OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program

ICR 201510-3206-001 · OMB 3206-0270 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
RI 76 10.docx Supplementary Document Uploaded 2016-02-25 Repair queued
OPM central-1.doc Supplementary Document Uploaded 2016-02-25 Available
RI 76-10 Jun 2015.pdf Supplementary Document Uploaded 2015-10-09 Available
RI76-010_30DayFRN_Published_2015_02_19.pdf Supplementary Document Uploaded 2015-10-09 Available
60-day FRN.pdf Supplementary Document Uploaded 2015-10-09 Available
RI 76-10 Supporting Statement.doc Supporting Statement A Uploaded 2015-10-09 Available
IC Document Collections
IC IDCollectionTypeStatusForm
218450 RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program New
ICR Details
3206-0270 201510-3206-001
Historical Active
OPM
RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/19/2016
Retrieve Notice of Action (NOA) 10/13/2015
This collection is approved based on the additional materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
11/30/2019 36 Months From Approved
400 0 0
100 0 0
0 0 0
RI 76-10 The Federal Employees' Group Life Insurance (FEGLI) Program allows an insured individual to transfer ownership, or "assign" the FEGLI coverage, to a third party. An insured may assign for several reasons; for example, for financial planning purposes, or to comply with a court order, or to sell the coverage to a third-party. Unlike a designation of beneficiary, once an assignment is executed, it is irrevocable.
US Code: 5 USC 8706 Name of Law: Termination of Insurance; assignment owership
  
None
Not associated with rulemaking
  79 FR 45499 08/05/2014
80 FR 8906 02/19/2015
No
1
IC Title Form No. Form Name
RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program
  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 400 0 0 400 0 0
Annual Time Burden (Hours) 100 0 0 100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This was an existing collection in use without an OMB control number, assignment, Federal Employees' Group Life Insurance (FEGLI), RI 76-10. The reporting population changed. The FEGLI program allows an insured individual to transfer ownership or assign the FEGLI coverage to a third party. An Insured may assign for several reason; for example, for financial planning purposes, or to comply with a court order; or to sell the coverage to a third party. Unlike a designation of beneficiary once an assignment is executed, it is irrevocable. Form has been revised to bring it up to date.
$0
No
No
No
No
No
Uncollected
Alicia Hoefke 202 606-2514 [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.
10/13/2015