View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0141	ICR Reference No: 198708-3206-003
Status: Historical Active	Previous ICR Reference No: 198609-3206-010
Agency/Subagency: OPM	Agency Tracking No:
Title: HEALTH BENEFITS REGISTRATION FORM (FEHBP), HEALTH BENEFITS ENROLLMENT CHANGE FORM, ENROLLMENT CODE FORM & BROCHURE REQUEST FORM, & ENROLLMENT CHANGE FORM
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: 10/27/1987
	Date Received in OIRA: 08/05/1987
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/1990	08/31/1990	08/31/1987
Responses	285,500	0	55,600
Time Burden (Hours)	35,688	0	6,950
Cost Burden (Dollars)	0	0	0

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