Information Collection

National Medical Support Notice - Part B

IC 13476 under ICR 201907-1210-001 · OMB 1210-0113.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0113 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
national-medical-support-notice-part-b.pdf	Other-National Medical Support Notic

IC Title:

National Medical Support Notice - Part B

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2590.609-2

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-National Medical Support Notice			national-medical-support-notice-part-b.pdf		Yes	No	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 425,444

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,546,371	1,846,371	8,700,000
Annual IC Time Burden (Hours)	878,864	151,864	727,000
Annual IC Cost Burden (Dollars)	6,327,824	1,627,824	4,700,000

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.