TRICARE Select Survey of Beneficiaries

TRICARE Select Survey of Beneficiaries (TSS-B)

OMB: 0720-0079

IC ID: 264614

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

View Information Collection (IC)

TRICARE Select Survey of Beneficiaries 0720-TSSB
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey TSSB Survey 2024-05-01.docx Yes Yes Fillable Fileable

Health Health Care Services

 

5,000 0
   
Individuals or Households
 
   62 %

  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 5,000 0 5,000 0 0 0
Annual IC Time Burden (Hours) 1,250 0 1,250 0 0 0
Annual IC Cost Burden (Dollars) 33,100 0 33,100 0 0 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.

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