Information Collection

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

IC 33690 under ICR 201709-3206-012 · OMB 3206-0201.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.