[Federal Register Volume 88, Number 13 (Friday, January 20, 2023)]
[Notices]
[Page 3727]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-01094]
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DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2023-OS-0008]
Proposed Collection; Comment Request
AGENCY: Office of the Under Secretary of Defense for Personnel and
Readiness (OUSD(P&R)), Department of Defense (DoD).
ACTION: 60-Day information collection notice.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Office of the Under Secretary of Defense for Personnel and Readiness
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 March
21, 2023.
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: Department of Defense, Office of the Assistant to the
Secretary of Defense for Privacy, Civil Liberties, and Transparency,
4800 Mark Center Drive, Mailbox #24, Suite 08D09, Alexandria, VA 22350-
1700.
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
USD(P&R),OASD(HA),HSP&O; 7700 Arlington Blvd., Room 3M631, Falls
Church, VA 22042; Dr. Paul Ciminera; 703-681-1708,
[email protected].
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Separation Health
Assessment; DD Form 3146; OMB Control Number 0704-SHAS.
Needs and Uses: The form will be used to document physical
examinations and mental health assessments conducted for Service
members at separation from service pursuant to section 1145 of Title 10
of the United Sates Code and DoD Instruction 6040.46, ``The Separation
History and Physical Examination (SHPE) for the DoD Separation Health
Assessment (SHA) Program.'' The Department of Defense developed DD Form
3146 in coordination with the Department of Veterans Affairs (VA) as a
common form for documentation of the separation health assessment. Once
approved for official use, the DD Form 3146 will replace DD Forms 2807-
1, ``Report of Medical History,'' and 2808, ``Report of Medical
Examination,'' for documentation of health assessments of Service
members required at their separation, thereby fulfilling the common
form objective in the January 24, 2022 VA/DoD Memorandum of Agreement
concerning Separation Health Assessments.
Affected Public: Individuals and households.
Annual Burden Hours: 100,000.
Number of Respondents: 200,000.
Responses per Respondent: 1.
Annual Responses: 200,000.
Average Burden per Response: 30 minutes.
Frequency: Once.
Dated: January 17, 2023.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2023-01094 Filed 1-19-23; 8:45 am]
BILLING CODE 5001-06-P