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Federal forms, ICRs, and supporting documents

Information Collection Request

COMPREHENSIVE MEDICAL PLANS - APPLICATION TO PARTICIPATE IN FEHB PROGRAM - FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM - CONTRACTOR RECORDS RETENTION

ICR 198812-3206-001 · OMB 3206-0145 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
156962 COMPREHENSIVE MEDICAL PLANS - APPLICATION TO PARTICIPATE IN FEHB PROGRAM - FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM - CONTRACTOR RECORDS RETENTION Migrated
ICR Details
3206-0145 198812-3206-001
Historical Active 198708-3206-010
OPM
COMPREHENSIVE MEDICAL PLANS - APPLICATION TO PARTICIPATE IN FEHB PROGRAM - FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM - CONTRACTOR RECORDS RETENTION
Revision of a currently approved collection   No
Regular
Approved without change 02/03/1989
Retrieve Notice of Action (NOA) 12/27/1988
  Inventory as of this Action Requested Previously Approved
01/31/1992 01/31/1992 01/31/1989
75 0 163
22,896 0 48,900
0 0 0
THIS INFORMATION COLLECTION IS USED BY OPM TO DETERMINE IF COMPREHENSI MEDICAL PLANS APPLYING FOR PARTICIPATION IN THE FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM MEET THE REQUIREMENTS FOR PARTICIPATION. THE SECOND PART OF THIS CLEARANCE COVERS RECORDKEEPING REQUIREMENTS IMPOSE ON THE PLANS THAT PARTICIPATE IN THE FEHB PROGRAM FOR THE PURPOSE OF
None
None
No
  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 75 163 0 0 -88 0
Annual Time Burden (Hours) 22,896 48,900 0 0 -26,004 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$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.
12/27/1988