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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
60-day FRN.pdf	Supplementary Document	Uploaded 2014-04-14	Available
30-Day FRN.pdf	Supplementary Document	Uploaded 2014-04-14	Available
2013-2014 Web Pages 2 of 2 Markup.pdf	Supplementary Document	Uploaded 2014-04-14	Available
2013-2014 Web Pages 1 of 2 Markup.pdf	Supplementary Document	Uploaded 2014-04-14	Available
2013-2014 OPM IVR Scripts Markup.pdf	Supplementary Document	Uploaded 2014-04-14	Available
2013-2014 Open Season Express Markup.pdf	Supplementary Document	Uploaded 2014-04-14	Available
2010-2011 Web Pages 2 of 2 Markup.pdf	Supplementary Document	Uploaded 2014-04-14	Available
2010-2011 Web Pages 1 of 2 Markup.pdf	Supplementary Document	Uploaded 2014-04-14	Available
2010-2011 OPM IVR Scripts Markup.pdf	Supplementary Document	Uploaded 2014-04-14	Available
2010-2011 Open Season Express Markup.pdf	Supplementary Document	Uploaded 2014-04-14	Repair queued
FEHB_IVR_OMBSuppStmt.doc	Supporting Statement A	Uploaded 2014-04-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
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: 201404-3206-002
Status: Historical Active	Previous ICR Reference No: 201102-3206-003
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: 09/04/2014
	Date Received in OIRA: 04/15/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	09/30/2014
Responses	350,100	0	350,100
Time Burden (Hours)	58,349	0	58,349
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:
	78 FR 71676	11/29/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 20927	04/14/2014
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

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

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ICR Summary of Burden

table that charts list 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	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

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $268,500

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: 04/15/2014

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