Federal Employees Dental and Vision Insurance Program (FEDVIP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting_Statement Part A-10.30.18_rev1.doc	Supporting Statement A	Uploaded 2018-11-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
233779	FED VIP (BENFEDS.com)		Unchanged

ICR Details

OMB Control No: 3206-0272	ICR Reference No: 201811-3206-002
Status: Historical Active	Previous ICR Reference No: 201810-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: Federal Employees Dental and Vision Insurance Program (FEDVIP)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 11/26/2018
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/28/2018
	Date Received in OIRA: 11/19/2018
Terms of Clearance: This collection is approved for 6 months only. If the Agency wants to use this collection for more than 6 months, a 60 and 30 day notice should be published. The Agency should report this collection as a violation in the Information Collection Budget.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	6 Months From Approved
Responses	332,304	0	0
Time Burden (Hours)	44,307	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Federal Employees Dental and Vision Insurance Program Enrollment System uses BENEFEDS, which is the secure enrollment website sponsored by OPM that allows eligible individuals to enroll or change enrollment in a FEDVIP plan. Eligible individuals use the system to enroll or change enrollment during the annual Open Season or when experiencing a qualifying life event under 5 CFR 894.101. Federal Civilian and U.S. Postal Service (USPS) employees, retirees (annuitants), survivor annuitants, compensationers, and their eligible family members can enroll and be enrolled in FEDVIP. In addition, most uniformed services retirees and their families will be eligible to enroll in dental and vision insurance and most uniformed services active duty family members will be eligible to enroll in vision insurance under FEDVIP.

Emergency Justfication: The Office of Personnel Management (OPM) is requesting emergency clearance for an information collection request used for the Federal Employees Dental and Vision Insurance Program (FEDVIP) Enrollment System. In addition to the emergency clearance, we will also complete the normal OMB review process and post the 60-Day and 30-Day Federal Register Notices following the Emergency Federal Register Notice. OPM is requesting emergency clearance for the FEDVIP Enrollment System to carry out its responsibility to administer the FEDVIP in accordance with 5 U.S.C. chapters 89A and 89B and implementing regulations (5 CFR Part 894). The U.S. Office of Personnel Management (OPM) is issuing an interim final rule to expand eligibility for enrollment in the FEDVIP to additional groups.

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Authorizing Statute(s): US Code: 5 USC Chapters 89A and 89B Name of Law: Section 715 of Pub. L. 114-328
  

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:
	83 FR 58175	11/19/2018
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
FED VIP (BENFEDS.com)

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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	332,304	0	0	332,304	0	0
Annual Time Burden (Hours)	44,307	0	0	44,307	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: The National Defense Authorization Act for Fiscal Year 2017, Pub. L. 114-328, expanded FEDVIP eligibility to certain TRICARE-eligible individuals (TEIs). The interim final rule also expands eligibility for enrollment in FEDVIP to certain Federal employees on temporary appointments and certain employees on seasonal and intermittent schedules that became eligible for Federal Employees Health Benefits (FEHB) enrollment beginning in 2015 to align FEDVIP coverage with FEHB Program coverage. The rule also finalizes the expansion of access to FEDVIP benefits to certain firefighters on temporary appointments and intermittent emergency response personnel. Expansion of FEDVIP to additional Federal employees falls under OPM’s regulatory authority at 5 U.S.C. 8962 and 5 U.S.C. 8992 to determine eligibility of employees based on the nature and type of employment.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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: 11/19/2018

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