View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	FED VIP (BENEFEDS.COM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR Chapter 89A 5 CFR Chapter 89B (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3206-0272	BENEFEDS	FedPoint-BENEFEDS-ICR-Feb-2024.pptx		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM/Central-26, FEDVIP, FLTCIP, and FSAFEDS Records	FR Citation: 87 FR 36889

Number of Respondents: 641,302	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	641,302	0	641,302	0	0	0
Annual IC Time Burden (Hours)	76,828	0	76,828	0	0	0
Annual IC Cost Burden (Dollars)	1,511,966	0	1,511,966	0	0	0

Documents for IC

Title	Document	Date Uploaded
PRIVACY ACT STATEMENT	Capture.PNG	03/22/2024
Burden Statement	BENEFEDS_Screenshots_011724_release.pdf	03/22/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.