Information Collection Request

OPM Healthcare and Insurance Customer Experience Feedback

ICR 202306-3206-002 · OMB unassigned · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3206-NEW OPM Healthcare and Insurance Customer Experience Feedback Form and Instruction New Repair queued
30 Day FRN_3206-NEW.pdf Supplementary Document Uploaded 2023-06-22 Repair queued
3206NEW 60 day FRN.pdf Supplementary Document Uploaded 2023-06-20 Repair queued
Statement B CX Feedback 3-2023.docx Supporting Statement B Uploaded 2023-06-20 Repair queued
Supporting Statement Part A HI CX Feedback.docx Supporting Statement A Uploaded 2023-06-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
260726 OPM Healthcare and Insurance Customer Experience Feedback Form and Instruction New

ICR Details

Record metadata
Received in OIRA
OPM
New collection (Request for a new OMB Control Number)
1969-12-31
1969-12-31