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 25000 18750 0 Form and Instruction DPRS 2809
Total burden requested under this ICR: 25000 18750 0  
To view an IC, click on IC Title