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Federal forms, ICRs, and supporting documents

Information Collection Request

ATTITUDINAL SURVEY OF THE FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM

ICR 198910-3206-001 · OMB 3206-0184 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
157054 ATTITUDINAL SURVEY OF THE FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Migrated
ICR Details
3206-0184 198910-3206-001
Historical Active
OPM
ATTITUDINAL SURVEY OF THE FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/17/1989
Retrieve Notice of Action (NOA) 10/30/1989
  Inventory as of this Action Requested Previously Approved
03/31/1990 03/31/1990
2,500 0 0
375 0 0
0 0 0
THIS SURVEY IS REQUIRED TO CARRY OUT OPM'S STATUTORY MANDATE TO STUDY THE OPERATION AND ADMINISTRATION OF THE FEHB AND TO FORMULATE A COMPREHENSIVE REFORM PACKAGE BY FEBRUARY 1990 AS REQUIRED BY P.L. 101-76.
None
None
No
1
IC Title Form No. Form Name
ATTITUDINAL SURVEY OF THE FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM
  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 2,500 0 0 2,500 0 0
Annual Time Burden (Hours) 375 0 0 375 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
10/30/1989