Award Fee Provider Survey

ICR 201008-0720-002

OMB: 0720-0048

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
194123 New
ICR Details
0720-0048 201008-0720-002
Historical Active
DOD/DODOASHA
Award Fee Provider Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/28/2011
Retrieve Notice of Action (NOA) 08/05/2010
Approved consistent with revisions to DoD's submission submitted by the Department and included in the public docket.
  Inventory as of this Action Requested Previously Approved
04/30/2014 36 Months From Approved
1,200 0 0
100 0 0
0 0 0

This is a telephone survey of civilian network providers that focuses on three basic administrative processes/services business functions provided of claims processing, customer service, and administrative services by the MCSC contractor.

None
None

Not associated with rulemaking

  74 FR 53221 10/16/2009
74 FR 53221 10/16/2009
No

1
IC Title Form No. Form Name
Award Fee Provider Survey

  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 1,200 0 0 1,200 0 0
Annual Time Burden (Hours) 100 0 0 100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
New Collection

$170,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Patricia Toppings 703 696-5284 [email protected]

  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.
08/05/2010


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