Billing Code: 6001-FR
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DoD-2024-HA-0076]
Proposed Collection; Comment Request
AGENCY: The Office of the Assistant Secretary of Defense for Health Affairs (OASD(HA)),
Department of Defense (DoD).
ACTION: 60-day information collection notice.
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the Defense Health
Agency (DHA) 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 [INSERT DATE 60 DAYS
AFTER DATE OF PUBLICATION IN THE FEDERAL REGISTER].
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, Regulatory Directorate, 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 Defense Health Agency, 7700 Arlington Blvd., Falls Church, VA
22042, Amanda Grifka, 703-681-1771.
SUPPLEMENTARY INFORMATION:
TITLE; ASSOCIATED FORM; AND OMB NUMBER: DHA Equal Employment
Opportunity (EEO) Complaints Program; DHA Form 28, DHA Form 30, EEO Contact Request
E-Form; OMB Control Number 0720-EEOC.
NEEDS AND USES: Individuals have the right to file an EEO complaint with the DHA if they
believe their employment, privileges, benefits, and/or working conditions have been adversely
impacted due to their protected activity (race, color, etc.), resulting in disparate treatment or
impact(s). Individuals wishing to initiate the EEO Complaint Process must provide the
necessary information to avoid processing delay(s). Information collected from individuals
throughout the EEO Complaint Process and Reasonable Accommodation Process will be used
(a) for processing of complaints of discrimination because of race, color, national origin,
religion, sex, age, physical and/or mental disability, genetic information, or reprisal; (b) for
processing of reasonable accommodation requests; (c) as a data source for complaint and
reasonable accommodation information used for production of summary descriptive statistics
and analytical studies of complaints and reasonable accommodation processing and resolution
efforts; (d) to respond to general requests for information under the Freedom of Information Act;
(e) to respond to requests from legitimate outside individuals or agencies (Congress, White

House, Equal Employment Opportunity Commission (EEOC)) regarding the status of an EEO
complaint, appeal, or reasonable accommodation request; or (f) to adjudicate an EEO complaint
or appeal.
AFFECTED PUBLIC: Individuals or households.
ANNUAL BURDEN HOURS: 425.8 hours
NUMBER OF RESPONDENTS: 511.
RESPONSES PER RESPONDENT: 1.
ANNUAL RESPONSES: 511.
AVERAGE BURDEN PER RESPONSE: 50 minutes.
FREQUENCY: As required.
Dated: July 2, 2024.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2024-15042 Filed: 7/8/2024 8:45 am; Publication Date: 7/9/2024]