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3206-0201 199209-3206-001
Historical Active 199206-3206-002
OPM
OPEN SEASON HEALTH BENEFITS ENROLLMENT CHANGE FORM OR REQUEST FOR ADDITIONAL INFORMATION
Revision of a currently approved collection   No
Regular
Approved without change 09/15/1992
09/08/1992
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 10/31/1993
127,913 0 127,913
63,957 0 63,957
0 0 0