View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0201	ICR Reference No: 199108-3206-003
Status: Historical Active	Previous ICR Reference No: 199108-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: INSTRUCTIONS FOR OPEN SEASON HEALTH BENEFITS ENROLLMENT CHANGE FORM OR REQUEST FOR ADDITIONAL INFORMATION
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: 09/09/1991
	Date Received in OIRA: 08/29/1991
Terms of Clearance: By this action, OMB approves the instructions to accompany the Form 2809-EZ1. The approval of material by OMB on 8/27/91 is is not affected by this action. Both the form and the instructions, therefore, have the common expiration date of 8/31/92. In the future, all requests for OMB approval that revise earlier approved requests should contain all of the material the agency wishes to be approved for current use (In this case a copy of the form should have accompanied this request).

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

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