OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 33690 under ICR 202401-3206-001 · OMB 3206-0201.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Other-Scripts
Instruction
Other-Privacy Act and Public Burden
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 890

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FEHB IVR Open Season Online Web page 1 FEHBOS_IVR_Web Pages 1.pdf Yes Yes Fillable Printable
Form and Instruction FEHB IVR Open Season Online Web page 2 FEHBOS_IVR_Web Pages 2.pdf Yes Yes Fillable Printable
Form and Instruction FEHB IVR Open Season Online Web page 3 FEHB_IVR Web page 3.docx Yes Yes Fillable Printable
Other-Scripts FEHB_IVR_Scripts_2023.docx No   Paper Only
Other-Privacy Act and Public Burden Statements FEHB_IVR_PAS_PBS_2023_Revised.docx Yes No Printable Only
Form and Instruction FEHB IVR Open Season Online Web page 4 FEHBOS_IVR_Web pages 4.pdf Yes Yes Fillable Printable

General Government Central Personnel

OPM/Central 1  73 FR 15013

350,100 0
   
Individuals or Households
 
   100 %

  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 350,100 0 0 0 0 350,100
Annual IC Time Burden (Hours) 58,349 0 0 0 0 58,349
Annual IC Cost Burden (Dollars) 1,575,450 0 0 0 0 1,575,450

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.