View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0141	ICR Reference No: 199904-3206-001
Status: Historical Active	Previous ICR Reference No: 199505-3206-003
Agency/Subagency: OPM	Agency Tracking No:
Title: Health Benefits Registration Form
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/07/1999
	Date Received in OIRA: 04/28/1999
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2002	06/30/2002
Responses	1	0	0
Time Burden (Hours)	16,667	0	0
Cost Burden (Dollars)	0	0	0

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