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: 3206-0136	ICR Reference No: 200402-3206-006
Status: Historical Active	Previous ICR Reference No: 200008-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: Designation of Beneficiary - Federal Employees' Group Life Insurance Program (FEGLI)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/23/2004
	Date Received in OIRA: 02/27/2004
Terms of Clearance: OPM's request for exemption to display the expiration date of this form has been denied.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2007	06/30/2007	06/30/2004
Responses	48,000	0	41,000
Time Burden (Hours)	12,000	0	10,250
Cost Burden (Dollars)	0	0	0

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