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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 199610-3206-003
Historical Active 199505-3206-002
OPM
Open Season Health Benefits Enrollment Change Form or Request for Additional Information
Revision of a currently approved collection   No
Emergency 10/22/1996
Approved without change 10/24/1996
10/18/1996
This request,as amended by data provied by OPM on the percentage of responses collected electronically (5%) and the text of the Annuitant Express prompts, is approved
  Inventory as of this Action Requested Previously Approved
04/30/1997 04/30/1997 02/28/1997
74,200 0 74,200
37,100 0 37,100
0 0 0