Assistance Reporting Tool (ART)

Forms and Documents

Document	Type	Status	Availability
0720-0060_SSA_3.29.22.docx	Supporting Statement A	Uploaded 2022-03-29	Repair queued
ART_SSN Just Approval Memo Signed_Oct2019.pdf	Supplementary Document	Uploaded 2022-03-28	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
217332	Assistance Reporting Tool (ART)	Other-Screenshots	Modified

ICR Details

OMB Control No: 0720-0060	ICR Reference No: 202203-0720-003
Status: Received in OIRA	Previous ICR Reference No: 201812-0720-003
Agency/Subagency: DOD/DODOASHA	Agency Tracking No: 0720-0060
Title: Assistance Reporting Tool (ART)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/29/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2022
Responses	222,195	174,385
Time Burden (Hours)	55,549	43,596
Cost Burden (Dollars)	1,503,705	316,078

---

Abstract: The ART is a secure web-based system that captures feedback on and authorizations related to TRICARE benefits. Personal health and personally identifiable information entered into ART is voluntarily provided by individuals via a verbal or written exchange and is only collected to facilitate case resolution, capture medical authorization determinations, and approve line of duty care and care under the Transitional Care for Service-related Conditions benefit. Respondents include individuals who have TRICARE-related questions or issues.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 3783	01/25/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 17277	03/28/2022
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Assistance Reporting Tool (ART)

---

ICR Summary of Burden

	Total Request	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	222,195	174,385	0	47,810	0	0
Annual Time Burden (Hours)	55,549	43,596	0	11,953	0	0
Annual Cost Burden (Dollars)	1,503,705	316,078	0	1,187,627	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The respondent burden has increased since the previous approval due to an increase in responses. The labor cost of respondent burden has increased since the previous approval due to an increase in the respondent hourly wage ($7.25 to $27.07). Instead of using the Federal minimum wage of $7.25 per hour, we used the mean hourly wage for all occupations as listed on the U.S. Bureau of Labor Statistics website. Although there was a decrease in the hourly wage of workers ($52.66 to $18.51), there was an increase in the labor cost to the federal government. This was due to the increase in the number of responses (174,385 to 222,195). To calculate the hourly wage of workers, we used the mean hourly wage for Customer Service Representatives as listed on the U.S. Bureau of Labor Statistics website. This figure is more in line with the hourly wage of the users of the system.

---

Annual Cost to Federal Government: $1,090,231

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/29/2022

---