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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201709-3206-012 · OMB 3206-0201 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form FEHB IVR Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System Form and Instruction Modified Available
AHBOSS_PIA_2012_07.pdf Supplementary Document Uploaded 2017-09-25 Repair queued
FEHB2017_IVR_WorkFlow.pdf Supplementary Document Uploaded 2017-09-25 Repair queued
FEHB2017_IVR_WEB_Pages_Part03.pdf Supplementary Document Uploaded 2017-09-25 Available
FEHB2017_IVR_WEB_Pages_Part02.pdf Supplementary Document Uploaded 2017-09-25 Available
FEHB2017_IVR_WEB_Pages_Part01.pdf Supplementary Document Uploaded 2017-09-25 Repair queued
FEHB2017_IVR_Scripts.pdf Supplementary Document Uploaded 2017-09-25 Available
FEHBOSIVR_60DayFRN_Published_2017_05_17.pdf Supplementary Document Uploaded 2017-09-25 Repair queued
FEHBOSIVR_30DayFRN_Published_2017_09_21.pdf Supplementary Document Uploaded 2017-09-25 Available
FEHB_IVR_OMBSuppStmt_2017.docx Supporting Statement A Uploaded 2017-09-25 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33690 Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System Form and Instruction Modified
ICR Details
3206-0201 201709-3206-012
Active 201404-3206-002
OPM
Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System
Revision of a currently approved collection   No
Regular
Approved with change 11/20/2017
Retrieve Notice of Action (NOA) 09/29/2017
This collection is approved based on the revised materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
11/30/2020 36 Months From Approved 11/30/2017
350,100 0 350,100
58,349 0 58,349
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. We have made editorial text changes to this information collection request (ICR).
US Code: 5 USC 8905 Name of Law: null
   US Code: 5 USC 8905A Name of Law: Continued Coverage
  
None
Not associated with rulemaking
  82 FR 22679 05/17/2017
82 FR 44221 09/21/2017
No
1
IC Title Form No. Form Name
Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System FEHB IVR, FEHB IVR, FEHB IVR Open Season Online ,   Open Season Online ,   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 350,100 350,100 0 0 0 0
Annual Time Burden (Hours) 58,349 58,349 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$268,500
No
    Yes
    Yes
No
No
No
Uncollected
Charles Conyers 202 606-0125 [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.
09/29/2017