# Submission for OMB Review; Comment Request
**AGENCY:**
The Office of the Assistant Secretary of Defense for Health Affairs (OASD(HA)), Department of Defense (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 February 23, 2022.
**ADDRESSES:**
Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to *www.reginfo.gov/public/do/PRAMain.* Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by using the search function.
**FOR FURTHER INFORMATION CONTACT:**
Angela Duncan, 571-372-7574, *[email protected].*
**SUPPLEMENTARY INFORMATION:**
*Title; Associated Form; and OMB Number:* DoD COVID-19 Vaccine Questionnaire; OMB Control Number 0720-0069.
*Type of Request:* Extension.
*Number of Respondents:* 570,000.
*Responses per Respondent:* 1.
*Annual Responses:* 570,000.
*Average Burden per Response:* 2 minutes.
*Annual Burden Hours:* 19,000.
*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.
*Frequency:* One time.
*Respondent's Obligation:* Voluntary.
*OMB Desk Officer:* Ms. Julie Wise.
You may also submit comments and recommendations, identified by Docket ID number and title, by the following method:
• *Federal eRulemaking Portal: https://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 *https://www.regulations.gov* as they are received without change, including any personal identifiers or contact information.
*DOD Clearance Officer:* Ms. Angela Duncan.
Requests for copies of the information collection proposal should be sent to Ms. Duncan at *[email protected].*
Dated: January 19, 2022.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.