View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0141	ICR Reference No: 200204-3206-003
Status: Historical Active	Previous ICR Reference No: 199904-3206-001
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: 06/11/2002
	Date Received in OIRA: 04/12/2002
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2005	06/30/2005	06/30/2002
Responses	30,000	0	1
Time Burden (Hours)	16,667	0	16,667
Cost Burden (Dollars)	0	0	0

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