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: 3206-0202	ICR Reference No: 199306-3206-008
Status: Historical Active	Previous ICR Reference No: 199208-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: REQUEST TO CHANGE FEHB ENROLLMENT OR TO RECEIVE PLAN BROCHURES
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: 09/10/1993
	Date Received in OIRA: 06/09/1993
Terms of Clearance: This form is approved for use in the upcoming open season only. As discussed with OPM staff, early in 1994 OPM will meet with OMB staff to discuss how to make this form more similar to other forms used in the 2809 series.2

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/1994	08/31/1994	08/31/1993
Responses	15,000	0	15,000
Time Burden (Hours)	2,500	0	2,500
Cost Burden (Dollars)	0	0	0

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