OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

OPEN SEASON TRANSACTIONS, FEHBP ENROLLMENT BY PAYROLL OFFICE, FEHBP ENROLLMENT SUMMARY

ICR 198110-3206-004 · OMB 3206-0101 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
156857 OPEN SEASON TRANSACTIONS, FEHBP ENROLLMENT BY PAYROLL OFFICE, FEHBP ENROLLMENT SUMMARY Form Migrated
ICR Details
3206-0101 198110-3206-004
Historical Active 198101-3206-021
OPM
OPEN SEASON TRANSACTIONS, FEHBP ENROLLMENT BY PAYROLL OFFICE, FEHBP ENROLLMENT SUMMARY
Revision of a currently approved collection   No
Regular
Approved without change 12/01/1981
Retrieve Notice of Action (NOA) 10/29/1981
  Inventory as of this Action Requested Previously Approved
12/31/1984 12/31/1984 02/28/1982
125 0 123
21,000 0 20,787
0 0 0
TITLE 5, U.S.C., CHAPTER 89, SECTION 8910 GIVES AUTHORITY TO OPM TO COLLECT INFORMATION TO NEGOTIATE PREMIUMS AND PROPERLY PAY CARRIERS FROM THE FEDERAL EMPLOYEES HEALTH BENEFITS TRUST FUND. THESE REPORTS ARE USED FOR THAT PURPOSE.
None
None
No
1
IC Title Form No. Form Name
OPEN SEASON TRANSACTIONS, FEHBP ENROLLMENT BY PAYROLL OFFICE, FEHBP ENROLLMENT SUMMARY REPORTS #7,, 8, & 9
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 125 123 0 -19 21 0
Annual Time Burden (Hours) 21,000 20,787 0 -2,037 2,250 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/29/1981