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Proposed Collection; Comment Request

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The Office of the Assistant Secretary of Defense for Health Affairs, Department of Defense (DoD).


Information collection notice.


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.


Consideration will be given to all comments received by September 21, 2021.


You may submit comments, identified by docket number and title, by any of the following methods:

Federal eRulemaking Portal: 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 as they are received without change, including any personal identifiers or contact information.

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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.

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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.

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Dated: July 20, 2021.

Aaron T. Siegel,

Alternate OSD Federal Register, Liaison Officer, Department of Defense.

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[FR Doc. 2021-15758 Filed 7-22-21; 8:45 am]