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: 3206-0270	ICR Reference No: 201510-3206-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: OPM	Agency Tracking No:
Title: RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/19/2016
	Date Received in OIRA: 10/13/2015
Terms of Clearance: This collection is approved based on the additional materials provided by the Agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	36 Months From Approved
Responses	400	0	0
Time Burden (Hours)	100	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	400	400
Annual Time Burden (Hours)	100	100
Annual Cost Burden (Dollars)	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This was an existing collection in use without an OMB control number, assignment, Federal Employees' Group Life Insurance (FEGLI), RI 76-10. The reporting population changed. The FEGLI program allows an insured individual to transfer ownership or assign the FEGLI coverage to a third party. An Insured may assign for several reason; for example, for financial planning purposes, or to comply with a court order; or to sell the coverage to a third party. Unlike a designation of beneficiary once an assignment is executed, it is irrevocable. Form has been revised to bring it up to date.

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