey is a self-reported

health assessment tool designed to

provide information regarding: (1) An

individual’s health risk factors and

preventive care needs. These are

reported to both the individual and their

primary care manager; (2) which

individuals are likely to use high levels

of medical resources; and, (3) risk

factors, care levels, and healthcare

utilization for use in strategic planning

for population health management and

resource utilization at the Office of the

Assistant Secretary of Defense (Health

Affairs), TRICARE Management

Activity, Regional, Major Command,

Military Treatment Facility, and

provider level healthcare. In addition,

the HEAR 2.X will provide information

in support of Healthy People 2010 and

other population health programs.

These data will provide needed

information to better plan, deliver, and

evaluate health care provided in the

Military Health System.

Affected Public: Individual

households.

Annual Burden Hours: 703,427.71

hours.

Number of Respondents: 2,106,071.

Responses per Respondent: 1 each

year.

Average Burden per Response: 20

Minutes (0.334).

Frequency: Once.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

This request encompasses all

activities required to develop and

implement the HEAR 2.X survey. The

HEAR is a unified approach to assess

health and fitness for active duty and

other DoD health care beneficiaries. The

information is primarily used by health

care personnel to plan health care

delivery needs and to: (1) Identify

patients requiring clinical preventive

care (e.g., cholesterol screening,

mammography, prostate exam, etc.); (2)

target individuals who could benefit

from counseling services associated

with high risk behaviors (e.g., excessive

alcohol consumption, smoking, drinking

and driving, etc.); (3) categorize patients

into one of three primary care levels

according to the complexity and

intensity of care required; (4) predict

which patients will be high users of

health care resources; (5) empower

individuals to take responsibility for

their own health; and, (6) assess the

health status of the population so

patients, providers, resource managers,

commanders, and health planners at all

levels can work towards improving

health and managing care.

Federal Register / Vol. 66, No. 44 / Tuesday, March 6, 2001 / Notices 13507

Dated: February 27, 2001.

Patricia L. Toppings,

Alternate OSD Federal Register Liaison

Officer, Department of Defense.

[FR Doc. 01–5382 Filed 3–5–01; 8:45 am]

BILLING CODE 5001–10–M

DEPARTMENT OF DEFENSE

Office of the Secretary

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).

Title and OMB Number: Interactive

Customer Evaluation System (ICE);

OMB Number 0704–[To Be

Determined].

Type of Request: New Collection.

Number of Respondents: 2,880.

Responses Per Respondent: 1.

Annual Responses: 2,880.

Average Burden Per Response: 3

minutes.

Annual Burden Hours: 144.

Needs and Uses: Members of the

public who respond to this interactive

customer evaluation system are

authorized customers and have been

provided a service through DoD

customer service organizations. They

have the opportunity to give automated

feedback to the service provider on the

quality of their experience and their

satisfaction level. Customers also have

the opportunity to provide any

comments that might be beneficial in

improving the process and in turn

service to the customer. This is a

management tool for improving

customer services.

Affected Public: Individuals or

Households; Business or Other ForProfit.

Frequency: On Occasion.

Respondent’s Obligation: Voluntary.

OMB Desk Officer: Mr. Edward C.

Springer. Written comments and

recommendations on the proposed

information collection should be sent to

Mr. Springer at the Office of

Management and Budget, Desk Officer

for DoD, Room 10236, New Executive

Office Building, Washington, DC 20503.

DOD Clearance Officer: Mr. Robert

Cushing. Written requests for copies of

the information collection proposal

should be sent to Mr. Cushing, WHS/

DIOR, 1215 Jefferson Davis Highway,

Suite 1204, Arlington, VA 22202–4302.

Dated: February 27, 2001.

Patricia L. Toppings,

Alternate OSD Federal Register Liaison

Officer, Department of Defense.

[FR Doc. 01–5383 Filed 3–5–01; 8:45 am]

BILLING CODE 5001–10–M

DEPARTMENT OF DEFENSE

Office of the Secretary

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).

Title, Form, and OMB Number:

Request for Information Regarding

Deceased Debtor; DD Form 2840; OMB

Number 0730–[To Be Determined].

Type of Request: New Collection.

Number of Respondents: 10,000.

Responses per Respondent: 1.

Annual Responses: 10,000.

Average Burden per Response: 5

minutes.

Annual Burden Hours: 833.

Needs and Uses: Defense Finance and

Accounting Service maintains updated

debt accounts and initiates debt

collection action for separated military

members, out-of-service civilian

employees, and other individuals not on

an active federal government payroll

system. When notice is received that an

individual debtor is deceased, an effort

is made to ascertain whether the

decedent left an estate by contacting

clerks of probate courts. If it is

determined that an estate was

established, attempts are made to collect

the debt from the estate. If no estate

appears to have been established, the

debt is written off as uncollectable. This

form is used to obtain information on

deceased debtors from probate courts.

Affected Public: Individuals or

Households; State, Local or Tribal

Government.

Frequency: On Occasion.

Respondent’s Obligation: Voluntary.

OMB Desk Officer: Mr. Edward C.

Springer. Written comments and

recommendations on the proposed

information collection should be sent to

Mr. Springer at the Office of

Management and Budget, Desk Officer

for DoD, Room 10236, New Executive

Office Building, Washington, DC 20503.

DOD Clearance Officer: Mr. Robert

Cushing. Written requests for copies of

the information collection proposal

should be sent to Mr. Cushing, WHS/

DIOR, 1215 Jefferson Davis Highway,

Suite 1204, Arlington, VA 22202–4302.

Dated: February 27, 2001.

Patricia L. Toppings,

Alternate OSD Federal Register Liaison

Officer, Department of Defense.

[FR Doc. 01–5384 Filed 3–5–01; 8:45 am]

BILLING CODE 5001–10–M

DEPARTMENT OF DEFENSE

Office of the Secretary

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).

Title, Forms, and OMB Number:

Dependency Statement—Parent, Child

Born Out of Wedlock, Incapacitated

Child Over Age 21, Full Time Student

21–22 Years of Age, and Ward of a

Court; DD Forms 137–3, 137–4, 137–5,

137–6, 137–7; OMB Number 0730–[To

Be Determined].

Type of Request: New Collection.

Number of Respondents: 19,440.

Responses per Respondent: 1.

Annual Responses: 19,440.

Average Burden per Response: 1.25

hours.

Annual Burden Hours: 24,300.

Needs and Uses: The information

collection requirement is necessary to

certify dependency or obtain informaton

to determine entitlement to basic

allowance for housing (BAH) with

dependent rate, travel allowance, or

Uniformed Services Identification and

Privilege Card. Information regarding a

parent, a child born out-of-wedlock, an

incapacitated child over age 21, a

student 21–22, or a ward of a court is

provided by the military member or by

another 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 at

least one-half of the claimed child’s

monthly expenses. DoDFMR 7000.14,

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.