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

ICR 201404-3206-002

OMB: 3206-0201

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supplementary Document
2014-04-14
Supporting Statement A
2014-04-14
ICR Details
3206-0201 201404-3206-002
Historical Active 201102-3206-003
OPM
Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System
Revision of a currently approved collection   No
Regular
Approved without change 09/04/2014
Retrieve Notice of Action (NOA) 04/15/2014
  Inventory as of this Action Requested Previously Approved
09/30/2017 36 Months From Approved 09/30/2014
350,100 0 350,100
58,349 0 58,349
0 0 0

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.

US Code: 5 USC 8905A Name of Law: Continued Coverage
   US Code: 5 USC 8905 Name of Law: null
  
None

Not associated with rulemaking

  78 FR 71676 11/29/2013
79 FR 20927 04/14/2014
No

1
IC Title Form No. Form Name
Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System FEHB IVR, FEHB IVR Open Season Online ,   Open Season Online

  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 350,100 350,100 0 0 0 0
Annual Time Burden (Hours) 58,349 58,349 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$268,500
No
No
No
No
No
Uncollected
Steve Pierce 202 606-2560 [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.
04/15/2014


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