[Federal Register Volume 81, Number 76 (Wednesday, April 20, 2016)]
[Notices]
[Page 23278]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-09076]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2015-HA-0040]


Submission for OMB Review; Comment Request

ACTION: Notice.

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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 May 20, 
2016.

FOR FURTHER INFORMATION CONTACT: Fred Licari, 571-372-0493.

SUPPLEMENTARY INFORMATION: 
    Title, Associated Form and OMB Number: Active Duty Dental Program 
(ADDP) Claim Form; OMB Control Number 0720-0053.
    Type of Request: Reinstatement, with change, of a previously 
approved collection for which approval has expired.
    Number of Respondents: 75,000.
    Responses per Respondent: 4.
    Annual Responses: 300,000.
    Average Burden per Response: 15 minutes.
    Annual Burden Hours: 75,000.
    Needs and Uses: The information collection is necessary to obtain 
and record the dental readiness of Service Members using the Active 
Duty Dental Program (ADDP) and at the same time submit the claim for 
the dental procedures provided so that claims can be processed and 
reimbursement made to the provider. Many Service Members are not 
located near a military dental treatment facility and receive their 
dental care in the private sector.
    Affected Public: Business or other for-profit; Not-for-profit 
institutions.
    Frequency: On occasion.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Ms. Stephanie Tatham.
    Comments and recommendations on the proposed information collection 
should be emailed to Ms. Stephanie Tatham, DoD Desk Officer, at 
[email protected]. Please identify the proposed information 
collection by DoD Desk Officer and the Docket ID number and title of 
the information collection.
    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: Mr. Frederick Licari.
    Written requests for copies of the information collection proposal 
should be sent to Mr. Licari at WHS/ESD Directives Division, 4800 Mark 
Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100.

    Dated: April 14, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2016-09076 Filed 4-19-16; 8:45 am]
 BILLING CODE 5001-06-P