Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System

Forms and Documents

Document Name	Status
IVR 60-day FRN.pdf Supplementary Document	2011-02-22
30-day FRN.pdf Supplementary Document	2011-02-22
FEHB_IVR_OMBSuppStmt.doc Supporting Statement A	2011-02-22

IC Document Collections

IC ID	Document Title	Status
33690	Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System Instruction	Modified

ICR Details

OMB Control No: 3206-0201	ICR Reference No: 201102-3206-003
Status: Historical Active	Previous ICR Reference No: 200712-3206-006
Agency/Subagency: OPM	Agency Tracking No:
Title: Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/06/2011
	Date Received in OIRA: 02/23/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved	04/30/2011
Responses	350,100	0	215,000
Time Burden (Hours)	58,349	0	35,833
Cost Burden (Dollars)	0	0	0

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Abstract: The FEHB Open Season Express IVR System and the Open Season web site, Open Season Online, is used by retirees and survivors; it collects information for changing FEHB enrollments, collecting dependent and other insurance information for self and family enrollments, requesting plan brochures, requesting a change of address, requesting cancellation or suspension of FEHB benefits, asking to making payment to the Office of Personnel Management when the FEHB payment is greater than the monthly annuity amount, or requesting FEHB plan accreditation and Customer Satisfaction Survey information.

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Authorizing Statute(s): US Code: 5 USC 8905A Name of Law: Continued Coverage
   US Code: 5 USC 8905 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 61785	10/06/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 9836	02/22/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System	FEHB IVR Open Season Online	FEHB IVR Open Season Online

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ICR Summary of Burden

	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	350,100	215,000	0	135,100	0	0
Annual Time Burden (Hours)	58,349	35,833	0	22,516	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The respondent burden has increased due to the increasing number of customers that we serve and more customers are choosing to respond using our automated system.

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Annual Cost to Federal Government: $434,970

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/23/2011

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