Assistance Reporting Tool (ART)

ICR 201812-0720-003

OMB: 0720-0060

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2019-01-07
Supplementary Document
2019-01-07
IC Document Collections
IC ID
Document
Title
Status
217332 Modified
ICR Details
0720-0060 201812-0720-003
Active 201507-0720-001
DOD/DODOASHA 0720-0060
Assistance Reporting Tool (ART)
Revision of a currently approved collection   No
Regular
Approved without change 03/15/2019
Retrieve Notice of Action (NOA) 01/07/2019
  Inventory as of this Action Requested Previously Approved
03/31/2022 36 Months From Approved 03/31/2019
174,385 0 169,606
43,596 0 42,402
316,078 0 307,416

The ART is a secure web-based system that captures feedback on and authorizations related to TRICARE benefits. Personal health and personally identifiable information entered into ART is voluntarily provided by individuals via a verbal or written exchange and is only collected to facilitate case resolution, capture medical authorization determinations, and approve line of duty care and care under the Transitional Care for Service-related Conditions benefit. Respondents include individuals who have TRICARE-related questions or issues.

US Code: 10 USC 55 Name of Law: Medical and Dental Care
   US Code: 38 USC 17 Name of Law: Hospital, Nursing Home, Domiciliary, and Medical Care
  
None

Not associated with rulemaking

  83 FR 53619 10/24/2018
83 FR 66683 12/27/2018
No

1
IC Title Form No. Form Name
Assistance Reporting Tool (ART)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 174,385 169,606 0 0 4,779 0
Annual Time Burden (Hours) 43,596 42,402 0 0 1,194 0
Annual Cost Burden (Dollars) 316,078 307,416 0 0 8,662 0
No
No
Total burden has increased due to an estimated 28% rise in caseload processed through the Assistance Reporting Tool (ART).

$370,252
No
    Yes
    Yes
No
No
No
Uncollected
Kira Starks 571 372-4529 danikquia.k.starks.ctr@mail.mil

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/07/2019


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