TRICARE Inpatient Satisfaction Survey (TRISS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2023_TRISS_envelope_scans.pdf	Supplementary Document	Uploaded 2024-01-25	Repair queued
TRISS Child Cover Letter.docx	Supplementary Document	Uploaded 2024-01-25	Repair queued
TRISS Adult Cover Letter.docx	Supplementary Document	Uploaded 2024-01-25	Repair queued
TRISS Adult CATI Survey.docx	Supplementary Document	Uploaded 2024-01-25	Repair queued
TRISS Child CATI Survey.docx	Supplementary Document	Uploaded 2024-01-25	Repair queued
0720-TRSS_SSB_2.13.2024.docx	Supporting Statement B	Uploaded 2024-02-20	Missing upstream
0720-TRSS_SSA_2.13.2024.docx	Supporting Statement A	Uploaded 2024-02-20	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
264708	TRICARE Inpatient Satisfaction Survey (Child)	Other-Survey	New
264698	TRICARE Inpatient Satisfaction Survey (Adult)	Other-Survey	New

ICR Details

OMB Control No: 0720-0077	ICR Reference No: 202401-0720-004
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOW/DODOASHA	Agency Tracking No: 0720-TRSS
Title: TRICARE Inpatient Satisfaction Survey (TRISS)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/01/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/20/2024
Terms of Clearance: The collection is approved with the understanding that the agency will submit an ICR Change as soon as reasonably possible after coordinating the implementation of SPD 15 with HHS.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	36 Months From Approved
Responses	63,600	0	0
Time Burden (Hours)	7,820	0	0
Cost Burden (Dollars)	232,723	0	0

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Abstract: The Defense Health Agency (DHA) administers two TRICARE Inpatient Satisfaction Survey (TRISS) instruments to understand perceptions of inpatient care among Military Health System (MHS) users. The survey instruments adhere to the methodological and analytical protocols and questionnaire items mandated by the industry standard Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) protocol for the Adult version and the guidelines put forth by Agency for Healthcare Research and Quality (AHRQ) for the Child version. Developed by the Centers for Medicare and Medicaid Services (CMS) and AHRQ, the program provides valid and reliable self-reported experience ratings of inpatient experiences. As a result, the TRISS program allows objective and meaningful comparisons between hospitals, in areas that are important to consumers.

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Authorizing Statute(s): EO: EO 13571 Name/Subject of EO: Streamlining Service Delivery and Improving Customer Service
   PL: Pub.L. 102 - 484 724 Name of Law: National Defense Authorization Act for FY 1993
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 81372	11/22/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 10055	02/13/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
TRICARE Inpatient Satisfaction Survey (Adult)
TRICARE Inpatient Satisfaction Survey (Child)

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ICR Summary of Burden

table that charts list of burden

	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	63,600	0	0	0	0	63,600
Annual Time Burden (Hours)	7,820	0	0	0	0	7,820
Annual Cost Burden (Dollars)	232,723	0	0	0	0	232,723

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $359,271

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     No

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.     No

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

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Common Form ICR:  No

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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: 02/20/2024

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