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: 0505-0024	ICR Reference No: 201206-0505-001
Status: Historical Active	Previous ICR Reference No: 200806-3206-001
Agency/Subagency: USDA/OCFO	Agency Tracking No:
Title: Request to Change FEHB Enrollment or to Receive Plan Brochures for Spouse Equity/Temporary Continuation of Coverage Enrollees/Direct Pay Annuitants
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: 06/13/2012
	Date Received in OIRA: 06/13/2012
Terms of Clearance: This collection is cleared based on the revised materials provided by the agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2014	36 Months From Approved
Responses	27,000	0	27,000
Time Burden (Hours)	20,250	0	20,250
Cost Burden (Dollars)	0	0	0

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