Active-Duty Dental Program Claim Form Renewal

Regs.gov: Department of Defense

Published March 27th, 2026

Detected April 2nd, 2026

Summary

The Department of Defense has submitted for OMB clearance a renewal of the Active-Duty Dental Program (ADDP) Claim Form under the Paperwork Reduction Act. The collection applies to 75,000 service members who receive dental care in the private sector, with an estimated annual burden of 75,000 hours. Comments on this information collection must be submitted by April 30, 2026.

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What changed

The DoD is seeking OMB renewal for the Active-Duty Dental Program Claim Form (OMB Control Number 0720-0053). The form is used to document dental readiness of Service Members and process claims for dental procedures provided in the private sector. The collection covers 300,000 annual responses from 75,000 respondents with 15 minutes average burden per response.

Healthcare providers and DoD administrative staff should confirm existing processes align with the renewed collection requirements. The public comment period closes April 30, 2026. Written comments may be submitted via www.reginfo.gov. No new obligations or substantive changes are introduced; this is a routine administrative renewal under the Paperwork Reduction Act.

What to do next

Submit comments on the information collection renewal to OMB by April 30, 2026
Verify existing ADDP claim form processes remain compliant with renewed collection requirements
Ensure staff awareness of the voluntary nature of the collection and current respondent obligations

Source document (simplified)

Content

ACTION:

30-Day information collection notice.

SUMMARY:

The DoD 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 April 30, 2026.

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, whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil.

SUPPLEMENTARY INFORMATION:

Title; Associated Form; and OMB Number: Active-Duty Dental Program (ADDP) Claim Form; OMB Control Number 0720-0053.

Type of Request: Renewal.

Number of Respondents: 75,000.

Responses per Respondent: 4.

Annual Responses: 300,000.

Average Burden per Response: 15 minutes.

Annual Burden Hours: 75,000.

Needs and Uses: The information collection is necessary to obtain and record the dental readiness of Service Members using the Active Duty
Dental Program and at the same time submit the claim for the dental procedures provided so that claims can be processed and
reimbursement made to the provider. Many Service Members are not located near a military dental treatment facility and receive
their dental care in the private sector.

Affected Public: Individuals or households.

Frequency: On occasion.

Respondent's Obligation: Voluntary.

DOD Clearance Officer: Mr. Reginald Lucas.

Dated: March 27, 2026. Stephanie J. Bost, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 2026-06213 Filed 3-30-26; 8:45 am] BILLING CODE 6001-FR-P