Information Collection

FEGLI Implementation Questionnaire for Tribal Employers

IC 208748 under ICR 201309-3206-001 · OMB 3206-0260.

Documents and Forms

Document Name Document Type
Form FEGLI FEGLI Implementation Questionnaire for Tribal Employers Form and Instruction
FEGLI FEGLI Implementation Questionnaire for Tribal Employers FEGLI Tribal Questionnaire_FINAL.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FEGLI Implementation Questionnaire for Tribal Employers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEGLI	FEGLI Implementation Questionnaire for Tribal Employers	FEGLI Tribal Questionnaire_FINAL.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.