# 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 DoD has submitted to the Office of Management and Budget (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 26, 2025.
**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:**
Reginald Lucas, (571) 372-7574, *[email protected]* .
**SUPPLEMENTARY INFORMATION:**
*Title; Associated Form; and OMB Number:* Applicant for TRICARE-Provider Status: Corporation Services Provider; DD 3030; OMB Control Number 0720-0020.
*Type of Request:* Extension.
*Number of Respondents:* 6,000.
*Responses per Respondent:* 1.
*Annual Responses:* 6,000.
*Average Burden per Response:* 20 minutes.
*Annual Burden Hours:* 2,000.
*Needs and Uses:* This information collection requirement is necessary to ensure that the conditions are met for authorization as a TRICARE/CHAMPUS Corporate Service Provider. Respondents are freestanding corporations and foundations seeking authorization under the TRICARE/CHAMPUS program to provide otherwise covered professional services to eligible TRICARE/CHAMPUS beneficiaries.
*Affected Public:* Business or other for-profit.
*Frequency:* On occasion.
*Respondent's Obligation:* Voluntary.
*DOD Clearance Officer:* Mr. Reginald Lucas.
Dated: November 21, 2025.
Stephanie J. Bost,
Alternate OSD Federal Register Liaison Officer, Department of Defense.