[Federal Register Volume 63, Number 180 (Thursday, September 17, 1998)] [Notices] [Page 49690] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 98-24910] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF DEFENSE Office of the Secretary Submission of 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, Associated Form, and OMB Number: Reimbursement Information, Psychiatric Residential Treatment Centers Serving Children and Adolescents; TMA Form 771; OMB Number 0704-0295. Type of Request: Reinstatement. Number of Respondents: 20. Responses per Respondent: 1. Annual Responses: 20. Average Burden per Response: 12 hours. Annual Burden Hours: 240. Needs and Uses: Respondents are psychiatric residential treatment centers (RTCs) seeking certification under the TRICARE program to provide needed services to eligible children and adolescents. The data collection instrument, i.e., TRICARE Form 771, will collect the necessary reimbursement information that will be used in calculating prospective all-inclusive per diem rates for new RTCs under the TRICARE program. Based on current trends, it is estimated that about 20 forms will be completed and submitted to the TRICARE program per fiscal year for RTCs seeking certification under the program. Affected Public: Business or Other For-Profit; Not-For-Profit Institutions. Frequency: One-Time. Respondent's Obligation: Required to obtain or retain benefits. OMB Desk Officer: Ms. Allison Eydt. Written comments and recommendations on the proposed information collection should be sent to Ms. Eydt at the Office of Management and Budget, Desk Officer for DoD Health Affairs, Room 10235, 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: September 11, 1998. Patricia L. Toppings, Alternate OSD Federal Register, Liaison Officer, Department of Defense. [FR Doc. 98-24910 Filed 9-16-98; 8:45 am] BILLING CODE 5000-04-M