Active-Duty Dental Program Claim Form Information Collection Renewal

FR: Defense Department

Published March 31st, 2026

Detected March 31st, 2026

Summary

The Department of Defense has submitted to OMB for clearance a proposal to renew the Active-Duty Dental Program (ADDP) Claim Form (OMB Control Number 0720-0053). The notice invites public comments on this information collection affecting Service Members who receive dental care in the private sector. The collection involves 75,000 respondents generating 300,000 annual responses with 75,000 total annual burden hours.

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What changed

DoD is seeking OMB approval to renew the ADDP Claim Form under the Paperwork Reduction Act. The collection applies to Active-Duty Service Members who receive dental care in the private sector when not near a military dental treatment facility. The form serves dual purposes: documenting dental readiness and processing claims for reimbursement to providers. Key metrics include 75,000 respondents, 300,000 annual responses, and 75,000 annual burden hours (15 minutes per response). The respondent obligation is voluntary.

Public comments on this collection must be submitted by April 30, 2026 at www.reginfo.gov/public/do/PRAMain. Healthcare providers and military dental administrators should review the collection scope to determine if comments on burden estimates or information requirements are warranted.

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Notice

You may be interested in this older document that published on 01/23/2026 with action '60-Day information collection notice.' View Document

Submission for OMB Review; Comment Request

A Notice by the Defense Department on 03/31/2026

This document has a comment period that ends in 30 days.
(04/30/2026) View Comment Instructions
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Public Inspection Published Document: 2026-06213 (91 FR 15978) Document Headings ###### Department of Defense

Office of the Secretary

[Docket ID: DoD-2026-HA-0103]

AGENCY:

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 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 ( printed page 15979) “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

Published Document: 2026-06213 (91 FR 15978)