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Federal forms, ICRs, and supporting documents

Information Collection Request

Federal Employees Health Benefits Open Season Express, Interactive Voice Response System

ICR 199708-3206-001 · OMB 3206-0201 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
33688 Federal Employees Health Benefits Open Season Express, Interactive Voice Response System Migrated
ICR Details
3206-0201 199708-3206-001
Historical Active 199610-3206-003
OPM
Federal Employees Health Benefits Open Season Express, Interactive Voice Response System
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 09/22/1997
Retrieve Notice of Action (NOA) 08/13/1997
This request is approved with the condition that OPM add a telephone number to to the "instructions for using open season express"(or the cover letter that is part of the document). The telephone number will be where to call with questions.
  Inventory as of this Action Requested Previously Approved
09/30/2000 09/30/2000
1 0 0
18,267 0 0
0 0 0
OPM forms 2809-EZ1 and EZ2 are no longer needed. OMB clearance number 3206-0200 is no longer needed. Health benefits open season for annuitants will be conducted using interactive voice response technology. Annuitants may change enrollment or request plan brochures using this technology.
None
None
No
1
IC Title Form No. Form Name
Federal Employees Health Benefits Open Season Express, Interactive Voice Response System
  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 1 0 0 1 0 0
Annual Time Burden (Hours) 18,267 0 0 18,267 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.
08/13/1997