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OMB Control No: 3206-0272	ICR Reference No: 202510-3206-001
Status: Received in OIRA	Previous ICR Reference No: 201905-3206-005
Agency/Subagency: OPM	Agency Tracking No:
Title: Federal Employees Dental and Vision Insurance Program (FEDVIP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/29/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	502,347	332,304
Time Burden (Hours)	58,858	44,307
Cost Burden (Dollars)	2,088,759	158,988

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	502,347	332,304	170,043
Annual Time Burden (Hours)	58,858	44,307	14,551
Annual Cost Burden (Dollars)	2,088,759	158,988	1,929,771

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: The burden decreased one minute in time, however costs have kept up with increased inflation.

Annual Cost to Federal Government: $272,825

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Alexys Stanley 202 936-2501 alexys.stanley@opm.gov