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Federal forms, ICRs, and supporting documents

Information Collection

TRICARE Inpatient Satisfaction Survey (Child)

IC 264708 under ICR 202401-0720-004 · OMB 0720-0077.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey
Information Collection (IC) Details

View Information Collection (IC)

TRICARE Inpatient Satisfaction Survey (Child) 0720-TRSS
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey TRISS Child Survey.docx No   Paper Only

Health Health Care Services

 

3,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 0 0 3,000 0
Annual IC Time Burden (Hours) 750 0 0 0 750 0
Annual IC Cost Burden (Dollars) 22,320 0 0 0 22,320 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.