[Federal Register Volume 84, Number 244 (Thursday, December 19, 2019)]
[Notices]
[Page 69730]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-27360]


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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID DOD-2019-HA-0096]


Submission for OMB Review; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health 
Affairs, DoD.

ACTION: 30-Day information collection 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 January 
21, 2020.

ADDRESSES: Comments and recommendations on the proposed information 
collection should be emailed to Mr. Josh Brammer, DoD Desk Officer, at 
[email protected]. Please identify the proposed information 
collection by DoD Desk Officer, Docket ID number, and title of the 
information collection.

FOR FURTHER INFORMATION CONTACT: Angela James, 571-372-7574, or [email protected].

SUPPLEMENTARY INFORMATION:
    Title; Associated Form; and OMB Number: Active Duty Dental Program 
(ADDP) Claim Form; OMB Control Number 0720-0053.
    Type of Request: Revision.
    Number of Respondents: 105,000.
    Responses per Respondent: 4.
    Annual Responses: 420,000.
    Average Burden per Response: 15 minutes
    Annual Burden Hours: 105,000.
    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; individuals or 
households.
    Frequency: On occasion.
    Respondent's Obligation: Voluntary.
    OMB Desk Officer: Mr. Josh Brammer.
    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: Ms. Angela James.
    Requests for copies of the information collection proposal should 
be sent to Ms. James at [email protected].

    Dated: December 13, 2019.
Morgan E. Park,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2019-27360 Filed 12-18-19; 8:45 am]
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