View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0141	ICR Reference No: 199505-3206-003
Status: Historical Active	Previous ICR Reference No: 199303-3206-003
Agency/Subagency: OPM	Agency Tracking No:
Title: Health Benefits Registration Form
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: 07/13/1995
	Date Received in OIRA: 05/30/1995
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/1998	07/31/1998	06/30/1995
Responses	34,800	0	0
Time Burden (Hours)	26,100	0	26,100
Cost Burden (Dollars)	0	0	0

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