This PDF is the current document as it appeared on Public Inspection on 03/28/2017 at 08:45 am.
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.
Consideration will be given to all comments received by April 28, 2017.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Fred Licari, 571-372-0493.End Further Info End Preamble Start Supplemental Information
Title, Associated Form and OMB Number: Physician Certificate for Child Annuitant; DD Form 2828; OMB Control Number 0730-0011.
Type of Request: Reinstatement.
Number of Respondents: 240.
Responses per Respondent: 1.
Annual Responses: 240.
Average Burden per Response: 2 hours.
Annual Burden Hours: 480 hours.
Needs and Uses: The DD 2828 is required and must be on file to support an incapacitation occurring prior to age 18. The form provides the authority for the Directorate of Retired and Annuitant Pay, DFAS to establish and pay a Retired Service Member's Family Protection Plan (RSFPP) or Survivor Benefit Plan (SBP) annuity to the incapacitated individual. The form is completed by the child annuitant, and/or their guardian, custodian or legal representative and certified by the physician.
Affected Public: Individuals and households.
Frequency: On occasion.
Respondent's Obligation: Required to obtain or retain benefits.
OMB Desk Officer: Ms. Jasmeet Seehra.
Comments and recommendations on the proposed information collection should be emailed to Ms. Jasmeet Seehra, DoD Desk Officer, at Oira_submission@omb.eop.gov. Please identify the proposed information collection by DoD Desk Officer and the Docket ID number and title of the information collection.
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.
Written requests for copies of the information collection proposal should be sent to Mr. Licari at WHS/ESD Directives Division, 4800 Mark Center Drive, East Tower, Suite 03F09, Alexandria, VA 22350-3100.Start Signature
Dated: March 23, 2017.
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2017-06145 Filed 3-28-17; 8:45 am]
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