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Federal forms, ICRs, and supporting documents

Information Collection Request

1995 FEDERAL EMPLOYEES HEALTH BENEFITS PLANS' CONSUMER SATISFACTION SURVEY

ICR 199504-3206-001 · OMB 3206-0225 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
157131 1995 FEDERAL EMPLOYEES HEALTH BENEFITS PLANS' CONSUMER SATISFACTION SURVEY Migrated
ICR Details
3206-0225 199504-3206-001
Historical Active
OPM
1995 FEDERAL EMPLOYEES HEALTH BENEFITS PLANS' CONSUMER SATISFACTION SURVEY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/17/1995
Retrieve Notice of Action (NOA) 04/18/1995
  Inventory as of this Action Requested Previously Approved
05/31/1998 05/31/1998
40,000 0 0
16,667 0 0
0 0 0
THIS SURVEY WILL PROVIDE DATA THAT WILL HELP FEDERAL EMPLOYEES HEALTH BENEFITS (FEHB) ENROLLEES SELECT PLANS THAT BEST MEET THEIR NEEDS. IT WILL HELP THE OFFICE OF PERSONNEL MANAGEMENT AND FEHB PLANS IN THEIR CONTINUING QUALITY IMPROVEMENT EFFORTS.
None
None
No
1
IC Title Form No. Form Name
1995 FEDERAL EMPLOYEES HEALTH BENEFITS PLANS' CONSUMER SATISFACTION SURVEY
  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 40,000 0 0 40,000 0 0
Annual Time Burden (Hours) 16,667 0 0 16,667 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
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.
04/18/1995