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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0201 can be found here:

Documents and Forms

Document Name Document Type
Form FEHB IVR Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System Form and Instruction
FEHB2017_IVR_Scripts.pdf Instruction
FEHB2017_IVR_WorkFlow.pdf Instruction
FEHB IVR Open Season Online FEHB2017_IVR_WEB_Pages_Part01.pdf Form and Instruction
FEHB IVR Open Season Online FEHB2017_IVR_WEB_Pages_Part02.pdf Form and Instruction
FEHB IVR Open Season Online FEHB2017_IVR_WEB_Pages_Part03.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Federal Employee Health Benefits (FEHB) Open Season Express Interactive Response (IVR) System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 890

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEHB IVR	Open Season Online	FEHB2017_IVR_WEB_Pages_Part01.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FEHB IVR	Open Season Online	FEHB2017_IVR_WEB_Pages_Part02.pdf	Yes	Yes	Fillable Printable
Form and Instruction	FEHB IVR	Open Season Online	FEHB2017_IVR_WEB_Pages_Part03.pdf	Yes	Yes	Fillable Printable
Instruction			FEHB2017_IVR_Scripts.pdf	No		Paper Only
Instruction			FEHB2017_IVR_WorkFlow.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM/Central 1	FR Citation: 73 FR 15013

Number of Respondents: 350,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	350,100	350,100
Annual IC Time Burden (Hours)	58,349	58,349
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.