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: 3206-0230	ICR Reference No: 200304-3206-001
Status: Historical Active	Previous ICR Reference No: 200003-3206-003
Agency/Subagency: OPM	Agency Tracking No:
Title: Life Insurance Election
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/11/2003
	Date Received in OIRA: 04/21/2003
Terms of Clearance: Approved for use through 9/2004 pending revisions to the form reflecting program changes and commitments made in the OPM e-mail dated 7/10/2003 in response to OMB's comments.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2004	09/30/2004	08/31/2003
Responses	100	0	100
Time Burden (Hours)	25	0	25
Cost Burden (Dollars)	0	0	0

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