RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program

RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program

OMB: 3206-0270

IC ID: 218450

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RI 76-10 Assignment, Federal Employees' Group Life Insurance (FEGLI) Program
 
No Modified
 
Required to Obtain or Retain Benefits
 
5 CFR 8706

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

General Government Central Personnel

OPM/Central-1  73 FR 15013

400 0
   
Individuals or Households
 
   0 %

  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 400 0 0 0 0 400
Annual IC Time Burden (Hours) 100 0 0 0 0 100
Annual IC Cost Burden (Dollars) 2,685 0 0 2,685 0 0

Title Document Date Uploaded
RI 76-10_MarkUp RI76-010_MarkUp.pdf 11/08/2019
RI 76-10 Revised RI76-10_Revised.pdf 11/13/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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