Information Collection

National Medical Support Notice - Part B

IC 13476 under ICR 202204-1210-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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
1210-0113 NMSN Part B 9.9.22.docx	Other-National Medical Support Notic
1210-0113 NMSN Part B 9.9.22.docx	Other-National Medical Support Notic
PartB_Reference_To_Addendum.docx	Other-National Medical Support Notic
PartB_Reference_To_Addendum.docx	Other-National Medical Support Notic
e-NMSN__Addendum 5 18 20.docx	Other- Addendum
e-NMSN__Addendum 5 18 20.docx	Other- Addendum

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-National Medical Support Notice and Addendum	1210-0113 NMSN Part B 9.9.22.docx	Yes	No	Fillable Fileable
Other-National Medical Support Notice	PartB_Reference_To_Addendum.docx	Yes	Yes	Fillable Fileable
Other- Addendum	e-NMSN__Addendum 5 18 20.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 381,290

Number of Respondents for Small Entity: 366,187

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 47 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	19,352,287	8,805,916	10,546,371
Annual IC Time Burden (Hours)	1,215,658	336,794	878,864
Annual IC Cost Burden (Dollars)	6,400,769	3,078,662	3,322,107

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.