# Submission for OMB Review; Comment Request
**AGENCY:**
Office of the Assistant Secretary of Defense for Health Affairs, DoD.
**ACTION:**
30-Day information collection notice.
**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 December 24, 2018.
**ADDRESSES:**
Comments and recommendations on the proposed information collection should be emailed to Ms. Cortney Higgins, 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:**
Fred Licari, 571-372-0493, or *[email protected]* .
**SUPPLEMENTARY INFORMATION:**
*Title; Associated Form; and OMB Number:* TRICARE Select Survey of Civilian Providers; OMB Control Number 0720-0031.
*Type of Request:* Revision.
*Number of Respondents:* 20,000.
*Responses per Respondent:* 1.
*Annual Responses:* 20,000.
*Average Burden per Response:* 5 minutes.
*Annual Burden Hours:* 1,667.
*Needs and Uses:* As mandated by Congress, the information collection requirement is necessary to determine how many providers are aware of the TRICARE health benefits program, and specifically accept new TRICARE Select patients in each market area. The original requirement is outlined in Section 711 Fiscal Year (FY) 2015 National Defense Authorization Act (NDAA) (Pub. L. 110-181) and was reaffirmed in Section 721 FY12 NDAA (Pub. L. 112-81). Section 712 of FY15 NDAA extended the requirement to conduct the survey from 2017 through 2020. Surveys of civilian physician and non-physician behavioral health care providers will be conducted in a number of locations in the United States each year. Respondents include civilian physicians (M.D.s & D.O.s) and non-physician behavioral health providers (clinical psychologists, clinical social workers and other TRICARE authorized behavioral health providers). The locations surveyed will include areas where the TRICARE Prime benefit is offered (known as TRICARE PRIME Service Areas) and geographic areas where TRICARE Prime is not offered. Respondents will be contacted by mail with a telephone follow-up to complete the survey.
*Affected Public:* Individuals or households.
*Frequency:* Annually.
*Respondent's Obligation:* Voluntary.
*OMB Desk Officer:* Ms. Cortney Higgins.
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.
Requests for copies of the information collection proposal should be sent to Mr. Licari at *[email protected].*
Dated: November 16, 2018.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.