OMB
.report
Search
TRICARE Satisfaction Survey of Network Providers
TRICARE Satisfaction Survey of Network Providers
OMB: 0720-0039
IC ID: 181849
OMB.report
DOD/DODOASHA
OMB 0720-0039
ICR 200709-0720-001
IC 181849
( )
Documents and Forms
Document Name
Document Type
TNPSS_instrument_v2007_revision2_coded.pdf
Other-Survey
d03928.pdf
GAO Report #GAO-03-928
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
TRICARE Satisfaction Survey of Network Providers
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
TNPSS_instrument_v2007_revision2_coded.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
9,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
30 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
9,000
0
9,000
0
0
0
Annual IC Time Burden (Hours)
2,790
0
2,790
0
0
0
Annual IC Cost Burden (Dollars)
49,950
0
49,950
0
0
0
Documents for IC
Title
Document
Date Uploaded
GAO Report #GAO-03-928
d03928.pdf
09/04/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.