View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0141	ICR Reference No: 201201-3206-008
Status: Historical Active	Previous ICR Reference No: 201103-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: OPM 2809, Health Benefits Election Form
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: 03/01/2012
	Date Received in OIRA: 01/26/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	36 Months From Approved	06/30/2012
Responses	30,000	0	30,000
Time Burden (Hours)	16,667	0	16,667
Cost Burden (Dollars)	0	0	0

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