Information Collection Request

Assistance Reporting Tool (ART)

ICR 202505-0720-003 · OMB 0720-0060 · Active

Forms and Documents
DocumentTypeStatusAvailability
SSNJ_Memo_ART_341_updated.pdf Supplementary Document Uploaded 2025-07-15 Repair queued
SSNJ_Memo_ART_341_updated.pdf Supplementary Document Uploaded 2025-07-15 Repair queued
0720-0060_SSA_7.21.2025.docx Supporting Statement A Uploaded 2025-08-07 Repair queued
0720-0060_SSA_7.21.2025.docx Supporting Statement A Uploaded 2025-08-07 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
217332 Assistance Reporting Tool (ART) Other-Screenshots Modified
ICR Details
0720-0060 202505-0720-003
Active 202203-0720-003
DOD/DODOASHA 0720-0060
Assistance Reporting Tool (ART)
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 09/12/2025
Retrieve Notice of Action (NOA) 08/07/2025
  Inventory as of this Action Requested Previously Approved
09/30/2028 36 Months From Approved
157,073 0 0
39,268 0 0
1,282,501 0 0

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.

US Code: 10 USC Chapter 55 Name of Law: Medical and Dental Care
   US Code: 38 USC 1781 Name of Law: Medical care for survivors and dependents of certain veterans
  
None

Not associated with rulemaking

  90 FR 1988 01/10/2025
90 FR 34259 07/21/2025
No

1
IC Title Form No. Form Name
Assistance Reporting Tool (ART)

  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 157,073 0 0 157,073 0 0
Annual Time Burden (Hours) 39,268 0 0 39,268 0 0
Annual Cost Burden (Dollars) 1,282,501 0 0 1,282,501 0 0
Yes
Miscellaneous Actions
No
Because this is a reinstatement, burden appears to have increased. However, the respondent burden has decreased since the previous approval due to updated estimates based on previous iterations of the collection.

$1,662,046
No
    Yes
    Yes
No
No
No
No
Amanda Grifka 555 555-5555 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/07/2025