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Comprehensive Medical Plans - Application To Participate In Fehb Program - Federal Employees Health Benefits Program - Contractor Records Retention
COMPREHENSIVE MEDICAL PLANS - APPLICATION TO PARTICIPATE IN FEHB PROGRAM - FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM - CONTRACTOR RECORDS RETENTION
OMB: 3206-0145
IC ID: 176781
OMB.report
OPM
OMB 3206-0145
ICR 198905-3206-003
IC 176781
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0145 can be found here:
1996-12-04 - Revision of a currently approved collection
1995-03-23 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
COMPREHENSIVE MEDICAL PLANS - APPLICATION TO PARTICIPATE IN FEHB PROGRAM - FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM - CONTRACTOR RECORDS RETENTION
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
75
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
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
75
0
0
0
0
75
Annual IC Time Burden (Hours)
22,896
0
0
0
0
22,896
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.