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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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3206-0201 199206-3206-002
Historical Active 199108-3206-003
OPM
OPEN SEASON HEALTH BENEFITS ENROLLMENT CHANGE AND BROCHURE REQUEST
Revision of a currently approved collection   No
Regular
Approved without change 06/30/1992
06/19/1992
This approval covers use of this form for the 1992 open season only.
  Inventory as of this Action Requested Previously Approved
10/31/1993 10/31/1993 08/31/1992
127,913 0 127,913
63,957 0 63,957
0 0 0