View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0202	ICR Reference No: 199208-3206-001
Status: Historical Active	Previous ICR Reference No: 199109-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: REQUEST TO CHANGE FEHB ENROLLMENT OR TO RECEIVE PLAN BROCHURES FOR SPOUSE EQUITY AND TEMPORARY CONTINUATION OF COVERAGE ENROLLEES
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: 09/08/1992
	Date Received in OIRA: 08/21/1992
Terms of Clearance: Prior to any future request for OMB approval of this form, OPM should consider the appropriateness of making similar changes to this form to those recently made to the SF 2809.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/1993	08/31/1993	08/31/1992
Responses	15,000	0	15,000
Time Burden (Hours)	2,500	0	2,500
Cost Burden (Dollars)	0	0	0

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