OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Federal Employees Health Benefits (FEHB) Open Season Express Interactive Voice Response (IVR) System

ICR 200011-3206-001 · 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
33689 Federal Employees Health Benefits (FEHB) Open Season Express Interactive Voice Response (IVR) System Migrated
ICR Details
3206-0201 200011-3206-001
Historical Active 199708-3206-001
OPM
Federal Employees Health Benefits (FEHB) Open Season Express Interactive Voice Response (IVR) System
Revision of a currently approved collection   No
Regular
Approved without change 01/19/2001
Retrieve Notice of Action (NOA) 11/14/2000
  Inventory as of this Action Requested Previously Approved
01/31/2004 01/31/2004 01/31/2001
112,000 0 1
18,666 0 18,267
0 0 0
The Federal Employees Health Benefits (FEHB) Open Season Express Interactive Voice Response (IVR) System and the open season web site, Open Season Online, is used by retirees and survivors; it collects information for changing FEHB enrollments, collecting dependent and other insurance information for self and family enrollments, requesting plan brochures, requesting a change of address, requesting cancellation or suspension of FEHB benefits, asking to make payment to the Office of Personnel Management when the FEHB paymen tis greater than the monthly annuity amount, or requesting a copy of the FEHB Customer Satisfaction Survey.......
None
None
No
1
IC Title Form No. Form Name
Federal Employees Health Benefits (FEHB) Open Season Express Interactive Voice Response (IVR) 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 112,000 1 0 0 111,999 0
Annual Time Burden (Hours) 18,666 18,267 0 0 399 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.
11/14/2000