# Proposed Collection; Comment Request
**AGENCY:**
The Office of the Assistant Secretary of Defense for Health Affairs, Department of Defense (DoD).
**ACTION:**
Information collection notice.
**SUMMARY:**
In compliance with the *Paperwork Reduction Act of 1995,* the Defense Health Agency announces a proposed public information collection and seeks public comment on the provisions thereof. Comments are invited on: Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; the accuracy of the agency's estimate of the burden of the proposed information collection; ways to enhance the quality, utility, and clarity of the information to be collected; and ways to minimize the burden of the information collection on respondents, including through the use of automated collection techniques or other forms of information technology.
**DATES:**
Consideration will be given to all comments received by September 21, 2021.
**ADDRESSES:**
You may submit comments, identified by docket number and title, by any of the following methods:
*Federal eRulemaking Portal: http://www.regulations.gov.* Follow the instructions for submitting comments.
*Mail:* DoD cannot receive written comments at this time due to the COVID-19 pandemic. Comments should be sent electronically to the docket listed above.
*Instructions:* All submissions received must include the agency name, docket 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.
**FOR FURTHER INFORMATION CONTACT:**
To request more information on this proposed information collection or to obtain a copy of the proposal and associated collection instruments, please write to the Defense Health Agency, ATTN: Maj Nathan Reynolds, 7700 Arlington Blvd., STE 5158, 3M546B, Falls Church, VA 22042 or call 703-681-5101.
**SUPPLEMENTARY INFORMATION:**
*Title; Associated Form; and OMB Number:* DoD COVID-19 Vaccine Questionnaire; OMB Control Number 0720-0069.
*Needs and Uses:* The purpose of the DoD COVID-19 Vaccine Questionnaire is as follows: (1) Exercise due-diligence to reach out to the vast majority of our authorized vaccine eligible population (but has not received the COVID-19 vaccine per Military Health System records) with instructions on how to receive the vaccine. (2) Understand existing vaccine demand to adjust. (3) Inform future ( *i.e.* booster) vaccination efforts. (4) Lift an administrative burden from the military treatment facilities by executing a standardized survey at the HQ level. (5) Remind message/questionnaire recipients to have their medical record updated with their vaccination as applicable.
*Affected Public:* Individuals or households.
*Annual Burden Hours:* 19,000.
*Number of Respondents:* 570,000.
*Responses per Respondent:* 1.
*Annual Responses:* 570,000.
*Average Burden per Response:* 2 minutes.
*Frequency:* One time.
Dated: July 20, 2021.
Aaron T. Siegel,
Alternate OSD Federal Register, Liaison Officer, Department of Defense.