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


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3206-0141 198406-3206-004
Historical Active 198403-3206-011
OPM
OPEN SEASON HEALTH BENEFITS ENROLLMENT CHANGE FORM FOR ANNUITANTS (1 PART) SF 2809EZ & SV 2809 O/P FOR OTHER ANNUITANT USE
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/20/1984
Approved with change 06/20/1984
06/20/1984
  Inventory as of this Action Requested Previously Approved
05/31/1987 05/31/1987 05/31/1987
60,000 0 60,000
7,500 0 15,000
0 0 0