Web-based "Health/Benefit Enrollment" (eBenefits)

Exchange Employee Management and Pay System

OMB: 0702-0139

IC ID: 222952

Documents and Forms
Document Name
Document Type
Other-Website
Information Collection (IC) Details

View Information Collection (IC)

Web-based "Health/Benefit Enrollment" (eBenefits)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Website eBenefit Screens.pdf Yes Yes Fillable Fileable Signable

Defense and National Security Operational Defense

AAFES 0903.06 "Personnel Management Information System"  78 FR 38017

9,960 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 9,960 0 3,960 0 0 6,000
Annual IC Time Burden (Hours) 3,320 0 1,320 0 0 2,000
Annual IC Cost Burden (Dollars) 89,640 0 39,640 0 0 50,000

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.

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