ENROLLMENT REPORT, REPORTS NO. 7, 8, AND 9

ICR 198110-3206-016

OMB: 3206-0101

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
176732 Migrated
ICR Details
3206-0101 198110-3206-016
Historical Active 198110-3206-004
OPM
ENROLLMENT REPORT, REPORTS NO. 7, 8, AND 9
No material or nonsubstantive change to a currently approved collection   No
Emergency 10/01/1981
Approved with change 10/01/1981
Retrieve Notice of Action (NOA) 10/01/1981
  Inventory as of this Action Requested Previously Approved
02/28/1982 02/28/1982 02/28/1982
123 0 136
20,787 0 23,037
0 0 0

TITLE 5, U.S.C., CHAPTER 89, SECTION 8910 GIVES AUTHORITY TO OPM TO COLLECT INFORMATION TO NEGOTIATE PREMIUMS AND PROPERLY PAY CARRIERS FROM THE FEDERAL EMPLOYEES HEALTH BENEFITS TRUST FUND. THESE REPORTS ARE USED FOR THAT PURPOSE.

None
None


No

1
IC Title Form No. Form Name
ENROLLMENT REPORT, REPORTS NO. 7, 8, AND 9 REPORTS #7,, 8, & 9

  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 123 136 0 -13 0 0
Annual Time Burden (Hours) 20,787 23,037 0 -2,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
10/01/1981


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