[Federal Register: April 23, 1998 (Volume 63, Number 78)]
[Notices]               
[Page 20172]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr23ap98-53]

=======================================================================
-----------------------------------------------------------------------

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, Applicable Form, and OMB Number: TRICARE Senior Prime 
Enrollment Application Form: OMB No. 0720-[to be determined].
    Type of Request: New collection; Emergency Processing requested 
with a shortened public comment period ending May 4, 1998. An approval 
date of May 15, 1998, is requested.
    Number of Respondents: 77,381.
    Responses per Respondent: 1.
    Annual Responses: 77,381.
    Average Burden Per Response: 20 minutes.
    Annual Burden Hours: 25,536 hours.
    Needs and Uses: This information collection is a requirement for 
TRICARE Senior Prime, a joint demonstration project of military managed 
health care conducted by the Department of Defense (DoD) and the 
Department of Health and Human Services (HHS). Under this 
demonstration, authorized by the Balanced Budget Act of 1997, DoD will 
offer Medicare-eligible military retirees and their dependents 
enrollment in a DoD-operated managed health care program. Medicare-
eligible beneficiaries will be offered the opportunity to enroll at 
selected Medical treatment Facilities (MTFs) in a managed care program 
modeled after the existing TRICARE Prime benefit. Medicare will 
reimburse DoD on a capitated basis for health care services it provides 
to the enrolled beneficiaries. Eligible beneficiaries seeking 
enrollment in the program will be required to fill out an enrollment 
application which will provide information pertaining to eligibility 
for the program, personal information for identification purposes, and 
information on other health insurance.
    Affected Public: Individuals or households.
    Frequency: On occasion.
    Respondent's Obligation: Required to obtain or retain a benefit.
    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, or via facsimile at (202) 395-
6974.
    DOD Clearance Officer: Mr. Robert Cushing.
    Requests for copies of the information collection proposal should 
be sent to Mr. Cushing at OSD/WHS/DIOR, 1215 Jefferson Davis Highway, 
Suite 1204, Arlington, VA 22202-4302, or via facsimile at (703) 604-
6270, or requested telephonically at (703) 604-4582.

    Dated: April 17, 1998.
Patricia L. Toppings,
Alternate OSD Federal Register, Liaison Officer, Department of Defense.
[FR Doc. 98-10746 Filed 4-22-98; 8:45 am]
BILLING CODE 5000-04-M