Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants Modified 27000 20250 0 Form and Instruction DPRS 2809
Total burden requested under this ICR: 27000 20250 0  
To view an IC, click on IC Title