# Submission for OMB Review; Comment Request
**AGENCY:**
Office of the Assistant Secretary 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 April 1, 2019.
**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:* Statement of Personal Injury: Possible Third Party Liability; DD-2527; OMB Control Number 0720-0003.
*Type of Request:* Extension.
*Number of Respondents:* 188,090.
*Responses per Respondent:* 1.
*Annual Responses:* 188,090.
*Average Burden per Response:* 15 minutes.
*Annual Burden Hours:* 47,022.50.
*Needs and Uses:* When a claim for TRICARE benefits is identified as involving possible third party liability and the information is not submitted with the claim the TRICARE contractors request that the injured party (or a designee) complete DD Form 2527. To protect the interests of the Government the contractor suspends claims processing until the requested third party liability information is received. The contractor conducts a preliminary evaluation based upon the collection of information and refers the case to a designated appropriate legal officer of the Uniformed Services. The responsible Uniformed Services legal officer uses the information as a basis for asserting and settling the Government's claim. When appropriate the information is forwarded to the Department of Justice as the basis for litigation.
*Affected Public:* Individuals or households.
*Frequency:* On occasion.
*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: February 25, 2019.
Shelly E. Finke,
Alternate OSD Federal Register Liaison Officer, Department of Defense.