Information and Instructions on Your Reconsideration Rights

ICR 200911-3206-006

OMB: 3206-0237

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2009-11-05
IC Document Collections
ICR Details
3206-0237 200911-3206-006
Historical Active 200805-3206-002
OPM
Information and Instructions on Your Reconsideration Rights
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/13/2010
Retrieve Notice of Action (NOA) 11/06/2009
  Inventory as of this Action Requested Previously Approved
07/31/2011 07/31/2011 07/31/2011
3,100 0 3,100
2,325 0 2,325
0 0 0

RI 38-47 outlines the procedures required to request reconsideration of an initial OPM decision about Civil Service or Federal Employees retirement, Federal or Retired Federal Employees Health Benefits requests to enroll or change enrollment, or Federal Employees’ Group Life Insurance coverage. This form lists the procedures and time periods required for requesting reconsideration.

None
None

Not associated with rulemaking

  73 FR 10310 02/26/2008
73 FR 27885 05/14/2008
No

1
IC Title Form No. Form Name
Information and Instructions on Your Reconsideration Rights

  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 3,100 3,100 0 0 0 0
Annual Time Burden (Hours) 2,325 2,325 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$165,200
No
Yes
Uncollected
Uncollected
No
Uncollected
Phyllis Pinkney 202-606-0623 [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.
11/06/2009


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