Information Collection

TRICARE: Standard Survey of Civilian Providers

IC 5609 under ICR 202509-0720-002 · OMB 0720-0031.

Documents and Forms

Document Name Document Type
TSS_P FY25 web survey.pdf Other-Survey
TSS_P FY25 web survey.pdf Other-Survey
TSS_P_FY25 CATI script.docx Other-Phone Version of Survey
TSS_P_FY25 CATI script.docx Other-Phone Version of Survey
TSS-P 25 BH.pdf Other-Behavioral Health Provider Sur
TSS-P 25 BH.pdf Other-Behavioral Health Provider Sur
TSS-P 25 BH2.pdf Other-Behavioral Health Provider Sur
TSS-P 25 BH2.pdf Other-Behavioral Health Provider Sur
TSS-P 25 PC.pdf Other-PC Survey Invitation
TSS-P 25 PC.pdf Other-PC Survey Invitation
TSS-P 25 PC2.pdf Other-Behavioral Health Provider Sur
TSS-P 25 PC2.pdf Other-Behavioral Health Provider Sur

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TRICARE: Standard Survey of Civilian Providers	Agency IC Tracking Number:	0720-0031

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	TSS_P FY25 web survey.pdf	Yes	Yes	Fillable Fileable
Other-Phone Version of Survey	TSS_P_FY25 CATI script.docx	No		Fillable Fileable
Other-Behavioral Health Provider Survey Invitation	TSS-P 25 BH.pdf	Yes	Yes	Fillable Fileable
Other-Behavioral Health Provider Survey Reminder	TSS-P 25 BH2.pdf	Yes	Yes	Fillable Fileable
Other-PC Survey Invitation	TSS-P 25 PC.pdf	Yes	Yes	Fillable Fileable
Other-Behavioral Health Provider Survey Reminder	TSS-P 25 PC2.pdf	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 29 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,700	7,700
Annual IC Time Burden (Hours)	642	642
Annual IC Cost Burden (Dollars)	32,340	32,340

Documents for IC

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].