View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0720-0060
ICR Reference No:
202203-0720-003
Status:
Historical Active
Previous ICR Reference No:
201812-0720-003
Agency/Subagency:
DOD/DODOASHA
Agency Tracking No:
0720-0060
Title:
Assistance Reporting Tool (ART)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/07/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/29/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2025
36 Months From Approved
06/30/2022
Responses
222,195
0
174,385
Time Burden (Hours)
55,549
0
43,596
Cost Burden (Dollars)
1,503,705
0
316,078
Abstract:
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.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
87 FR 3783
01/25/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 17277
03/28/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Assistance Reporting Tool (ART)
ICR Summary of Burden
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
222,195
174,385
0
47,810
0
0
Annual Time Burden (Hours)
55,549
43,596
0
11,953
0
0
Annual Cost Burden (Dollars)
1,503,705
316,078
0
1,187,627
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The respondent burden has increased since the previous approval due to an increase in responses. The labor cost of respondent burden has increased since the previous approval due to an increase in the respondent hourly wage ($7.25 to $27.07). Instead of using the Federal minimum wage of $7.25 per hour, we used the mean hourly wage for all occupations as listed on the U.S. Bureau of Labor Statistics website. Although there was a decrease in the hourly wage of workers ($52.66 to $18.51), there was an increase in the labor cost to the federal government. This was due to the increase in the number of responses (174,385 to 222,195). To calculate the hourly wage of workers, we used the mean hourly wage for Customer Service Representatives as listed on the U.S. Bureau of Labor Statistics website. This figure is more in line with the hourly wage of the users of the system.
Annual Cost to Federal Government:
$1,090,231
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Sandra Dennis 703 681-8818 sandra.e.dennis4.ctr@mail.mil
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
03/29/2022
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