Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF DEFENSE

Department of the Air Force

Agency Information Collection Activities: Proposed Collection;

Comment Request

AGENCY: 89th Medical Support Squadron, Andrews Air Force Base, MD.

ACTION: Notice.

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In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction

Act of 1995, the Office of the Associate Chief, BSC for Dietetics,

89MDSS/SGSD, announces the proposed reinstatement and the initiation of

a public information collection and seeks public comment on

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the provisions thereof. Comments are invited on: (a) 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; (b) the accuracy of the

agency's estimate of the burden of the proposed information collection;

(c) ways to enhance the quality, utility, and clarity of the

information to be collected; and (d) 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

September 22, 1997.

ADDRESSES: Written comments and recommendations on the proposed

information collection should be sent to 89 MDSS/SGSD, 1050 W.

Perimeter Road, STE BB-2, Andrews Air Force Base, MD, 20762-6600, ATTN:

Maj Sharon Heffner.

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 the above address,

or call 89 MDSS/SGSD at (301) 981-8070.

Title, Associated Forms, and OMB Number: Nutritional Medicine

Service Patient Evaluation, AF Form 2503, OMB Number 0701-0125

Nutritional Medicine Patron Evaluation, AF Form 2504.

Needs and Uses: The information collection requirement is necessary

to gather information from inpatients concerning the quality of food

served and level of service provided by Nutritional Medicine Service on

the AF Form 2503. The AF Form 2504 is used to gather information from

dining room patrons on quality of food and service provided. This

information is required by the Joint Commission on Accreditation of

Healthcare Organizations for assessment of quality assurance in the

hospital accreditation process. The information is used within

individual military hospital settings only.

Affected Public: Individual inpatients in Air Force Medical

Treatment Facilities, and patrons of Nutritional Medicine Service

dining halls.

Annual Burden Hours: 8750.

Number of Respondents: 35,000.

Responses per Respondent: 1.

Average Burden per Respondent: 15 minutes.

Frequency: Upon hospital admission (AF Form 2503), or after

patronizing the MTF dining hall (AF Form 2504).

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

Respondents are medical beneficiaries admitted to the hospital, or

patrons consuming meals in the dining hall. Information is requested

from these individuals to determine their satisfaction with the food

service and nutrition care provided. The completed forms are used to

assess if changes in departmental service need to be implemented.

Barbara A. Carmichael,

Air Force Federal Register Liaison Officer.

[FR Doc. 97-19161 Filed 7-21-97; 8:45 am]

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