TRICARE: Standard Survey of Civilian Providers

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TRICARE: Standard Survey of Civilian Providers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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			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 %

	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

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.