2020 043 Survey Mapping Document DHA Tricare MTF survey

E-Government Website Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 043 2020 043 Survey Mapping Document DHA Tricare MTF survey Form and Instruction
043 2020 043 Survey Mapping Document DHA Tricare MTF survey 2020 043 Survey Mapping Document DHA Tricare MTF survey.docx Form and Instruction
1090-0008 Generic Clearance Request Form MTF Feedback survey - DHA Tricare - signed.pdf 1090-0008 Generic Clearance Request Form MTF Feedback survey - DHA Tricare - signed IC Document
1090-0008 Feedback Survey Mapping Doc DHA Tricare MTF survey.xlsx 1090-0008 Feedback Survey Mapping Doc DHA Tricare MTF survey IC Document

Information Collection (IC) Details

IC Title:	2020 043 Survey Mapping Document DHA Tricare MTF survey	Agency IC Tracking Number:	043

IC Status: New

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
Form and Instruction	043	2020 043 Survey Mapping Document DHA Tricare MTF survey	2020 043 Survey Mapping Document DHA Tricare MTF survey.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form MTF Feedback survey - DHA Tricare - signed	1090-0008 Generic Clearance Request Form MTF Feedback survey - DHA Tricare - signed.pdf	11/09/2020
1090-0008 Feedback Survey Mapping Doc DHA Tricare MTF survey	1090-0008 Feedback Survey Mapping Doc DHA Tricare MTF survey.xlsx	11/09/2020

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