Information Collection

TRICARE: Standard Survey of Civilian Providers

IC 5609 under ICR 200809-0720-001 · OMB 0720-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0720-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
711_FY_08_Survey.doc	Other-Survey
PL 108-136, Sec 723.doc PL 108-136, Sec 723	IC Document
NDAA FY06, Sec 711.doc NDAA FY06, Sec 711	IC Document
PL 108-181, Sec 711.doc PL 108-181, Sec 711	IC Document
Survey Letters.doc Survey Letters	IC Document
MAP.doc MAP	IC Document
Summary of Survey Results (2005,2006,2007).doc Summary of Survey Results	IC Document

IC Title:

TRICARE: Standard Survey of Civilian Providers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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			711_FY_08_Survey.doc		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: 40,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	3,333	3,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PL 108-136, Sec 723	PL 108-136, Sec 723.doc	09/01/2008
NDAA FY06, Sec 711	NDAA FY06, Sec 711.doc	09/01/2008
PL 108-181, Sec 711	PL 108-181, Sec 711.doc	09/01/2008
Survey Letters	Survey Letters.doc	09/01/2008
MAP	MAP.doc	09/01/2008
Summary of Survey Results	Summary of Survey Results (2005,2006,2007).doc	09/04/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.