Information Collection

TRICARE Satisfaction Survey of Network Providers

IC 181849 under ICR 200709-0720-001 · OMB 0720-0039.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TNPSS_instrument_v2007_revision2_coded.pdf	Other-Survey
d03928.pdf GAO Report #GAO-03-928	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,000	9,000
Annual IC Time Burden (Hours)	2,790	2,790
Annual IC Cost Burden (Dollars)	49,950	49,950

Documents for IC

table that charts IC Documents
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.