Applications To Participate In The Federal Employees Health Benefits Program And Contractor Records Retention Comprehensive Medical Plans

APPLICATIONS TO PARTICIPATE IN THE FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM AND CONTRACTOR RECORDS RETENTION COMPREHENSIVE MEDICAL PLANS

OMB: 3206-0145

IC ID: 156964

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APPLICATIONS TO PARTICIPATE IN THE FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM AND CONTRACTOR RECORDS RETENTION COMPREHENSIVE MEDICAL PLANS
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability


    

49 0
   
Private Sector Businesses or other for-profits
 
   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 49 0 0 49 0 0
Annual IC Time Burden (Hours) 13,530 0 0 6,480 0 7,050
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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