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Annuitant/OWCP Health Benefits Election Form

IC 33760 under ICR 200207-3206-002 · OMB 3206-0239.

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Annuitant/OWCP Health Benefits Election Form
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SF-2809-1 No No


    

9,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 9,000 0 0 0 0 9,000
Annual IC Time Burden (Hours) 4,500 0 0 0 0 4,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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