View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3206-0201	ICR Reference No: 199108-3206-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: OPM	Agency Tracking No:
Title: OPEN SEASON HEALTH BENEFITS ENROLLMENT CHANGE FORM OR REQUEST FOR ADDITIONAL INFORMATION
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/27/1991
	Date Received in OIRA: 08/19/1991
Terms of Clearance: This request is given a one year approval since by nature of the program, content of the information collection changes annually.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/1992	08/31/1992
Responses	127,913	0	0
Time Burden (Hours)	63,957	0	0
Cost Burden (Dollars)	0	0	0

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