FEGLI Implementation Questionnaire for Tribal Employers

Documents and Forms

Document Name Document Type
Form FEGLI FEGLI Implementation Questionnaire for Tribal Employers Form and Instruction
FEGLI FEGLI Implementation Questionnaire for Tribal Employers FEGLI Tribal Questionnaire_FINAL.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FEGLI Implementation Questionnaire for Tribal Employers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEGLI	FEGLI Implementation Questionnaire for Tribal Employers	FEGLI Tribal Questionnaire_FINAL.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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