[Federal Register Volume 81, Number 76 (Wednesday, April 20, 2016)]
[Notices]
[Pages 23278-23279]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-09117]
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DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2012-HA-0165]
Proposed Collection; Comment Request
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs, DoD.
ACTION: Notice.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Office of the Assistant Secretary of Defense for Health Affairs
announces a proposed public information collection and seeks public
comment on the
[[Page 23279]]
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 June 20,
2016.
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: ODCMO, Directorate for Oversight and Compliance,
4800 Mark Center Drive, Attn: Mailbox 24, Alexandria, VA 22350-1700.
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 Office of the
Assistant Secretary of Defense for Health Affairs (OASD), Defense
Health Agency, Tricare Dental Care Section, ATTN: COL James Honey, 7700
Arlington Blvd., 3M453, Falls Church, VA 22042, or call TRICARE
Operations Division, at 703-681-8862.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Department of Defense
Active Duty/Reserve Forces Dental Examination; DD Form 2813; OMB Number
0720-0022.
Needs and Uses: The information collection requirement is necessary
to obtain and record the dental health status of members of the Armed
Forces. This form is the means for civilian dentists to record the
results of their findings and provide the information to the member's
military organization. The military organizations are required by
Department of Defense policy to track the dental status of its members.
Affected Public: Business or other for profit; Not-for-profit
institutions.
Annual Burden Hours: 37,500.
Number of Respondents: 150,000.
Responses per Respondent: 5.
Annual Responses: 750,000.
Average Burden per Response: 3 minutes.
Frequency: Annually.
Respondents are medical professionals who provide dental services.
Members of the Armed Forces of the United States are the recipients of
the dental examination. The Armed Forces Reserve component members must
maintain their dental health at a predetermined level so problems do
not occur when they are deployed to a military operation. Reserve
component members usually receive their dental care from civilian
dentists; therefore it would be civilian dentists who would complete
the form. Following a routine dental examination, the dentist would
review the categories listed on the form and circle the number
corresponding to the condition that best describes the dental health of
the patient. If dental problems can be identified, they are indicated
on the form. Once the form is complete and the dentist signs it, the
members take the form back to the organization to which they belong.
The information on the form is logged into a database. The form is kept
in the health record until no longer needed and then it is destroyed.
Dated: April 15, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2016-09117 Filed 4-19-16; 8:45 am]
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