OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201102-3206-003 · OMB 3206-0201 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
IVR 60-day FRN.pdf Supplementary Document Uploaded 2011-02-22 Available
30-day FRN.pdf Supplementary Document Uploaded 2011-02-22 Available
FEHB_IVR_OMBSuppStmt.doc Supporting Statement A Uploaded 2011-02-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33690 Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System Instruction Modified
ICR Details
3206-0201 201102-3206-003
Historical Active 200712-3206-006
OPM
Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System
Revision of a currently approved collection   No
Regular
Approved without change 04/06/2011
Retrieve Notice of Action (NOA) 02/23/2011
  Inventory as of this Action Requested Previously Approved
04/30/2014 36 Months From Approved 04/30/2011
350,100 0 215,000
58,349 0 35,833
0 0 0
The FEHB Open Season Express 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 making payment to the Office of Personnel Management when the FEHB payment is greater than the monthly annuity amount, or requesting FEHB plan accreditation and Customer Satisfaction Survey information.
US Code: 5 USC 8905A Name of Law: Continued Coverage
   US Code: 5 USC 8905 Name of Law: null
  
None
Not associated with rulemaking
  75 FR 61785 10/06/2010
76 FR 9836 02/22/2011
No
1
IC Title Form No. Form Name
Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System FEHB IVR Open Season Online FEHB IVR Open Season Online
  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 350,100 215,000 0 135,100 0 0
Annual Time Burden (Hours) 58,349 35,833 0 22,516 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The respondent burden has increased due to the increasing number of customers that we serve and more customers are choosing to respond using our automated system.
$434,970
No
No
No
No
No
Uncollected
Miles Windsor 202 606-8358 [email protected]
  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.
02/23/2011