View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0141	ICR Reference No: 201308-3206-001
Status: Historical Active	Previous ICR Reference No: 201201-3206-008
Agency/Subagency: OPM	Agency Tracking No:
Title: OPM 2809, Health Benefits Election Form
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: 11/06/2013
	Date Received in OIRA: 08/23/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2016	36 Months From Approved	03/31/2015
Responses	30,000	0	30,000
Time Burden (Hours)	11,667	0	16,667
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	30,000	30,000	0
Annual Time Burden (Hours)	11,667	16,667	-5,000
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The respondent burden changed because the time to complete the form was reduced from 45 minutes to 30 minutes.

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