Information Collection Request

Federal Employees Dental and Vision Insurance Program (FEDVIP)

ICR 202510-3206-001 · OMB 3206-0272 · Active

Forms and Documents
DocumentTypeStatusAvailability
FEDVIP Enrollment Form and Instruction Modified Available
FED VIP (BENFEDS.com) Form and Instruction Modified Repair queued
FEDVIP ICR Supporting Statement Passback.docx Supporting Statement A Uploaded 2026-03-18 Available
FEDVIP ICR Supporting Statement 3206 0272 92625.docx Supporting Statement A Uploaded 2025-10-29 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
233779 FED VIP (BENFEDS.com) Form and Instruction ModifiedFEDVIP Enrollment
233779 FED VIP (BENFEDS.com) Form and Instruction Modified
ICR Details
3206-0272 202510-3206-001
Active 201905-3206-005
OPM
Federal Employees Dental and Vision Insurance Program (FEDVIP)
Revision of a currently approved collection   No
Regular
Approved with change 04/08/2026
Retrieve Notice of Action (NOA) 10/29/2025
This collection is approved based on the revised materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
04/30/2029 36 Months From Approved 04/30/2026
502,347 0 332,304
58,858 0 44,307
2,088,759 0 158,988

The Federal Employees Dental and Vision Insurance Program Enrollment System uses BENEFEDS, which is the secure enrollment website sponsored by OPM that allows eligible individuals to enroll or change enrollment in a FEDVIP plan. Eligible individuals use the system to enroll or change enrollment during the annual Open Season or when experiencing a qualifying life event under 5 CFR 894.101. Federal Civilian and U.S. Postal Service (USPS) employees, retirees (annuitants), survivor annuitants, compensationers, and their eligible family members can enroll and be enrolled in FEDVIP. In addition, most uniformed services retirees and their families will be eligible to enroll in dental and vision insurance and most uniformed services active duty family members will be eligible to enroll in vision insurance under FEDVIP.

US Code: 5 USC Chapters 89A and 89B Name of Law: Section 715 of Pub. L. 114-328
  
None

Not associated with rulemaking

  90 FR 17471 04/25/2025
90 FR 48510 10/23/2025
Yes

1
IC Title Form No. Form Name
FED VIP (BENFEDS.com) N/A FEDVIP Enrollment

  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 502,347 332,304 0 170,043 0 0
Annual Time Burden (Hours) 58,858 44,307 0 14,551 0 0
Annual Cost Burden (Dollars) 2,088,759 158,988 0 1,929,771 0 0
Yes
Miscellaneous Actions
No
The burden decreased one minute in time, however costs have kept up with increased inflation.

$272,825
No
    Yes
    Yes
Yes
No
No
No
Alexys Stanley 202 936-2501 [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.
10/29/2025