Childbirth and Breastfeeding Demonstration Survey

ICR 202201-0720-004

OMB: 0720-0070

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2022-05-27
Supporting Statement B
2022-05-27
Supporting Statement A
2022-07-08
IC Document Collections
ICR Details
202201-0720-004
Received in OIRA
DOD/DODOASHA 0720-CBDS
Childbirth and Breastfeeding Demonstration Survey
New collection (Request for a new OMB Control Number)   No
Regular 07/11/2022
  Requested Previously Approved
36 Months From Approved
16,000 0
2,400 0
48,000 0

The survey will solicit information from TRICARE beneficiaries who have given birth in the specified reporting period (initial survey for beneficiaries who gave birth in calendar year 2021; follow up surveys sent to beneficiaries who give birth each calendar year quarter through the end of 2026, with the final survey sent in early 2027).

PL: Pub.L. 116 - 283 746 Name of Law: William M. Thornburg NDAA FY2021
  
None

Not associated with rulemaking

  87 FR 14521 03/15/2022
87 FR 40824 07/08/2022
No

1
IC Title Form No. Form Name
Childbirth and Breastfeeding Demonstration Survey

  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 16,000 0 0 16,000 0 0
Annual Time Burden (Hours) 2,400 0 0 2,400 0 0
Annual Cost Burden (Dollars) 48,000 0 0 48,000 0 0
Yes
Miscellaneous Actions
No
This is a new collection with a new associated burden.

$5,112
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Terry McDavid 703 681-3645 terry.a.mcdavid.civ@mail.mil

  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.
07/11/2022


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